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Does Eye Camp Contribute to the Fight against Blindness? Experience of the Central Region in Togo

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Open Journal of Ophthalmology 2017年第3期7卷 196-203页

作者： kassoula batomaguela nonon saa Nidain Maneh Messan Kokou Amedome Kokou Vonor Kossi Dzidzinyo Koffi Didier Ayena Komi Patrice Balo Eye Department of Sokode Faculty of Health Sciences University of Lome Lome Togo Eye Department of Lome Faculty of Health Sciences University of Lome Lome Togo Eye Department of Kara Faculty of Health Sciences University of Lome Lome Togo

Aim: To evaluate results of cataract surgery in Eye Camp in rural areas. Patients and Method: This study set about the retrospective analysis of cases and operating reports of patients over the age of 10, operated for cataract in Eye Camp and fixed strategy from January, 2010 to December, 2012. Postoperative data were specified and compared. Results: Out of a total of 1145 patients operated, 577 (50.40%) were men compared with 568 (49.60%) women. The general mean age was 62 years, similar in Eye Camp and in fixed strategy. Sixty percent of patients were operated in Eye Camp. After 4 weeks of follow-up, 77% of patients were met again, and 83% among them showed good results (corrected visual acuity = 3/10). This rate of good results was 80.43% in Eye Camp against 87.7% in fixed strategy. We noted 18.25% of complications among which 11.25% were in Eye Camp. The functional outcomes of both strategies get closer to WHO standards. Conclusion: Eye Camp in the Central Region of Togo is an interesting alternative that contributes to the fight against blindness, even if postoperative follow-up is still to be improved.

关键词： Cataract Surgery Eye Camp Functional Outcomes

Epidemiology of Child’s Ocular Globe Injury: A Retrospective Study at the University Teaching Hospital-Campus of Lomé(Togo)

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Open Journal of Ophthalmology 2017年第1期7卷 8-13页

作者： Nidain Maneh Abou-Bakr Sidik Domingo kassoula batomaguela nonon saa Vonor Kokou Agba Aide Isabelle Ayena Koffi Didier Banla Meba Balo Komi Patrice Faculty of Health Sciences University of Lome Lomé Togo Department of Ophthalmology The University Teaching Hospital Campus of Lomé Lomé Togo

Aim: To study clinical and epidemiological characteristics of child’s ocular injuries. Patients and Method: Retrospective study on medical records of children suffering from traumatic injuries of the ocular globe presented to the Campus Teaching Hospital (CHU Campus) of Lomé from 3 January 2015 to 30 June 2016 (18 months). Age, sex, nature of the traumatising agent, consultation delay and the width of the injury (zone I, II or III), the classification of ocular trauma, according to “Birmingham Eye Trauma Terminology (BETT) system”, connected lesions have been studied. Results: Twenty children about 46.51% children presented for ocular trauma have been suffering from a globe injury. The average age was 6.68 years with the extremes of 1 year and 12 years;the age bracket of 0 - 5 years was more represented (45%);predominance was more from the female with a sex-ratio = 0.67. Eighty percent of the children were from rural areas while twenty from urban areas. The delay of consultation was less than 24 hours in 40% of cases and 15% consulted between 24 h and 72 h after the trauma. Traumatisms were entirely unilateral and penetrating within a majority of 15 (75%) cases of which a “stick” is the traumatising agent of the most frequent (40%). The seat of the injury was the zone I (85.71%) and zone II (14.29%). Connected lesions were dominated by iris hernia 7 (35%) and traumatic cataract 6 (30%). Conclusion: children’s traumas were high predominantly and they came in majority from rural zones. Prevention through awareness remains the best treatment.

