ABSTRACT
The clinical aspects and course of Behçet's disease in Tunisia are discussed. This affection is of frequent occurrence and should be systematically searched for in all patients with uveitis. Ocular manifestations are observed in 95 p. cent of cases. These are characterized by their polymorphic nature and the diagnosis should be suspected in cases with uveitis, periphlebitis, venous thrombosis, vitreous hemorrhage, congestive glaucoma, or macular edema. The characteristic signs of the disease appear over an extended period of time, making definite diagnosis difficult, but early, vigorous therapy is necessary to ensure a favorable prognosis.
Subject(s)
Behcet Syndrome/diagnosis , Adult , Behcet Syndrome/epidemiology , Behcet Syndrome/pathology , Female , Humans , Male , Middle Aged , Prognosis , Tunisia , Vision Disorders/etiologyABSTRACT
The authors study 202 strabismus cases and evaluate the strabismic epidemiology of Tunisia: 58% of squint children have amblyopia. The low vision is important, and getting worse with age. The treatment is simple, consisting of occlusion of the good eye, but it become longer and more difficult after six years. The best results are obtained in the first four years. Good cooperation from the parents is required. The authors insist on the necessity of early detection through testing, the prevention of recurrence and, above all, on preventing the advent of amblyopia as soon as strabismus appears.
Subject(s)
Amblyopia/etiology , Strabismus/complications , Adolescent , Age Factors , Amblyopia/epidemiology , Amblyopia/therapy , Child , Child, Preschool , Humans , Infant , TunisiaSubject(s)
Eye Injuries/epidemiology , Wounds, Penetrating/epidemiology , Adolescent , Child , Child, Preschool , Eye Injuries/etiology , Female , Humans , Infant , Male , Tunisia , Wounds, Penetrating/etiologySubject(s)
Burns/complications , Ectropion/surgery , Eyelids/surgery , Facial Injuries/complications , Adolescent , Ectropion/etiology , Humans , Male , MethodsSubject(s)
Bites and Stings/surgery , Eyelids/surgery , Face/surgery , Horses , Adolescent , Animals , Humans , Male , Surgery, PlasticSubject(s)
Bone Nails , Eye, Artificial , Orbit/surgery , Prostheses and Implants , Acrylic Resins , Humans , MethodsSubject(s)
Retinitis Pigmentosa/genetics , Adolescent , Adult , Aged , Child , Female , Genes, Recessive , Humans , Male , Middle Aged , Pedigree , X ChromosomeSubject(s)
Behcet Syndrome/complications , Eye Diseases/etiology , Adult , Behcet Syndrome/diagnosis , Eye Diseases/diagnosis , Female , Humans , Male , Middle AgedSubject(s)
Eye Injuries/epidemiology , Adolescent , Child , Child, Preschool , Eye Injuries/complications , Female , Humans , Infant , Infant, Newborn , Male , Prognosis , TunisiaSubject(s)
Diabetic Retinopathy/epidemiology , Adolescent , Adult , Age Factors , Aged , Child , Female , Humans , Male , Middle Aged , Pregnancy , Pregnancy in Diabetics/pathology , TunisiaSubject(s)
Spondylitis, Ankylosing/complications , Uveitis/etiology , Adolescent , Adult , Female , Humans , Male , Middle Aged , Spondylitis, Ankylosing/diagnosis , Uveitis/diagnosisSubject(s)
Glaucoma/congenital , Adolescent , Adult , Child , Child, Preschool , Consanguinity , Female , Genes, Recessive , Genetic Counseling , Glaucoma/genetics , Glaucoma/prevention & control , Humans , Infant , Infant, Newborn , Male , PedigreeSubject(s)
Cataract/congenital , Adolescent , Adult , Cataract/genetics , Child , Child, Preschool , Consanguinity , Female , Genes, Dominant , Humans , Infant , MaleSubject(s)
Cataract Extraction/methods , Cataract/congenital , Adolescent , Child , Child, Preschool , Female , Humans , Infant , Male , Postoperative Complications , Visual AcuitySubject(s)
Echinococcosis/diagnosis , Orbital Diseases/diagnosis , Adolescent , Adult , Child , Female , Humans , Immunologic Techniques , Male , Middle Aged , Tomography, X-Ray Computed , UltrasonographyABSTRACT
Ocular infection with Chlamydia trachomatis, whether of genital or endemic trachoma origin, usually produces diffuse infiltration and swelling of the scleral limbus, grey infiltrates of the corneal limbus, and superficial extension of vessels onto the corneal limbus. In genitally transmitted C. trachomatis infections, subepithelial infiltrates have been reported as well. In classic endemic trachoma, limbal changes also include limbal follicles which resolve, leaving Herbert's peripheral pits, and an extensive vascular pannus. To evaluate the limbal changes in trachoma, follow-up studies were done in 1986-1987 in a group of 213 children originally seen between 1969-1972. Pannus formation occurred at a much earlier age than conjunctival scar formation and was an excellent predictor of later severe conjunctival scarring. The evidence from this study suggests that the mechanisms for corneal pannus formation from the limbus are quite different from those for scarring of the conjunctiva.
Subject(s)
Chlamydia Infections/epidemiology , Cornea/pathology , Eye Infections, Bacterial/epidemiology , Sclera/pathology , Trachoma/epidemiology , Adolescent , Adult , Chlamydia Infections/pathology , Conjunctiva/pathology , Cornea/blood supply , Cornea/immunology , Eye Infections, Bacterial/pathology , Follow-Up Studies , Humans , Longitudinal Studies , Risk Factors , Sclera/immunology , Trachoma/pathology , TunisiaABSTRACT
The authors are investigating cases of corneal blindness in Tunisia. In the rural areas of the southern part of Tunisia, the corneal blindness is the second cause for sight loss and is responsible for almost 25% of the cases of blindness. In areas where preventive blindness programs have been set up, the prevalence rate of blindness caused by corneal disease has risen from 25% to 8% within the past few years. The most frequent etiology is composed by trachoma, traumatism and corneal ulcers. The authors insist on better prevention and better treatment of corneal diseases.