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Systematic Review on the Epidemiology and Management of the Dry Eye Disease in Sub-Saharan Francophone Africa

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Open Journal of Ophthalmology 2020年第4期10卷 323-331页

作者： Rodrigue Romuald Elien Gagnan Yan-zaou-tou Guirou Nouhoum Bakayoko Seydou Dicko Mahamat Adam sissoko modibo Sidibé Mohamed Kolé Mbaïkoua Jean Michel Mananu Innocent Adubango Hann T. Fadimé Sylla Aly Diabaté Nagnan Cheick Rahim Diarra modibo Institute of Tropical Ophthalmology of Africa-Teaching Hospital (CHU-IOTA) Bamako Mali National University Hospital Center of Bangui-Teaching Hospital (CNHUB) Bangui Central African Republic National Reference-Teaching Hospital (CHU-RN) N’Djamena Republic of Chad Evangelical Medical Center of Nyankunde-Bunia Bunia Democratic Republic of Congo Donka University Hospital Center Donka Republic of Guinea Medical and Surgical Center of the Army Conackry Republic of Guinea

Introduction: Dry Eye Disease (DED) is a multifactorial affection of the tears and the ocular surface. Its prevalence in the world varies between 7% and 33%. To the best of our knowledge, the prevalence of DED in Subsaharan Francophone African countries is not yet known. The objectives of this systematic review were to determine the prevalence of DED, to identify the main risk factors for DED, and to determine the diagnostic and therapeutic management of DED in Subsaharan Francophone African countries. Methodology: This is a systematic review of articles, dealing with DED, published in English or French language from 2010 to 2020. The following key words (Prevalence OR Incidence OR Proportion OR Rate OR Frequency OR Epidemiology OR Distribution) AND (Risk Factors OR Influences) AND (Symptoms or Questionnaire) AND (Clinical Signs OR Clinical Tests) AND (Dry Eye Disease OR Dry Eye Syndrome) AND (Pharmacological Treatment OR Non-pharmacological Treatment OR Management) AND (Benin OR Burkina Faso OR Burundi OR Cameroon OR Cap-Green OR Central African Republic OR Congo OR Congo (Democratic Republic of) OR Ivory Coast OR Gabon OR Guinea OR Guinea-Bissau OR Equatorial Guinea OR Mali OR Madagascar OR Mauritius (island) OR Niger OR Rwanda OR Sao Tome and Principe OR Senegal OR Seychelles OR Chad OR Togo) in French and English were searched on Pubmed, Chocrane database, Google scholar and ICTRP. Articles in English and French were selected from 2010 to 2020. Results: We selected 05 articles on the epidemiology and management of D

关键词： Dry Eye Disease (DED) Epidemiology Diagnosis Treatment Sub-Saharan Francophone Africa

External Dacryocystorhinostomy: 4 Years’ Experience from CHU-IOTA in Mali

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Open Journal of Ophthalmology 2022年第2期12卷 152-157页

作者： Nouhoum Guirou Sory Ibrahim Bamanta Nganga Ngabou Charles Gerauld Freddy Ali Konipo Abdoulaye Napo modibo sissoko Seydou Bakayoko Japhet Théra Fatoumata Sylla Lamine Traoré Institut d’Ophtalmologie Tropicale d’Afrique Centre Hospitalier Universitaire Université des Sciences des Techniques et des Technologies de Bamako Bamako Mali Centre Hospitalier Universitaire de Brazzaville Brazzaville Democratic Republic of the Congo

Aim: To analyze the clinical characteristics and the surgical outcomes of external dacryocystorhinostomy (DCR) in patients with nasolacrimal duct obstruction (NLDO). Methods: We retrospectively reviewed the clinical record of 62 patients who underwent external DCR for NLDO between November 2015 and November 2019 at CHU-IOTA in Mali. The preoperative clinical findings and the postoperative outcomes after a minimum follow up of 3 months were analyzed. Results: epiphora, discharges and canthal swelling were main symptoms of the 62 patients (68% women, 32% men), with the mean age of 47 years (10 - 76). Among them, 36 had chronic dacryocystitis, 12 had a traumatic NLDO and 8 followed a septal deviation. The majority (77%) were operated on under local anesthesia with sedation. Bicanalicular intubation was performed in 29% of patients. After postoperative follow up of at least 3 months, only 8 patients had persistent watering, thus a subjective functional success of 87%. Conclusion: In the nasolacrimal duct obstruction, most often secondary to chronic dacryocystitis, external dacryocystorhinostomy remains a technique of choice with very good success.

