[Pterygium surgery with sutureless, glueless conjunctival graft: Preliminary study at the Centre hospitalier universitaire de Cocody in Abidjan]. / Chirurgie du ptérygion par greffe conjonctivale sans suture ni colle biologique : étude préliminaire au centre hospitalier universitaire de Cocody à Abidjan.

PURPOSE: To optimize the pterygium management by delineating the role of sutureless, glueless conjunctival graft. MATERIALS AND METHODS: This was a prospective cohort study carried out at the Centre hospitalier universitaire de Cocody between October 1st, 2021 and March 31st, 2022. It analyzed a series of 36 cases of stage I, II and III pterygium by Cornand's classification, who underwent surgery by a sutureless conjunctival graft technique without biological glue. RESULTS: Demographically, 33.3% of our study population were between 30 and 40 years of age, with a mean of 47.86 years. The patients showed a female preponderance, 53%, with a male:female ratio of 0.89. At the clinical level, 75% of our population presented for ocular redness, 84% had a nasal pterygium, and 75% were stage 2. In terms of postoperative course and appearance, we observed 80.55% graft stability, 5.56% graft retraction, 2.78% graft displacement, and 11.11% graft loss. At the conclusion of follow-up, we noted an 8.33% recurrence rate. DISCUSSION: The use of intraoperative blood ensures patient safety and postoperative comfort. This technique demonstrates satisfactory results with primary, nasal pterygia. CONCLUSION: Conjunctival autograft without sutures or biological glue might be a very promising surgical alternative in the surgical treatment of pterygium.

[Ocular manifestations in patients with chronic renal insufficiency who are not dialysis: about 60 cases]. / Manifestations oculaires chez les patients insuffisants rénaux chroniques non dialyses : a propos de 60 cas.

OBJECTIVE: describe the ocular manifestations encounterd in chronic renal failure not on dialysis in order to ensure better management. METHODS: it is a descriptive analytical study, which took place from febrauary 2017 to june 2017. The study was carried out jointly in the Nephrology and Ophortamology departments of the Yopougon hospital and university center. It focused on patients with renal failure not on dialysis. A total of 60 patients were included with regard to the study inclusion criteria. RESULTS: patients personal history was dominated by high blood pressure arterial (88%) diabetes (27%). The decrease in visual acuity (BAV) and pruritus were symptoms at rates of 66.66% and 26% respectively. The review biomicroscopic anterior segment, has shown unilateral cataracts in 26.67% of cases. At the posterior pole, optic neuropathy was predominant (23,33%). The macular edemas were 10%. Arterial shrinkage (16.66%) was the most observed lesion of peripheral chorioretin. The hypertensive retinopathy (HR) and large papillary excavation (GEP) were the abnormalities most found on the back of the eye, each observing each in 43.75% of cases. We found no correlation between eye manifestations and IRC. CONCLUSION: There was no direct link between kidney failure and eye damage Observed. Several factors could explain the eye signs, including HTA and diabetes.

OBJECTIFS: décrire les manifestations oculaires rencontrées chez l'insuffisant rénal chronique non dialysé afin d'en assurer une meilleure prise en charge. MATÉRIEL ET MÉTHODES: il s'agit d'une étude descriptive et analytique, qui s'est déroulée du mois de février 2017 au mois de Juin 2017. L'étude a été menée conjointement dans les services de Néphrologie et d'Ophtalmologie du Centre Hospitalier et Universitaire (CHU) de Yopougon. Elle a porté sur les patients insuffisants rénaux non dialysés. Au total 60 patients ont été inclus eu égard aux critères d'inclusion de l'étude. RÉSULTATS: les antécédents personnels des patients étaient dominés par l'hypertension artérielle (88%) et le diabète (27%). Labaisse de l'acuité visuelle (BAV) et le prurit étaient lessymptômes plus exprimésà des taux respectifs de 66,66% et 26%. L'examen biomicroscopique du segment antérieur, a mis en évidence une cataracte unilatérale chez 26,67% des cas. Au pôle postérieur, les neuropathies optiques étaient prédominantes (23,33%). Les oedèmes maculaires étaient de 10%. Le rétrécissement artériel (16,66%) représentait la lésion la plus observée au niveau de la choriorétine périphérique. La rétinopathie hypertensive (RH) et la grande excavation papillaire (GEP) étaient les anomalies les plus retrouvées à l'examen du fond d'œil, s'observant chacune dans 43,75% des cas. Nous n'avons pas retrouvé de corrélation entre les manifestations oculaires et l'IRC. CONCLUSION: Il n'existait pas de lien direct entre l'insuffisance rénaleet les lésions oculaires observées. Plusieurs facteurs pourraient expliqués les signes oculaires, notamment l'HTA et le diabète.

