[Oculopalpebral trauma in domestic violence]. / Traumatismes oculopalpébraux au cours des violences conjugales.

INTRODUCTION: Oculopalpebral trauma in domestic violence is defined as ophthalmological injuries caused by a spouse. PURPOSE: To describe the epidemiology and management of oculopalpebral injuries caused by domestic violence. PATIENTS AND METHODS: Retrospective descriptive study carried out over a period of 5 years in patients who suffered oculopalpebral trauma from domestic violence. VARIABLES STUDIED: age, sex, profession, visual acuity, blunt instruments, type of injury, treatments. Data processing by Excel 2013 and WPS Office software. RESULTS: We collected 31 patients with a mean age of 34.5±7 years and a sex ratio of 0.3. The most commonly found functional sign was decreased VA in 100% of patients. The mechanism of injury was punching in 71%. Visual acuity was less than 1/20 in 9.7%. Contusion was the most commonly found trauma in 74.19% of cases, and conjunctival hyperemia was seen in 68.2% of cases. Eight patients (25.8%) had undergone surgical treatment. CONCLUSION: Oculopalpebral trauma by domestic violence is serious. Both sexes can be victims. The lesions encountered can affect the functional or even anatomical prognosis of the eye.

Etude de la variation de l'épaisseur centrale de la cornée au cours d'une hyperglycémie de novo / Study of the variation of the central thickness of the horn during de novo hyperglycemia

Introduction : L'épaisseur centrale de la cornée peut être modifiée au cours d'une hyperglycémie chronique. En dehors d'une hyperglycémie chronique, nous pensons que les modifications de l'épaisseur cornéenne surviennent également lors des hyperglycémies de novo.Objectif: Déterminer la variation de l'épaisseur centrale de la cornée au cours d'une hyperglycémie de novo.Patients et Méthodes : Il s'agissait d'une étude observationnelle et transversale à visée analytique réalisée de juillet à novembre 2021, auprès de 222 personnes (444 yeux) présentant une hyperglycémie récente. L'ECC a été comparée entre le moment du diagnostic (J0) et 30 jours (J30) après l'initiation du traitement hypoglycémiant (Chi-2). La variation de l'ECC entre J0 et J30 a été corrélée à celle de la glycémie (Spearman ; p<0,05).Résultats : A J0, la moyenne de l'ECC était de 552,5±39,2 µm contre 538,0±34,2 µm à J30 (p=0,001) et celle de la glycémie de 18,1±8,2 mmo/L contre 6,9±3,0 mmol/L (p = 0,001). A J0, 57,0% avaient une ECC > 550µm et à J30, 19,4% avaient diminué cette épaisseur entre 520 et 550 µm et 3,4% à moins de 520 µm. Sur un effectif de 444 yeux, 28,2% (n = 125) ont diminué leur ECC de 25 µm et plus après initiation du traitement hypoglycémiant. Aucune corrélation n'existait entre la variation de l'ECC et celle de la glycémie (r=0,018; p=0,704).Conclusion : Ces résultats montrent qu'il existe une variation de l'ECC en cas de déséquilibre glycémique récent

Introduction : The central thickness of the cornea can be changed during chronic hyperglycemia. Apart from chronic hyperglycemia, we believe that changes in corneal thickness also occur during de novo hyperglycemia.Objective: To determine the variation in the central thickness of the cornea during de novo hyperglycemia.Patients and Methods: This was an observational and cross-sectional analytical study conducted from July to November 2021, involving 222 people (444 eyes) with recent hyperglycemia. ECC was compared between the time of diagnosis (D0) and 30 days (Day 30) after initiation of hypoglycemic (Chi-2) therapy. The change in ECC between J0 and J30 was correlated with that of blood glucose (Spearman ; p<0,05).Results: ON D0, the mean ECC was 552.5±39.2 µm versus 538.0± 34.2 µm on D30 ( p=0.001) and the blood glucose mean was 18.1±8.2 mmo/l versus 6.9±3.0 mmol/l ( p=0.001). On D0, 57.0% had an ECC ˃ 550µm and on D30, 19.4% had decreased this thickness between 520 and 550 µm and 3.4% to less than 520 µm. On a population of 444 eyes, 28.2% ( n=125) decreased their ECC by 25 µm and more after initiation of hypoglycemic therapy. There was no correlation between the change in ECC and the change in blood glucose (r=0.018; p=0.704).Conclusion : These results show that there is a variation in ECC in case of recent glycemic imbalance