关键词： Dacryocystorhinostomy Dacryocystitis Epiphora Silicone

Prevalence of Refractive Errors among School Children Aged 5 to 15 Years Old at CHU-IOTA

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Surgical Science 2024年第8期15卷 480-491页

作者： Kadiatou Ba Aichata Tall Mory Coulibaly Cheick Sogodogo Zoumana Bagayogo Aoua Ibrahim Toure Ousmane Toure Brainima Coulibaly Fatoumata Tata Sidibe Aly Konipo Roucky Sangare Seydou Diallo Moro Sidibe Oumar Diallo Assiatou Simaga Gounon Saye modibo sissoko Mamadou Kole Sidibe Sidi Diarra Nouhoum Guirou Abdoulaye Napo Adama Guindo University Hospital Center Institute of Tropical Ophthalmology of Africa (CHU-IOTA) Bamako Bamako Mali Ophthalmology Department Sikasso Regional Hospital Sikasso Mali Ophthalmology Department Luxembourg Mother-Child Hospital in Bamako Bamako Mali

Introduction: Undetected refractive errors constitute a health problem among school children who cannot take advantage of educational opportunities. The authors studied the prevalence of refractive errors in school children aged 5 to 15 at CHU-IOTA. Patients and Method: This is a prospective, descriptive cross-sectional study carried out in the ophthalmic-pediatrics department of CHU-IOTA, from October to November 2023. Results: We received 340 school children aged 5 to 15, among whom 111 presented ametropia, i.e. a prevalence of 32.65%. The average age was 11.42 ± 2.75 years and a sex ratio of 0.59. The average visual acuity was 4/10 (range 1/10 and 10/10). We found refractive defects: astigmatism 73.87%, hyperopia 23.87% of cases and myopia 2.25%. The decline in distance visual acuity was the most common functional sign. Ocular abnormalities associated with ametropia were dominated by allergic conjunctivitis (26.13%) and papillary excavation (6.31%) in astigmatics;allergic conjunctivitis (9.01%) and papillary excavation (7.20%) in hyperopic patients;turbid vitreous (0.90%), myopic choroidosis (0.45%) and allergic conjunctivitis (0.45%) in myopes. Conclusion: Refractive errors constitute a reality and a major public health problem among school children.

关键词： Refractive Errors Prevalence Child CHU-IOTA

Prevalence of Ocular Trauma at the Reference Health Center (CSREF) of Kati

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Surgical Science 2024年第5期15卷 371-380页

作者： Kadiatou Ba Aichata Tall Brainima Coulibaly Sadio Cissoko Bakary Danfaga Moro Sidibe Seydou Diallo Oumar Diallo Fatoumata Tata Sidibe Aly Konipo Mory Coulibaly Ousmane Touré Aoua I. Touré Cheick Sogodogo Ibrahim Bamenta Gounon Saye modibo sissoko Mamadou Kole Sidibe Sidi Diarra Nouhoum Guirou Lamine Traoré University Hospital Center Institute of Tropical Ophthalmology of Africa Bamako Bamako Mali Ophthalmology Department Kati Reference Health Center Koulikoro Mali Ophthalmology Department Sikasso Regional Hospital Sikasso Mali Ophthalmology Department Luxembourg Mother-Child Hospital in Bamako Bamako Mali Ophthalmology Department Somin&#233 Dolo Mopti Regional Hospital in Mopti Mopti Mali National Eye Health Program Bamako Mali

Introduction: The authors wanted to study the prevalence of ocular trauma in the ophthalmology unit of the CSREF of Kati. Patients and method: This is a retrospective study, covering the period from January to December 2015, carried out in the ophthalmology unit of the CSREF in Kati. Results: The sample consisted of 568 patients, or 6.82% of ophthalmological consultations. Children aged 0 to 14 years accounted for 154 (27.11%) of the trauma cases. Bruises constitute the main circumstance (58.1%) of eye trauma, followed by domestic accidents (15.6%). Closed globe ocular trauma was the main type of trauma (61.6%), followed by ocular adnexal trauma (30.1%) and open globe trauma (8.3%) in which the penetrating wound was the lesion, the least common (2.6%) but the most serious. Medical treatment was the most used therapeutic modality in 82.4% of cases, followed by surgery with 17.6% of cases. The evolution of the lesions after treatment was favorable in 85.6% of cases and unfavorable in 14.4% of cases. Complications were observed in 5.8% of cases and sequelae in 8.6% of cases. Conclusion: Ocular trauma constitutes an important reason for ophthalmological consultation at the CSREF of Kati. The severity of some of these lesions requires frequent recourse to surgery. The complexity of the treatment should encourage us to favor preventive measures.