[Comparison of Goldmann tonometry with air-puff tonometry. A study of 159 patients in Abidjan]. / Comparaison de la tonomérie de Goldmann à la tonométrie à air pulsé à propos de 159 patients à Abidjan.

PURPOSE: The goal of this study was to compare the intraocular pressure (IOP) values obtained with each of the tonometry methods as well as to study the effect of corneal pachymetry on the measurements obtained by each method. MATERIAL AND METHODS: We carried out a cross-sectional, descriptive, analytical, prospective study in the ophthalmology department of a multispecialty clinic in Abidjan (Ivory Coast) from April 2018 to August 2018. Patients aged 15 and over were included in the study. Over this period, IOP was measured by Goldman Applanation Tonometer (HaagStreit, AT 900, Switzerland) and air-puff Tonopachymeter (Nidek, NT 530 P, Japan), which also permitted measurement of central optical corneal pachymetry. The data analyzed focused on socio-demographic characteristics, ophthalmologic history, tonometry, and central corneal pachymetry. The comparison of the values obtained by both devices and the effect of central corneal thickness (CCT) on tonometry were analyzed using EpiDataAnalysis V2.2.2.183 software. RESULTS: We examined 318 eyes of 159 patients whose mean age was 40±12.57 years, range 16 to 82 years. The gender ratio was 1. A past ophthalmologic history was noted in 79.2% of patients. The mean IOP by Goldmann applanation tonometry was 12.75±3.17mmHg, and that by non-contact air-puff tonometry was 13.83±3.80mmHg. The mean central corneal thickness was 530.50±32.61µm. The difference between IOP measured by non-contact tonometry and that measured by contact tonometry was statistically significant, with P=0.00. There was no statistically significant relationship between central corneal pachymetry and contact tonometry (P=0.80). However, there was a statistically significant relationship between non-contact tonometry and central pachymetry (P=0.00). The values obtained with the air-puff tonometer are more affected by central corneal thickness. CONCLUSION: The values obtained by Goldmann applanation tonometry are not equivalent to those obtained by non-contact air-puff tonopachymetry.

[Contribution of break up time in the diagnosis and the treatment of dry eye syndrome in tropic area: about 234 patients in Abidjan]. / Contribution du break up time au diagnostic et à la prise en charge du syndrome sec oculaire en milieu tropical : à propos de 234 yeux à Abidjan.

INTRODUCTION: Dry eye disease (DED) can be evaluated clinically by the tear film break up time (BUT). There is a discrepancy between symptoms in relationship with dry eye disease and objectives measures of BUT. So we tried to evaluate the reliability of BUT in the diagnosis and treatment of this disease in black African people. METHODS: We carried out a prospective study of 6 months where melanoderms adults presenting subjective symptoms of dry eye disease according a questionnaire of 7 items were included. Then the measure of BUT is performed after ocular instillation of fluorescein eyedrop. This measured is done by recording the time elapsed from the last complete palpebral blink to the appearance of the first dry spot. Patients with subjective symptoms and time of BUT lower than 10seconds were called concordants (suffering really of DED). The discrepant group was represented by a BUT upper than 10seconds despite the fact that these patients answered positively to the questionnaire. RESULTS: This survey included 234 patients and the average age was 49.1 years. Sex-ratio was 0.68 and we noticed predominance of BUT between 5 and 10seconds in 42.3% of cases. Subjective symptoms were strengthened clinically by a BUT lower to 10seconds in 149 patients. Therefore, the reliability of BUT as clinic tool for the diagnosis after symptoms in relationship with DED was 63.7%. In the group of concordants, women were more likely than men to experience symptoms of DED (P=0.0005). Age upper than 50 years and computer usage were risk factors of DED (P<0.01). DISCUSSION: Dry eye disease is a multifactorial affection of tear and ocular surface frequently seen in female and people using computer and older than 50. The reliability of BUT near to 65% is a reason to perform this test in our daily practice. CONCLUSION: Tear BUT is a reliable clinical test which must be performed systematically to assess the diagnosis of DED in black African people.