Ndongo J A D J, Kamga B, Nyouma J, Aboubakar H, Ebana Mvogo S R
Hôpital gynéco-obstétrique et pédiatrique de Douala, Douala, Cameroun; Faculté de médecine et des sciences pharmaceutiques de Douala, Douala, Cameroun.
Hôpital gynéco-obstétrique et pédiatrique de Douala, Douala, Cameroun.
J Fr Ophtalmol. 2023 Sep;46(7):763-768. doi: 10.1016/j.jfo.2022.12.030. Epub 2023 May 18.
To study the influence of tropical endemic limboconjunctivitis (TELC) on the distribution of astigmatism in a population of black children.
We matched two groups of 36 children between the ages of 3 and 15 by age and sex. Group 1 consisted of children with TELC, and group 2 was made up of controls. All underwent cycloplegic refraction. The studied variables were age, sex, type and stage of TELC, spherical equivalent, absolute cylinder value and clinical type of astigmatism. The odds ratio was used to quantify the link between TELC and astigmatism. We used the Chi test for the comparison of qualitative variables and the Student T test for the comparison of the means of quantitative variables. The threshold of significance of the differences was set at 0.05.
Astigmatism was more common in children with TELC (61.97% vs. 37.5%), (OR=1.53; 95% CI 1.08-2.15; P=0.012). The history of TELC was associated with an increased risk of with-the-rule astigmatism (OR 1.91; 95%CI (1.23-2.97).
Pediatric TELC is frequently associated with the with-the-rule astigmatism in our practice setting.
研究热带地方性睑球结膜炎（TELC）对一群黑人儿童散光分布的影响。
我们按年龄和性别匹配了两组各36名3至15岁的儿童。第1组由患有TELC的儿童组成，第2组为对照组。所有儿童均接受了睫状肌麻痹验光。研究的变量包括年龄、性别、TELC的类型和阶段、等效球镜度、绝对柱镜值以及散光的临床类型。采用优势比来量化TELC与散光之间的联系。我们使用卡方检验比较定性变量，使用学生t检验比较定量变量的均值。差异的显著性阈值设定为0.05。
TELC患儿中散光更为常见（61.97%对37.5%），（优势比=1.53；95%可信区间1.08 - 2.15；P = 0.012）。TELC病史与顺规散光风险增加相关（优势比1.91；95%可信区间（1.23 - 2.97））。
在我们的实践环境中，儿童TELC常与顺规散光相关。