关键词： Child Injury Globe Ocular Lomé

Macular Thickness by Optical Coherence Tomography in Normal Togolese Melanoderma Subjects: A Case Study of 338 Eyes

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Open Journal of Ophthalmology 2022年第1期12卷 44-50页

作者： Kossi Dzidzinyo Akoete Djagnikpo Koffi Didier Ayena Kokou Vonor Mawouli Ayodele Santos kassoula batomaguela nonon-saa Kokou Messan Amedome Adam Nouhou-Diori Nidain Maneh Komi Balo Department of Ophthalmology Sylvanus Olympio University Hospital Lomé Togo Sight & Vision Ophthalmology Clinic Lomé Togo Department of Ophthalmology Secondary Hospital of Bè Lomé Togo Department of Ophthalmology Kara University Hospital Kara Togo Department of Ophthalmology Regional Hospital Center of Aneho Aneho Togo Department of Ophthalmology Campus University Hospital University of Lomé Lomé Togo

Objective: Maculopathies are more and more frequent. For the follow-up of its evolution and therapy, it seems important for us to determine the baseline in normal subjects by Optical Coherence Tomography (OCT). The goal here is to determine the acceptable range of macular thickness in normal black subjects in Lomé. Methodology: This is a retrospective study over a 6-month period. It did not include all patients with retinopathy of any cause, maculopathy, and glaucoma. The analyzed variables were the average macular thickness, the central macular thickness, and the total macular volume. Results: Out of the 433 macular OCT performed, 191 patients were selected;a total of 338 eyes. These included 96 men and 95 women. A sex ratio was 1.01. The median age was 44.1 years with extremes ranging from 10 to 70 years. The average macular thickness was 263.4 μm for the right eye and 263.7 μm for the left eye. The central macular thickness was 174.1 μm for the right eye and 173.3 μm for the left eye. The total macular volume was 7.4 in both eyes. Discussion: No significant statistical difference existed between the two sexes. The average macular thickness found in this study was within the range of normality observed in the literature, which is between 216 and 288 μm. Conclusion: The average macular thickness of the normal subject in Lomé was 263.4 μm.

关键词： Macular Thickness OCT Normal Subject

Optical Coherence Tomography’s Contribution to the Diagnosis of the Pathologies of the Vitreoretinal Interface in Lomé

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Open Journal of Ophthalmology 2018年第3期8卷 180-189页

作者： Kossi Dzidzinyo Hubert Yamdeu Koffi Didier Ayena Kokou Vonor Nidain Maneh Kokou Messan Amedome kassoula batomaguela nonon saa Koko Roger Kuaovi Yawa Nagbe Meba Banla Komi Balo Faculty of Health Sciences University of Lome Lomé Togo Eye Department of Teaching Hospital Sylvanus Olympio of Lomé Lomé Togo Eye Institute Afia of Lomé Lomé Togo

Purpose: To identify the pathologies of the vitreoretinal interface by Optical Coherence Tomography OCT of the retina in Lomé. Methodology: This is a retrospective analytical study, carried out in a specialized liberal center in Lomé. It was based on the analysis of OCT images of the retina, carried out with patients between October 2012 and October 2014. The variables collected were the socio-demographic characteristics, which were the various pathologies of the vitreoretinal interface. Results: 303 eyes of 164 patients were analyzed. The population was predominantly female (sex ratio = 0.95) aged 9 to 84 years with an average of 52.93 years. 121 eyes (39.9%) had posterior vitreous detachment with 66.1% in the 50 - 70 age group. 42 eyes (13.86%) presented vitreomacular traction with 66.6% in the 50 - 70 age group. 31 eyes (10.23%) presented an epi-retinal membrane with 61.2% in the 50 - 70 age group. 33 eyes (10.89%) had a full-thickness macular hole with 69.6% in the 50 - 70 age group. 4 eyes had a lamellar hole and 1 eye had a pseudo hole. Conclusion: OCT is an excellent tool for non-invasive exploration of the vitreoretinal interface. It gives precise information on the various pathologies of this interface. The need to evaluate the functional impact of these abnormalities, calls for other studies, especially prospective studies to assert their reality of those disease.

