Clinical and Epidemiological Aspects of Eye Trauma at the Ouelessebougou Reference Health Center in the Koulikoro Health District in Mali

Sékou Malle,, M. Sidibé, Moumine Traoré, Amadou Ongoiba, Assitan Bengaly, A. Napo, O. Diallo, A. Dembélé, Daouda Goita, Djonnyjonas Dembele, M. Togo, Kadiatou Koita, Aissata Tall, A. Coulibaly, Cheick Fantamady Tounkare, N. Fofana, M. Dolo, B. Coulibaly, S. Bamani
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Abstract

Introduction: Ocular trauma leads to isolated or associated lesions.These lesions are the cause of blindness worldwide. The frequency and nature of these traumas are diverse and varied. The aim of this study was to describe the clinical and epidemiological aspects of these ocular traumas at the reference health center of Ouelessebougou in Mali. Patients and Method: It was abouta retrospective cross-sectional study, carried out at the reference center of Ouelessebougou. It included all patients with ocular trauma received and followed up between July 1 and December 31, 2018. Results: The frequency of ocular trauma was 3.30%. It occurred in young subjects aged 5 to 14 years (26.47%); predominated the male subject with 52.94%. The consultation time was in 41.18% of cases greater than or equal to 72 hours. Domestic accidents were the main circumstances of occurrence with 55.8% of cases. The involvement was unilateral in 85.3% and bilateral in 14.7%. Visual acuity was positive Light Perception (PL+) at finger count (CLD) 3 meters in 44.12%. Contusion was the main type of trauma with (67.65%) followed by wounds with 20.59% of cases. Corneal opacities represented the main sequelae with 3 cases out of 34 or 8.82% of cases. Discussion: Ocular injuries most often occur in young, male subjects. The lesions are multiple and varied and can be a source of disabling sequelae. Conclusion: Eye injuries are a common condition, emphasis should be placed on prevention through mass awareness.
马里库利科罗卫生区Ouelessebougou参考保健中心眼外伤的临床和流行病学方面
眼部创伤导致孤立的或相关的病变。这些病变是全世界失明的原因。这些创伤的频率和性质是多种多样的。本研究的目的是描述马里Ouelessebougou参考卫生中心这些眼部创伤的临床和流行病学方面。患者和方法:这是一项回顾性横断面研究,在Ouelessebougou参考中心进行。纳入2018年7月1日至12月31日期间接受并随访的所有眼外伤患者。结果:眼外伤发生率为3.30%。发生在5 ~ 14岁的年轻受试者中(26.47%);男性居多,占52.94%。就诊时间大于等于72小时的占41.18%。家庭事故以家庭事故为主,占55.8%。单侧受累占85.3%,双侧受累占14.7%。在指数(CLD)为3 m时,视敏度为阳性(PL+)的占44.12%。创伤类型以挫伤为主(67.65%),其次为伤口,占20.59%。34例患者中以角膜混浊为主,占8.82%。讨论:眼部损伤多见于年轻男性。病变是多种多样的,可能是致残后遗症的来源。结论:眼外伤是一种常见病,应加强预防,提高公众意识。
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