关键词： Eye Trauma Prevalence CSREF Kati

Ureteroscopy with Holmium: YAG Laser—A Initial Study in the Urology Department of the Pr Bocar Sidy Sall University Hospital of Kati

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Open Journal of Urology 2024年第4期14卷 207-216页

作者： Amadou Kassogue Idrissa sissoko Daouda Sangare Moussa Salifou Diallo Hamed Sylla Mahamadou Traore Boureima Coulibaly Salia Coulibaly modibo Diakite modibo Togola Fadima Tall Ilias Guindo Ben Naoum Kamel Mamadou Lamine Diakite Urology Department University Hospital of Pr Bocar Sidy Sall Kati Mali Radiology Department University Hospital of Pr Bocar Sidy Sall Kati Mali Anesthesy and Reanimation Department University Hospital of Pr Bocar Sidy Sall Kati Mali Urology Department University Hospital Nimes France Urology Department University Hospital of Point G Bamako Mali

Introduction: Ureteroscopy is a minimally invasive endoscopic surgery which provides access to the ureter, pyelon and calyceal cavities via the urethra and the bladder. Laser ureteroscopy uses the laser as an energy source to treat the stone and eliminate it naturally. Minimally invasive endoscopic methods are struggling to become popular in sub-Saharan African countries, especially for the upper urinary tract. The objective of our work was to report the results of our first laser ureteroscopy experience in the department. Materials and Methods: This was a prospective and descriptive study running from December 1, 2023 to February 19, 2024. Included in our study was any case of upper urinary tract stone operated by Laser ureteroscopy. The characteristics of the lithiasis were determined by CT scan. Sterilization of urine was verified by carrying out a cytobacteriological examination of urine. Ureteral lithiasis was approached by semi-rigid ureteroscopy. Renal lithiasis was immediately addressed by flexible ureteroscopy. Ureteroscopy was coupled with a Holmium YAG laser. A double J ureteral catheter was placed after the operation. A 230 µm laser fiber was used in each case with a generator with a power of 35 watts (Storz Calculase III type). An access sheath was used in all cases of flexible ureteroscopy. The parameters studied were: sociodemographic characteristics, lithiasis (site, size, number, density, topography), type of anesthesia, duration of laser use, duration of intervention, postoperative outcomes. Data entry and analysis were carried out using the software (Word 2016 and SPSS). Result: We collected 30 cases of laser ureteroscopy. The average age was 37 years with extremes of 9 and 79 years. The male gender was more represented. The most common age group was 24-39 years old. Renal colic was the most frequent reason for admission, 12 patients (40%). On physical examination, lumbar tenderness was present in 47% (14 patients). ECBU was positive in 4 patients

关键词： Ureteroscopy Semi-Rigid Flexible Holmium YAG Laser

Menstrual Hygiene Management in School Setting in Two Secondary Schools in the Bamako District, Case of the School “La Chaine Grise” and the School Cheick modibo Diarra

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Open Journal of Obstetrics and Gynecology 2020年第2期10卷 284-297页

作者： Fané Seydou Bocoum Amadou sissoko Abdoulaye Traore Alassane Traore Soumana Oumar Kante Ibrahima Sima Mamadou Sanogo Siaka Amara Kouma Aminata Sanogo Abdoulaye Saleck Doumbia Salem Yargueit Teguete Ibrahima Traore Youssouf Mounkoro Niani University Teaching Hospital Gabriel Touré Bamako Mali Hospital Mother-Child the Luxemburg of Bamako Bamako Mali Hospital of Mali Bamako Mali Referral Health Center of commune V Bamako Mali University Teaching Hospital Point G Bamako Mali Hospital of Kati Bamako Mali

This study on Menstrual Hygiene Management (MHM) was carried out in two secondary schools in the Bamako district, “Chaine Grise” and “Cheick modibo Diarra” located respectively on the right bank and the left bank depending on the geographic position of the Niger river. This work took place over a period of 6 months from January 2019 to June 2019. The objective of this study was to study menstrual hygiene management in school?setting for girls aged 16 to 18 in two secondary schools in Bamako. It was a transversal and qualitative description. The study population consists of girls aged 16 to 18 years enrolled in one of the selected secondary schools.?At the end of this study, we arrived at the following results:?*50% of the girls in our study have poor knowledge about menstruation;?*10% of girls miss school at least one day a month during menstruation;?*90% of girls use hygienic cotton to absorb menstrual blood;?*90% of the sources of supply for hygienic products are?mothers.?The unsanitary conditions of the toilets, lack of light and the non-separation of the toilets according to gender guidelines were found in 99% of the cases: *99% of girls say that the poor state of health infrastructures was one of the causes of genital infections linked to poor management of menstrual hygiene;?*lack of water in the toilets (99%). Through these results, we conclude that,?in our context,?menstruation remains a taboo and shameful subject for girls. In addition, some of their menstrual hygiene practices are a real danger to their health.

关键词： Menstrual Hygiene Management Girls from 16 to 18 Years Old Secondary Schools Bamako