[眼部烧伤:科特迪瓦科科迪大学医院的流行病学、临床、治疗和演变方面]。

Medecine tropicale et sante internationale Pub Date : 2024-02-12 eCollection Date: 2024-03-31 DOI:10.48327/mtsi.v4i1.2024.486
Chiatse Ellalie Ko Man, Sienou Marguerite Pascaline Konan Manmi, Reine Prisca Agbohoun, Colette Kouassi-Rebours, Yves Thierry Constant Sowagnon, Hermine Cynthia N'da, Cédric Romarie Kouadio Kouao, Laeticia Coralie N'guessan, François Xavier Kouassi
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引用次数: 0

摘要

理由:本研究描述了眼部烧伤的社会人口特征、临床、治疗和演变方面的情况,以帮助改善眼部烧伤的管理:这项回顾性研究于 2020 年 1 月 1 日至 2021 年 1 月 31 日在科特迪瓦阿比让的科科迪大学医院(CHU)眼科进行。研究重点是 49 位眼外伤患者的病历,包括 12 位双侧患者,共计 61 只眼睛。收集了每位患者的社会人口数据、外伤性质、烧伤病因、眼部烧伤阶段、患眼最初和最终未矫正视力以及治疗情况:结果:在该科室就诊的 436 例眼外伤病例中,眼烧伤所占比例为 11%。患者平均年龄为(27.9±14.2)岁,从 3 岁到 60 岁不等,男性占多数(70%)。学生是最常见的社会职业类别(39%)。与工作有关的事故是主要原因,占三分之一的病例。化学制剂是主要的创伤因素,占 54%。平均就诊时间为 3.5 天 ± 7.9 天,从 1 天到 60 天不等。罗珀-霍尔分类法的第一阶段是最常见的阶段(占 51%)。28%的病例患眼的初始视力低于 1/20。治疗主要以药物为主,三分之一接受治疗的眼睛的最终视力低于 1/20:视力预后受烧伤阶段、病因和就诊时间的影响,因社会和地理来源而异。
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[Ocular burns: epidemiological, clinical, therapeutic and evolutionary aspects at the Cocody University Hospital, Côte d'Ivoire].

Justification: This study describes the socio-demographic characteristics, clinical, therapeutic, and evolutionary aspects of ocular burns to contribute to the improvement of their management.

Method: A retrospective study was conducted in the Ophthalmology Department of the Cocody University Hospital (CHU) in Abidjan, Côte d'Ivoire, from January 1, 2020, to January 31, 2021. It focused on 49 patient records with ocular trauma, including 12 bilateral cases, totaling 61 eyes. For each patient, socio-demographic data, the nature of the traumatic agent, burn etiologies, ocular burn stage, initial and final uncorrected visual acuity of the affected eye, and treatment were collected.

Results: The proportion of ocular burns was 11% out of 436 cases of ocular trauma that consulted in the department. The average age of patients was 27.9 years ± 14.2, ranging from 3 to 60 years, with a male predominance (70%). Students were the most frequent socio-professional category (39%). Work-related accidents were the predominant circumstances, in a third of cases. Chemical agents were the main traumatic agents, in 54% of cases. The average consultation time was 3.5 days ± 7.9, ranging from 1 to 60 days. Stage 1 of the Roper-Hall classification was the most observed stage (51% of cases). Initial visual acuity of the affected eye was less than 1/20 in 28% of cases. Treatment was mainly medical, and a third of treated eyes had a final acuity less than 1/20.

Conclusion: Visual prognosis is influenced by burn stages, etiologies, and consultation time, varying according to social and geographical origins.

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