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[多哥中部地区外伤性白内障的管理与功能结果]

[Management and functional results of traumatic cataract in the central region of Togo].

作者信息

Saa Kassoula Batomaguela Nonon, Maneh Nidain, Vonor Kokou, Banla Mèba, Sounouvou Ignace, Alaglo Kossi, Balo Komi Patrice

机构信息

Université de Lomé, Faculté des Sciences de la Santé, Ophtalmologie, Lomé, Togo.

Faculté des Sciences de la Santé de Cotonou, Ophtalmologie, UAC, Bénin.

出版信息

Pan Afr Med J. 2016 Oct 24;25:107. doi: 10.11604/pamj.2016.25.107.7422. eCollection 2016.

Abstract

INTRODUCTION

Traumatic cataract is a serious condition because it can cause partial or total vision loss. Our study aims to assess the postoperative functional outcomes of patients undergoing surgery for traumatic cataract in the Central region of Togo.

METHODS

We conducted a retrospective study based on the analysis of medical records of patients who underwent surgical treatment for traumatic cataract in hospital based and outreach eye care services between 1 January 2009 and 30 June 2011.

RESULTS

Out of a total of 1086 cases with cataract undergoing surgery during this period, 131 (12.06%) had traumatic cataract. The average age was 30.01 ± 16.61 years, ranging betrween 5 and 70 years, 85% of patients underwent implantation with good or average success rates of 66% after correction in the first postoperative day (according to WHO classification). At two months follow up, 85% of patients had visual acuity above 3/10.

CONCLUSION

Despite micro-ophthalmic surgery advances, access to traumatic cataract surgery remains difficult for both the patient and the practitioner, especially in developing countries. For these reasons priority must be given to ocular trauma prevention.

摘要

引言

外伤性白内障是一种严重的病症,因为它可导致部分或完全视力丧失。我们的研究旨在评估多哥中部地区接受外伤性白内障手术患者的术后功能结局。

方法

我们进行了一项回顾性研究,基于对2009年1月1日至2011年6月30日期间在医院及外展眼保健服务机构接受外伤性白内障手术治疗患者的病历分析。

结果

在此期间接受白内障手术的1086例病例中,131例(12.06%)患有外伤性白内障。平均年龄为30.01±16.61岁,年龄范围在5至70岁之间,85%的患者接受了植入手术,术后第一天矫正后成功率良好或中等,为66%(根据世界卫生组织分类)。在两个月的随访中,85%的患者视力高于3/10。

结论

尽管显微眼科手术取得了进展,但对于患者和从业者而言,获得外伤性白内障手术仍然困难,尤其是在发展中国家。出于这些原因,必须优先预防眼外伤。

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