Indications for surgical removal of the eye in rural areas in cameroon.

Ophthalmology and eye diseases Pub Date : 2014-06-09 eCollection Date: 2014-01-01 DOI:10.4137/OED.S14019
Giles Kagmeni, Christelle Domngang Noche, Georges Nguefack-Tsague, Peter Wiedemann
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Abstract

Objective: To determine the main clinical indications for surgical removal of the eye in rural areas in Cameroon.

Design: Retrospective non-comparative case series.

Participants: A total of 253 patients presenting to the Manna eye clinic Nkongsamba who underwent destructive eye surgery (DES) between January 2006 and December 2010 were reviewed.

Main outcome measure: Age, gender, occupation, prior medication, visual acuity, operation indications, and type of operation.

Results: There were 58.10% (n = 147) men and 41.90% (n = 106) women. Median age was 29 years (interquartile range: 14-69 years); age ranged from 10 to 88 years. A total of 67.19% (n = 170) of participants were farmers and lived in rural zones. In all, 79.05% (n = 200) confessed to have trying a medication before the presentation. Surgical indications included infective causes (perforated corneal ulcer 33.20% (n = 84) and endophthalmitis 18.20% (n = 46)), trauma 17.40% (n = 44), painful blind eyes 11.50% (n = 29), malignancy 10.70% (n = 27), and others 9.10% (n = 23).

Conclusion: The most common causes of DES in this series could be avoided. Therefore, preventive measures including extensive health education of the public and traditional healers on the risks linked to the use of traditional medicines in ophthalmology and the late presentation of eye disease, quality control of the campaigns that offer free cataract operations in the country.

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喀麦隆农村地区眼球摘除手术的适应症。
目的:确定喀麦隆农村地区眼球摘除手术的主要临床适应症:确定喀麦隆农村地区眼球摘除手术的主要临床适应症:设计:回顾性非比较病例系列:回顾性分析2006年1月至2010年12月期间前往恩孔桑巴Manna眼科诊所接受破坏性眼球手术(DES)的253名患者:主要结果指标:年龄、性别、职业、既往用药情况、视力、手术适应症和手术类型:男性占 58.10%(147 人),女性占 41.90%(106 人)。年龄中位数为 29 岁(四分位数间距:14-69 岁);年龄介于 10 岁至 88 岁之间。67.19%的参与者(n = 170)是农民,居住在农村地区。总计有 79.05%(n = 200)的人承认在就诊前尝试过药物治疗。手术适应症包括感染原因(角膜溃疡穿孔 33.20% (n = 84)和眼底病 18.20% (n = 46))、外伤 17.40% (n = 44)、疼痛性失明 11.50% (n = 29)、恶性肿瘤 10.70% (n = 27)和其他 9.10% (n = 23):本系列研究中最常见的 DES 原因是可以避免的。因此,预防措施包括对公众和传统医师进行广泛的健康教育,让他们了解在眼科中使用传统药物的风险和眼疾的晚期表现,以及对全国提供免费白内障手术的活动进行质量控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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