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Berrut G, Chrusciel J, El Haj M, Ndiongue BM, De Lamothe VD, Pondjikli M, Jemmi L, Bernat V, Benata L, Coulibaly F, Malfuson PCF, Fourier MA, Sanchez S. [Faisabilité de l'exploration des fonctions exécutives des résidents d'établissement d'hébergement pour personnes âgées]. Geriatr Psychol Neuropsychiatr Vieil 2024; 22:85-92. [PMID: 38573148 DOI: 10.1684/pnv.2024.1153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/05/2024]
Abstract
Impairment of cognitive functions is the primary reason for admission to long-term care units, with executive functions playing a pivotal role in dependency and behavioral issues. These functions pose significant challenges to nursing staff in providing care. However, the assessment of executive functions in elderly individuals residing in nursing homes often relies on tests that are both time-consuming and difficult for this demographic. In many instances, executive functions are either not assessed or only examined in broad terms. OBJECTIVE The objective of this study was to analyze the feasibility of assessing executive functions in elderly nursing home residents, specifically aiming to distinguish sub-components such as mental flexibility, working memory, planning, and inhibition. The residents included in the study underwent executive function assessments over three visits, using various tests for each sub-component. METHODS Out of 530 residents, 46 gave their consent and 38 completed the three visits, with an average age of 90±5 years (76.2% women) and a median MMSE score of 20/30. Feasibility was evaluated based on the test being executed and the frequency of interruptions due to difficulty or fatigue on the part of the resident. RESULTS Only four tests proved suitable for elderly individuals in nursing homes, and we propose grouping them into a battery named SETE (Screening Executive Tests for Elderly): the conflicting instructions from the FAB, the alpha test, the clock test, and the verbal span test. CONCLUSION The use of these four tests would enable the construction of a map delineating executive function impairment by sub-component. Enhanced knowledge of executive functions in long-term care residents will facilitate better adapted dependency management and the implementation of non-pharmacological interventions for behavioral disorders.
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Affiliation(s)
- Gilles Berrut
- Pays-de-la-Loire Gérontopôle, France, Nantes University, Nantes University Hospital, University Hospital Center for Clinical Gerontology, Nantes, France
| | - Jan Chrusciel
- Clinical Research and Care Research Unit, Public Health and Performance Territorial Unit. Champagne Sud Hospitals, Troyes, France
| | - Mohamad El Haj
- Nantes University, Pays de la Loire Psychology Laboratory (LPPL), EA 4638, Nantes, France
| | | | | | | | | | | | | | | | | | | | - Stephane Sanchez
- Clinical Research and Care Research Unit, Public Health and Performance Territorial Unit. Champagne Sud Hospitals, Troyes, France, Clariane Foundation, Paris, France, University Resources Committee for Health Research. University of Reims Champagne-Ardenne, France
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Ouffoué YG, Kra AS, Ouonnebo LF, Konan AJ, Konan MP, Diby CA, Sirima H, Kouai Bi E, Kouadjo AJ, Appia GB, Kouassi KLJ, Coulibaly F, Ouattara OA, Gbé K. [Bilateral lens subluxation in Marfan's syndrome]. J Fr Ophtalmol 2023; 46:1262-1263. [PMID: 37684102 DOI: 10.1016/j.jfo.2023.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Revised: 06/04/2023] [Accepted: 06/05/2023] [Indexed: 09/10/2023]
Affiliation(s)
- Y G Ouffoué
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire.
