Background: Dry eye and glaucoma are two common pathologies in the elderly, and are very often associated. This association suggests a link between them and between their treatments. Our purpose for this study is to d...Background: Dry eye and glaucoma are two common pathologies in the elderly, and are very often associated. This association suggests a link between them and between their treatments. Our purpose for this study is to determine the prevalence of dry eye in our glaucoma patients treated with eye drops and deduce the factors associated with it. Patients and Methods: We conducted a cross-sectional, analytical study from October 2022 to September 2023 in the ophthalmology department of Garoua Regional Hospital in glaucoma patients aged over 15 years able to answer the Ocular Surface Disease Index (OSDI) questionnaires and treated with antiglaucoma eye drops for more than 3 months. These patients underwent a complete ophthalmological examination and a tear film break-up time test. Results: A total of 73 patients (146 eyes) were examined. The average age of the patients was 47.2 ± 16.5 years, with a male predominance of 54.8%. The prevalence of dry eye syndrome in our patients according to the OSDI score was 56.2% (95% CI) (44.8;67.6). The prevalence of dry eye syndrome on clinical examination of the BUT in the right eye was 83.7% (95% CI) (75.1;92.1) and 79.4% (70.2;88.7) in the left eye. The duration of antiglaucoma treatment was the factor associated with dry eye syndrome (p < 0.05) in glaucoma patients in our setting. Conclusion: Dry Eye Syndrome is common in glaucoma patients on drops in our setting. Treatment duration of more than 1 year seems to be associated with dry eyes.展开更多
Introduction: Facial emphysema is the presence of air in the subcutaneous tissues of the facial region. They can be clinically recognized by the crackling sensation felt when the affected area is palpated. Observation...Introduction: Facial emphysema is the presence of air in the subcutaneous tissues of the facial region. They can be clinically recognized by the crackling sensation felt when the affected area is palpated. Observation: The authors describe left orbito-facial emphysema that occurred after a violent sneezing episode in a 36-year-old patient. He had significant edema of the left facial and ipsilateral periorbital region associated with major emphysema and complete closure of the left eye. Nasal cavities endoscopy revealed inflammation of the distal orifice of the nasolacrimal duct. The clinical ophthalmologic examination performed in emergency showed left chemosis, slight ocular hypertonia of mechanical origin, and a slight decrease in visual acuity. Pupillary reflexes and retinography were normal. A craniofacial computed tomography (CT) revealed a significant left orbital emphysema, a fracture of the left medial orbital wall (ethmoidal lamina papyracea) with intraconal fat incarceration without entrapment of the medial rectus and significant air infiltration of all the left hemifacial soft tissues. A broad-spectrum antibiotic and anti-inflammatory treatment were instituted, as well as practical advice to prevent a recurrence. We observed progressive resorption of the edema with a return to the normal of the soft tissues and the palpebral cleft in 15 days. Conclusion: These atypical cases can be serious. It is essential to exclude signs of visual deficit and ocular compression. Multidisciplinary management is important.展开更多
Introduction: Diabetic retinopathy accounts for 5% of all causes of blindness. We set out to assess knowledge, attitude, and practice patterns in patients with diabetes regarding diabetic retinopathy (DR) and identify...Introduction: Diabetic retinopathy accounts for 5% of all causes of blindness. We set out to assess knowledge, attitude, and practice patterns in patients with diabetes regarding diabetic retinopathy (DR) and identify barriers that may exist in this context. Material and Methods: We conducted a cross-sectional study by consecutively enrolling patients with diabetes consulting at four hospitals in Cameroon between November 2021 and March 2023. We surveyed participants about their understanding of diabetic retinopathy (DR), their approach to it, and their visits to eye specialists by means of a single-investigator-interviewer-administered questionnaire. Data was anonymously analysed using STATA/BE 17 and presented in frequencies and Spearman’s correlation coefficient. The error margin was 5% and all results with p-value Results: We enrolled 152 patients with type 2 diabetes mellitus, with a mean age of 60.30 years and a male-to-female ratio of 0.9. Out of the 152 patients enrolled, 138 (90.59%) agreed that the eyes could be damaged by diabetes. Meanwhile, only 21 (15.79%) associated diabetes with DR. Of the 41.18% who were occasionally sent for an eye exam by their consulting physicians, 91.72% made it to the consultations. Spearman’s correlation showed no significant relationship between the knowledge of eye involvement in diabetes and visits to eye specialists, regardless of blood sugar levels (p = 0.30). Conclusion: We were able to show that there is a lack of sensitization of patients with diabetes on diabetic retinopathy and referral to ophthalmologists.展开更多
