Poster électronique

Revue des indications de l’échographie oculaire et profil des pathologies en milieu tropical
J. Kabeya-Kabenkama, W. Mpoyo-Mukendi, R. Gangale Izeidi, G. Kilangalanga, F. Lutete - Kinshasa - Rép. Dém. Du Congo
Congrès 2007
Résumé
Objectifs
Rapporter notre expérience et l’apport de l’échographie oculaire dans le diagnostic des pathologies oculaires et en definir les indications habituelles et le profil des pathologies rencontrées.
Matériels et méthodes
Revue rétrospective de 622 patients explorés avec des sondes haute fréquence d’un échographe général sur 3 ans. Les indications et diagnostics sont analysés.
Résultats
Cent quatre vingt quinze enfants et 427 adultes des deux sexes ont étés explorés. La baisse de l’acuité visuelle (74 %) associée à un fond d’oeil inaccessible (44,1 %) ou isolée (29,9 %), le bilan traumatique (9,6 %) ou infectieux (6,44 %)et les masses orbitaires ont été les indications usuelles. Etaient normaux : 34,7 % des examens. Les anomalies rencontrées sont le décollement rétinien (15,8 %), l’inflammation ou hémorragie du vitrée (13,04 %), la cataracte isolé (11,7 %), le décollement vitréen (9,4 %), le rétinoblastome (4,49 %) et le corps étranger oculaire (4 %). Le rétinoblastome vient au deuxième rang des pathologies pédiatriques.
Conclusion
L’échographie permet un bilan lésionnel orbitaire complet avec une bonne sensibilité et est toujours indiquée quand le fond d’oeil est inaccessible. Elle est l’imagerie par excellence de l’oeil en milieu peu équipé.
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2016-03-25 07.56 :
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2009-01-03 03.16 :
Vanbladen

Aucune pathologie tropicale dans ce travail. Onchocercose ?

2007-10-23 10.21 :
gense

merci beaucoup pour vos dossiers. Je pensai que l'on verrai des pathologies tropicales, vers... sont elles absentes au congo, ne connaissant pas trés bien la médecine tropicale, ou est ce du à votre recrutement. (Je travaille avec un ophtalmologiste qui va parfois en afrique, et je peux être amené à discuter de dossier) Merci D.Gense
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51
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