| | - A S Kra
- Service d'ophtalmologie, centre hospitalier et universitaire de Cocody, Abidjan, Côte d'Ivoire
| | - L F Ouonnebo
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - A J Konan
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - M P Konan
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - C A Diby
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - H Sirima
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - E Kouai Bi
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - A J Kouadjo
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - G B Appia
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - K L J Kouassi
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - F Coulibaly
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - O A Ouattara
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
| | - K Gbé
- Service d'ophtalmologie, centre hospitalier et universitaire de Treichville, Abidjan, Côte d'Ivoire
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Boudjema S, Finance J, Coulibaly F, Meddeb L, Tissot-Dupont H, Michel M, Lagier JC, Million M, Radulesco T, Michel J, Brouqui P, Raoult D, Fenollar F, Parola P. Olfactory and gustative disorders for the diagnosis of COVID-19. Travel Med Infect Dis 2020; 37:101875. [PMID: 32898703 PMCID: PMC7474847 DOI: 10.1016/j.tmaid.2020.101875] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 09/02/2020] [Indexed: 11/19/2022]
Affiliation(s)
- Sophia Boudjema
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ., IRD, AP-HM, MEPHI, Marseille, France
| | - Julie Finance
- Aix Marseille Univ., IRD, AP-HM, MEPHI, Marseille, France; Assistance Publique de Marseille, Explorations Fonctionnelles Respiratoires, Aix Marseille Université, France
| | | | - Line Meddeb
- IHU-Méditerranée Infection, Marseille, France
| | - Hervé Tissot-Dupont
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ., IRD, AP-HM, MEPHI, Marseille, France
| | | | - Jean Christophe Lagier
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ., IRD, AP-HM, MEPHI, Marseille, France
| | - Matthieu Million
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ., IRD, AP-HM, MEPHI, Marseille, France
| | - Thomas Radulesco
- Department of Otorhinolaryngology, Head and Neck Surgery, Assistance Publique-Hôpitaux de Marseille, Aix Marseille Univ., Marseille, France
| | - Justin Michel
- Department of Otorhinolaryngology, Head and Neck Surgery, Assistance Publique-Hôpitaux de Marseille, Aix Marseille Univ., Marseille, France
| | - Philippe Brouqui
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ., IRD, AP-HM, MEPHI, Marseille, France
| | - Didier Raoult
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ., IRD, AP-HM, MEPHI, Marseille, France
| | - Florence Fenollar
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ., IRD, AP-HM, SSA, VITROME, Marseille, France
| | - Philippe Parola
- IHU-Méditerranée Infection, Marseille, France; Aix Marseille Uni., IRD, AP-HM, SSA, VITROME, Marseille, France.
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Galal L, Sarr A, Cuny T, Brouat C, Coulibaly F, Sembène M, Diagne M, Diallo M, Sow A, Hamidović A, Plault N, Dardé ML, Ajzenberg D, Mercier A. The introduction of new hosts with human trade shapes the extant distribution of Toxoplasma gondii lineages. PLoS Negl Trop Dis 2019; 13:e0007435. [PMID: 31295245 PMCID: PMC6622481 DOI: 10.1371/journal.pntd.0007435] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Accepted: 05/03/2019] [Indexed: 01/01/2023] Open
Abstract
Toxoplasma gondii is a zoonotic protozoan with a worldwide occurrence, but the determinants of the current pattern in the geographical distribution of T. gondii lineages and strains remain poorly understood. To test the influence of human trade on T. gondii populations, we conducted a population genetic study of 72 T. gondii animal isolates from Senegal, a West African country in which the ongoing inland progress of invasive murine hosts (introduced in port cities of Senegal since the 16th century by European sailors) is well described. Isolates were mainly collected on free-range poultry, which are considered as relevant bioindicators of T. gondii strain diversity in the domestic environment. Sampling was conducted in two port cities of Senegal (Dakar and Saint-Louis) and in one inland region (Kedougou). Population genetic analyses using 15 microsatellite markers revealed different patterns between port cities where lineages non-virulent for mice (type II, type III, and Africa 4) were predominant, and Kedougou where the mouse-virulent Africa 1 lineage was the most common. By considering the current spatial pattern in the inland progress of invasive rodents in Senegal, our results suggest that the invasive house mouse Mus musculus domesticus counter-selects the Africa 1 lineage in the invaded areas. The comparison of the microsatellite alleles of type II strains from Senegal to type II strains from other areas in Africa and Western Europe, using discriminant analysis of principal components and Network analysis, point to a mainly Western European origin of the type II lineage in Senegal. Collectively, these findings suggest that human-mediated intercontinental migrations of murine hosts are important vectors of T. gondii strains. Differential susceptibility of endemic and introduced murine hosts to various T. gondii strains probably determines the persistence of these strains in the environment, and therefore their availability for human and animal infection.
