ABSTRACT
INTRODUCTION: The international literature seldom refers to eye measurements of the black African patient. Therefore, the various patterns where biometry elements are used as constituents deserve reconsideration as they may not correspond to the eye of the black patient of our region. This study provides true measurements for the black African patient in Ivory Coast. It also establishes hypotheses by extrapolating the role of measurements in pathologies such as glaucoma. MATERIAL: and method: The study included 325 eyes of 217 male and female patients. All the patients underwent ocular keratometrics and echo biometrics to measure the depth of the anterior chamber, the width of the lens, and the total axial length with the ultrascan biometer using the contact method in A echometrics. RESULTS: The mean keratometry in women was significantly higher than in men (43.99 +/- 1.62 diopters vs 43.46 +/- 1.45 diopters). The anterior chamber was deeper in men (2.69 mm +/- 0.54 vs 2.53 mm +/- 0.48). The men's eyes were significantly longer, with an axial length of 23.26 mm +/- 1.07 vs 22.56 mm +/- 0.90. CONCLUSION: Significant biometric differences between men's and women's eyes, on the one hand, and between black African and white patients' eyes, on the other hand, can be observed. The reasons for these differences are several: they are natural, socioeconomic, and technical. If standard implant of a different power for black and white patients can be imagined, can we also infer that the biometrics of a black African patient predisposes him to a disorder such as glaucoma more than a white patient? Further in-depth studies could provide an answer to this question.
Subject(s)
Anthropometry , Black People/statistics & numerical data , Eye/anatomy & histology , Adult , Age Factors , Age of Onset , Aged , Aged, 80 and over , Anterior Chamber/anatomy & histology , Cataract/pathology , Cornea/anatomy & histology , Cote d'Ivoire , Disease Susceptibility , Ethnicity/statistics & numerical data , Female , Humans , Lens, Crystalline/pathology , Male , Microscopy, Acoustic , Middle Aged , Myopia/ethnology , Racial Groups/statistics & numerical data , Retrospective Studies , Sex Characteristics , Socioeconomic Factors , United States , VietnamABSTRACT
The authors in this study intended to demonstrate that S-beta thalassemia can lead to severe ocular hemorrhagic risks, as is true of the sickle cell form. Both forms are also comparable in terms of the risk of aseptic necrosis of the femoral head. Out of the 18 patients studied, 13 (72.2%) had sickle cell retinopathy. Three of 13 patients had already developed new vessels and risked intravitreous hemorrhage. The authors recommend that more vigilance be mounted for the detection of S-beta thalassemia so as to benefit from rigorous and systematic follow-up and early treatment. Retinal argon laser photocoagulation is only effective if a clear diagnosis is made early.
Subject(s)
Anemia, Sickle Cell/complications , Ischemia/etiology , Retinal Vessels , beta-Thalassemia/complications , Cote d'Ivoire , Humans , Severity of Illness IndexABSTRACT
INTRODUCTION: Von Recklinghausen's neurofibromatosis is the most frequent of phakomatoses. Its incidence is 1/2,500-3,000 births. It is inherited through a dominant autosomal mode with a strong prevalence and changing expression. Eye and skin signs are essential to diagnosis and this case provided a noteworthy example of a unilateral upper palpebral tumor revealing this disease. CLINICAL CASE: We report a case of a 6-year-old boy whose original clinical manifestation was a tumor on the upper eyelid of the right eye, present at birth. According to the anamnesis, this palpebral tumor gradually increased in size, causing a full ptosis. A biopsy exeresis of the tumor was carried out with an anatomicopathological study of the biopsy specimen, confirming the diagnosis. CONCLUSION: The anatomicopathological study of the biopsy specimen enabled diagnosis of a neurofibromatosis revealed by this isolated palpebral localization responsible for significant aesthetic and functional damage.
Subject(s)
Eyelid Neoplasms/diagnosis , Neurofibromatosis 1/diagnosis , Biopsy , Blepharoptosis/etiology , Child , Eyelid Neoplasms/congenital , Eyelid Neoplasms/pathology , Eyelid Neoplasms/surgery , Eyelids/pathology , Humans , Male , Neurofibromatosis 1/pathology , Neurofibromatosis 1/surgeryABSTRACT
La medecine traditionnelle a survecu a l'epreuve du developpement de la medecine moderne dans nos pays et gagne meme de plus en plus de terrain. Malheureusement cette medecine mal dosee et surtout mal maitrisee peut provoquer des complications graves. Nous rapportons ici un cas qui illustre bien la gravite de la situation. Il s'agit du cas d'une exophtalmie maligne apparue chez un homme de 42 ans souffrant de maladie de Basedow. Il a ete traite par application des produits traditionnels. Les consequences sont effroyables
Subject(s)
Exophthalmos/complications , Eye Diseases/therapy , Medicine , Medicine/adverse effectsABSTRACT
Les auteurs rapportent une serie de glaucomes a pression normale et soulignent les problemes diagnostiques qu'ils soulevent