文摘Background: Dry eye and glaucoma are two common pathologies in the elderly, and are very often associated. This association suggests a link between them and between their treatments. Our purpose for this study is to determine the prevalence of dry eye in our glaucoma patients treated with eye drops and deduce the factors associated with it. Patients and Methods: We conducted a cross-sectional, analytical study from October 2022 to September 2023 in the ophthalmology department of Garoua Regional Hospital in glaucoma patients aged over 15 years able to answer the Ocular Surface Disease Index (OSDI) questionnaires and treated with antiglaucoma eye drops for more than 3 months. These patients underwent a complete ophthalmological examination and a tear film break-up time test. Results: A total of 73 patients (146 eyes) were examined. The average age of the patients was 47.2 ± 16.5 years, with a male predominance of 54.8%. The prevalence of dry eye syndrome in our patients according to the OSDI score was 56.2% (95% CI) (44.8;67.6). The prevalence of dry eye syndrome on clinical examination of the BUT in the right eye was 83.7% (95% CI) (75.1;92.1) and 79.4% (70.2;88.7) in the left eye. The duration of antiglaucoma treatment was the factor associated with dry eye syndrome (p < 0.05) in glaucoma patients in our setting. Conclusion: Dry Eye Syndrome is common in glaucoma patients on drops in our setting. Treatment duration of more than 1 year seems to be associated with dry eyes.
文摘Introduction: Facial emphysema is the presence of air in the subcutaneous tissues of the facial region. They can be clinically recognized by the crackling sensation felt when the affected area is palpated. Observation: The authors describe left orbito-facial emphysema that occurred after a violent sneezing episode in a 36-year-old patient. He had significant edema of the left facial and ipsilateral periorbital region associated with major emphysema and complete closure of the left eye. Nasal cavities endoscopy revealed inflammation of the distal orifice of the nasolacrimal duct. The clinical ophthalmologic examination performed in emergency showed left chemosis, slight ocular hypertonia of mechanical origin, and a slight decrease in visual acuity. Pupillary reflexes and retinography were normal. A craniofacial computed tomography (CT) revealed a significant left orbital emphysema, a fracture of the left medial orbital wall (ethmoidal lamina papyracea) with intraconal fat incarceration without entrapment of the medial rectus and significant air infiltration of all the left hemifacial soft tissues. A broad-spectrum antibiotic and anti-inflammatory treatment were instituted, as well as practical advice to prevent a recurrence. We observed progressive resorption of the edema with a return to the normal of the soft tissues and the palpebral cleft in 15 days. Conclusion: These atypical cases can be serious. It is essential to exclude signs of visual deficit and ocular compression. Multidisciplinary management is important.
文摘Introduction: Diabetic retinopathy accounts for 5% of all causes of blindness. We set out to assess knowledge, attitude, and practice patterns in patients with diabetes regarding diabetic retinopathy (DR) and identify barriers that may exist in this context. Material and Methods: We conducted a cross-sectional study by consecutively enrolling patients with diabetes consulting at four hospitals in Cameroon between November 2021 and March 2023. We surveyed participants about their understanding of diabetic retinopathy (DR), their approach to it, and their visits to eye specialists by means of a single-investigator-interviewer-administered questionnaire. Data was anonymously analysed using STATA/BE 17 and presented in frequencies and Spearman’s correlation coefficient. The error margin was 5% and all results with p-value Results: We enrolled 152 patients with type 2 diabetes mellitus, with a mean age of 60.30 years and a male-to-female ratio of 0.9. Out of the 152 patients enrolled, 138 (90.59%) agreed that the eyes could be damaged by diabetes. Meanwhile, only 21 (15.79%) associated diabetes with DR. Of the 41.18% who were occasionally sent for an eye exam by their consulting physicians, 91.72% made it to the consultations. Spearman’s correlation showed no significant relationship between the knowledge of eye involvement in diabetes and visits to eye specialists, regardless of blood sugar levels (p = 0.30). Conclusion: We were able to show that there is a lack of sensitization of patients with diabetes on diabetic retinopathy and referral to ophthalmologists.