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Affiliation(s)
- Lokman Galal
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
| | - Amedine Sarr
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
| | - Thomas Cuny
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
| | - Carine Brouat
- CBGP, IRD, CIRAD, INRA, Montpellier SupAgro, Univ. Montpellier, Cedex, France
| | - Fatoumata Coulibaly
- Laboratory of Parasitology-Mycology, Faculty of Medicine and Pharmacy, University of Cheikh Anta Diop, Dakar, Senegal
- Département de Biologie, Unité de formation et de recherche en Sciences Biologiques, Université Péléforo Gon Coulibaly, Korhogo, Côte d'Ivoire
| | - Mbacké Sembène
- Département de Biologie Animale, Faculté des Sciences et Techniques, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | - Moustapha Diagne
- Département de Biologie Animale, Faculté des Sciences et Techniques, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
| | | | - Aliou Sow
- BIOPASS, CBGP-IRD, ISRA, UCAD, Dakar, CP, Senegal
| | - Azra Hamidović
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
| | - Nicolas Plault
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
| | - Marie-Laure Dardé
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
- Centre National de Référence Toxoplasmose/Toxoplasma Biological Resource Center, CHU Limoges, Limoges, France
| | - Daniel Ajzenberg
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
| | - Aurélien Mercier
- INSERM, Univ. Limoges, CHU Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
- Centre National de Référence Toxoplasmose/Toxoplasma Biological Resource Center, CHU Limoges, Limoges, France
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Findlow H, Tapia MD, Sow SO, Haidara FC, Coulibaly F, Keita AM, Diallo F, Doumbia M, Traore A, Schluterman N, Clark DA, Borrow R, Levine MM. Kinetics of maternally-derived serogroup A, C, Y and W-specific meningococcal immunoglobulin G in Malian women and infants. Vaccine 2019; 37:2477-2481. [PMID: 30952500 PMCID: PMC6990398 DOI: 10.1016/j.vaccine.2019.03.045] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 03/05/2019] [Accepted: 03/21/2019] [Indexed: 11/08/2022]
Abstract
Immunisation with MCV during pregnancy resulted in an antibody response. Maternal immunization with MCV conveyed protective levels of MenA IgG at birth. Infant antibody levels declined over the first 3 months of life.
A prospective, randomised, controlled observer-blind trial measuring the efficacy and immunogenicity of trivalent influenza vaccine (TIV) and the immunogenicity of quadrivalent meningococcal conjugate vaccine (MCV) in pregnant women and their infants up to 6 months of age was conducted in Mali. Here we reported the immunogenicity of MCV, which was used as a comparator vaccine to TIV, in this population. Third-trimester pregnant Malian women were randomized to receive TIV or MCV. Blood samples were collected from women prior to vaccination, 28 days post-vaccination, at delivery and 3 and 6 months post-delivery and from infants at birth and 3 and 6 months of age. Meningococcal-specific serogroup (Men) A, C, Y and W-specific antibodies were measured by enzyme linked immunosorbent assay in a randomly selected subset of 50 mother-infant pairs where the mother had received MCV. At birth, 94.0% (47/50) of infants had MenA specific IgG levels ≥ 2 µg/mL decreasing to 72.9% and 30.4% at 3 and 6 months of age. For MenC, 81.3% (39/48) of infants had MenC specific IgG levels ≥ 2 µg/mL at birth decreasing to 29.4% and 17.8% at 3 and 6 months of age. For MenY, 89.6% (43/48) of infants had MenY specific IgG levels ≥ 2 µg/mL at birth decreasing to 64.6% and 62.5% at 3 and 6 months of age. For MenW, 89.6% (43/48) of infants had MenW specific IgG levels ≥ 2 μg/ml at birth decreasing to 62.5% and 41.7% at 3 and 6 months of age. Maternal immunization with MCV conveyed protective levels of IgG at birth through to 3 months of age in the majority of infants.
