Maloba V, Nday F, Mwamba B, Tambwe H, Senda F, Ktanga L, Borasisi G
Université de Lubumbashi, 107, avenue N'Djamena, 1825 Lubumbashi, République démocratique du Congo.
Clinique Ophtalmique Sainte-Yvonne, 1 avenue Upemba, Katuba Kananga, Lubumbashi, République démocratique du Congo.
J Fr Ophtalmol. 2020 Oct;43(8):704-709. doi: 10.1016/j.jfo.2020.03.003. Epub 2020 Jul 4.
The purpose of this study was to determine the epidemiological, clinical and therapeutic features of ocular foreign bodies in our practice setting.
We conducted a cross-sectional descriptive study with retrospective data collection at the Sainte Ivonne ophthalmology center in Lubumbashi. We studied 98 medical records of patients seen from January through December 2016 for an ocular foreign body. The parameters used for this study were: age, gender, profession, circumstances of the injury, nature of the foreign body, complications, location, entry site, management and prognosis.
The frequency of ocular foreign bodies was 2.4%. We saw predominantly young subjects; the mean age was 33.18±17.98 years. Males predominated, with a frequency of 78.57% of the cases, for a gender ratio of 3.7 men to women. The circumstances of the injuries were primarily work-related (36.46% of cases). The type of foreign body was most commonly wood (41.8% of cases). The FB was corneal in 81.7% of cases, conjunctival (bulbar and tarsal) in 13.3% of cases, and limbal in 5% of cases. Treatment consisted of either simple removal (86.61% of cases) or removal with suturing for deeper foreign bodies (13.27% of cases). The functional results obtained were encouraging; 90.82% of patients recovered well with preservation of visual acuity. The majority of the complications consisted of superficial punctate keratopathy in 27.53% of cases and corneal ulcer in 26.53% of cases. The results of our study are consistent with those in the literature in terms of the frequent corneal location of FB's.
Ocular foreign bodies represent a situation of non-negligable severity and thus require proper early management in order to prevent progression to visual loss or blindness.
本研究的目的是确定在我们的实际诊疗环境中眼内异物的流行病学、临床和治疗特征。
我们在卢本巴希的圣伊冯眼科中心进行了一项回顾性数据收集的横断面描述性研究。我们研究了2016年1月至12月期间因眼内异物就诊的98例患者的病历。本研究使用的参数包括：年龄、性别、职业、受伤情况、异物性质、并发症、位置、进入部位、处理方法和预后。
眼内异物的发生率为2.4%。我们主要看到的是年轻患者；平均年龄为33.18±17.98岁。男性占主导，病例频率为78.57%，男女比例为3.7:1。受伤情况主要与工作相关（36.46%的病例）。异物类型最常见的是木头（41.8%的病例）。81.7%的病例中异物位于角膜，13.3%的病例位于结膜（球结膜和睑结膜），5%的病例位于角膜缘。治疗方法包括单纯取出（86.61%的病例）或对较深异物进行取出并缝合（13.27%的病例）。获得的功能结果令人鼓舞；90.82%的患者视力得以保留且恢复良好。大多数并发症包括27.53%的病例出现浅层点状角膜炎和26.53%的病例出现角膜溃疡。就异物频繁位于角膜这一点而言，我们的研究结果与文献中的结果一致。
眼内异物代表一种严重程度不可忽视的情况，因此需要进行适当的早期处理，以防止进展为视力丧失或失明。