关键词： Posterior Vitreous Detachment Vitreous Macular Traction Retinal Membrane Macular Hole

Diagnosis of Large Papillary Excavations in Developing Countries: From Automated Visual Field to OCT of the Ganglion Complex. About a Case

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Open Journal of Ophthalmology 2021年第2期11卷 143-151页

作者： Kokou Messan Amedome kassoula Batomaguéla nonon saa Kossi Dzidzinyo Kokou Vonor Nidain Maneh Koffi Didier Ayena Komi Balo Centre Hospitalier Universitaire de Kara Kara Togo Centre Hospitalier Universitaire Sylvanus Olympio de Lomé Lomé Togo Centre Hospitalier Régional de Kara Tomdè Kara Togo Centre Hospitalier Universitaire Campus de Lomé Lomé Togo Hô pital de Bè Lomé Lomé Togo

Background: Large papillary excavations constitute a true differential diagnosis of glaucoma in our environments. Aim: To present a clinical case of large papillary excavation simulating glaucomatous optic neuropathy in a young subject. Case Presentation: The ophthalmologic examination made it possible to note a visual acuity of LogMar 0.00, ocular hypertonia and a large papillary excavation in both eyes. The visual field noted bilateral perimetric involvement suggesting optic neuropathy. Optical coherence tomography (OCT) of the ganglion complex revealed an absence of involvement of the ganglion complex and the ganglion ridge essential to evoke optic neuropathy. An ocular hypotonizing treatment made it possible to normalize the intraocular pressure. Conclusion: The particularity of this observation lies in the fact that the perimeter involvement that preceded any involvement can simulate a glaucomatous involvement. Functional damage to the visual field must be correlated with structural damage to suggest glaucomatous damage in our ophthalmic patients.

关键词： Large Excavation Optic Neuropathy Glaucoma OCT Kara

Knowledge, Attitudes and Practices of Health Care Staff about Glaucoma in Lomé

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Open Journal of Ophthalmology 2021年第2期11卷 163-175页

作者： Messan Kokou Amedome Yao Ako Patrick Mensah Kokou Vonor Nidain Maneh Kossi Dzidzinyo kassoula Batomaguéla nonon saa Koffi Didier Ayena Komi Balo Centre Hospitalier Universitaire de Kara Kara Togo Hô pital de Bè Lomé Lomé Togo Centre Hospitalier Régional de Kara-Tomdè Kara Togo Centre Hospitalier Universitaire Campus de Lomé Lomé Togo Centre Hospitalier Universitaire Sylvanus Olympio de Lomé Lomé Togo

Introduction: Glaucoma is a major cause of irreversible blindness worldwide. Early detection and awareness are essential to reduce the impact on eye health. The aim of this study is to assess the knowledge, attitudes and practices of health care staff about glaucoma in Lomé. Materials and Methods: This was a prospective cross-sectional and descriptive study including health care staff in Lomé, from October 1st to December 31st, 2020, for a period of 3 months. After their agreement, the officers responded to questions based on a survey sheet. Results: A total of 169 agents from 3 centers in Lomé, i.e. the Sylvanus Olympio University Teaching Hospital, the Campus University teaching Hospital and the Bè Hospital were involved. 50.9% of the agents were male versus 49.1% female, i.e. a ratio of 1.04. The average age was 33.66 ± 10.45 years. 46.10% were doctors versus 53.90% paramedics. 58.60% had at most 5 years of experience against 41.40% who had more than 5 years of experience. 53.80% defined glaucoma as ocular hypertension while 17.20% defined it as optic nerve disease. 46.20% did not know that there were many types of glaucomas compared to 53.20% who knew that there are many types of glaucomas. 92.30% knew that glaucoma can lead to cause visual loss. Regarding attitudes and practices about glaucoma, 91.70% declared that the follow-up should be done by the ophthalmologist, 81.10% thought that it would be necessary to be checked by the doctor only every 6 months. Finally, 65.08% declared that they had to use eye drops for life for the treatment. Conclusion: Steps should be taken to educate staff more about glaucoma attitudes and practices and also plan for action in the population.

关键词： Knowledge Attitude Practice Glaucoma Lomé