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Affiliation(s)
- H Findlow
- Vaccine Evaluation Unit, Public Health England, Manchester Royal Infirmary, Manchester, UK.
| | - M D Tapia
- Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, MD, USA
| | - S O Sow
- Centre pour le Développement des Vaccins, Bamako, Mali
| | - F C Haidara
- Centre pour le Développement des Vaccins, Bamako, Mali
| | - F Coulibaly
- Centre pour le Développement des Vaccins, Bamako, Mali
| | - A M Keita
- Centre pour le Développement des Vaccins, Bamako, Mali
| | - F Diallo
- Centre pour le Développement des Vaccins, Bamako, Mali
| | - M Doumbia
- Centre pour le Développement des Vaccins, Bamako, Mali
| | - A Traore
- Centre pour le Développement des Vaccins, Bamako, Mali
| | - N Schluterman
- Department of Epidemiology, University of Maryland, Baltimore, MD, USA
| | - D A Clark
- Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA
| | - R Borrow
- Vaccine Evaluation Unit, Public Health England, Manchester Royal Infirmary, Manchester, UK
| | - M M Levine
- Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, MD, USA
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Berete CR, Desjardins L, Kouassi LJ, Coulibaly F, Kouakou KS, Gbe K, Fanny A. [Relationship between human immunodeficiency virus (HIV-AIDS) and conjunctival squamous cell carcinoma: A clinical epidemiological study of 26 cases in the ophthalmology department of the university hospital of Treichville-Abidjan (Abidjan-Côte d'Ivoire)]. J Fr Ophtalmol 2016; 39:467-73. [PMID: 27157036 DOI: 10.1016/j.jfo.2015.09.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2014] [Revised: 09/18/2015] [Accepted: 09/21/2015] [Indexed: 12/19/2022]
Abstract
PURPOSE To describe the epidemiological and clinical parameters of conjunctival squamous cell carcinomas and their association with HIV-AIDS in the ophthalmology department of the university hospital of Treichville. PATIENTS ET METHODS This is a prospective and descriptive cross sectional study carried out in the ophthalmology department of the university hospital of Treichville from July 2007 to June 2011. Twenty-six (26) patients who were selected presented with a tumor of the globe and/or adnexa. A CT scan was performed in advanced cases. Histopathological examination of the surgical specimen was performed in all cases. HIV serology was performed after informed consent. All patients were referred to the oncology department of the university hospital of Treichville where a unit of care for HIV-positive patients with malignant tumors is available. Statistical analysis was performed using the software program EPI info version 6.0. RESULTS We note a slight predominance of female patients 15 (57.69%) vs. 11 (42.3%) male patients. The mean age was 42.32 years, and 13 patients (50%) were between 25 and 45 years of age. Intraorbital tumors were the most common reason for consultation, i.e. 38.46%. Seventeen patients (65.38%) had no particular history. Nine patients (34.61%) were already on antiretroviral treatment on admission. Three patients, i.e. 11.54%, had already had tumor biopsy and/or evisceration. The mean duration of the disease before consultation in ophthalmology was 14.28 months. Localized limbal conjunctival tumors were found in 11 cases (42.38%). Advanced tumors with regional or cerebral extension accounted for 34.61% of cases. Six patients (23.078%) were HIV negative vs. 20 (76.92%) HIV positive patients. CD4 lymphocyte typing was performed in 17 patients (85%), and 45% had a CD4 count below 200. Only five patients were able to receive neoadjuvant chemotherapy, but three of them died. The average length of follow-up was 29 months. COMMENT This study allowed us to establish a statistically significant link between HIV positive status of patients and the occurrence of squamous cell carcinoma, (P=10(-4)), as well as the decline in CD4 count and disease progression (p=10(-3)). CONCLUSION The poor prognosis of conjunctival carcinoma reflects the low socioeconomic status of patients, physician under-staffing in our health care facilities, the prohibitive cost of anticancer drugs and the link between this disease and HIV-AIDS.
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Affiliation(s)
- C R Berete
- Service d'ophtalmologie, CHU de Treichville, BP V3, Abidjan, Cote d'Ivoire.
| | - L Desjardins
- Service d'ophtalmologie, institut curie, rue d'Ulm, 75005 Paris, France
| | - L J Kouassi
- Service d'ophtalmologie, CHU de Treichville, BP V3, Abidjan, Cote d'Ivoire
| | - F Coulibaly
- Service d'ophtalmologie, CHU de Treichville, BP V3, Abidjan, Cote d'Ivoire
| | - K S Kouakou
- Service d'ophtalmologie, CHU de Treichville, BP V3, Abidjan, Cote d'Ivoire
| | - K Gbe
- Service d'ophtalmologie, CHU de Treichville, BP V3, Abidjan, Cote d'Ivoire
| | - A Fanny
- Service d'ophtalmologie, CHU de Treichville, BP V3, Abidjan, Cote d'Ivoire
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Adjé KJF, N'Dour APN, Coulibaly F, Halidou AI, Mabeki R, Koné P. [Knowledge, attitudes, and practices concerning rabies and post-exposure prophylactic measures at the Cheikh Anta Diop university in Dakar]. Med Mal Infect 2015; 45:306-7. [PMID: 26115929 DOI: 10.1016/j.medmal.2015.05.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2015] [Revised: 04/30/2015] [Accepted: 05/11/2015] [Indexed: 11/17/2022]
Affiliation(s)
- K J F Adjé
- Unité d'écoépidémiologie, institut Pasteur, Côte d'Ivoire.
| | - A P N N'Dour
- École inter-états des sciences et de médecine vétérinaires de Dakar, Dakar, Sénégal
| | - F Coulibaly
- École inter-états des sciences et de médecine vétérinaires de Dakar, Dakar, Sénégal
| | - A I Halidou
- Fond international pour le développement agricole (Fida), Niger, Nigeria
| | - R Mabeki
- Direction des services vétérinaires, République du Congo
| | - P Koné
- École inter-états des sciences et de médecine vétérinaires de Dakar, Dakar, Sénégal
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Fanny A, Coulibaly F, Ouattara A, Sangaré Y, Bérété-Coulibaly R, Gbé K, Boni S. [Cataracts related to the extended application of dermocorticosteroids. A study of 8 cases in Abidjan]. J Fr Ophtalmol 2014; 37:388-92. [PMID: 24703192 DOI: 10.1016/j.jfo.2013.11.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2013] [Revised: 11/17/2013] [Accepted: 11/22/2013] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Cataract induced by corticosteroids is an entity, which has been well described for a relatively long time, but this eventuality caused by the cutaneous application of corticosteroids remains inadequately reported. The purpose of this study was to describe cataract as one of the complications of the misuse of cutaneous application of corticosteroids. MATERIALS AND METHODS In eight patients seen for visual loss, bilateral cataract was discovered. The only probable etiology in these cases appeared to be the cutaneous application of corticosteroids. Indeed, the work-up and careful history performed did not uncover any other etiology. RESULTS Eight patients, six women and two men, exhibited cataracts related to the application of topical corticosteroids. The age of the patients ranged between 39 and 45 years. The cataracts were bilateral and posterior subcapsular alone or combined. The period of use of corticosteroids ranged from 5 to 10 years. The products used consisted of a variety of chemicals including corticosteroids mainly in the form of traditionally manufactured soap, but also as ointment or other types of mixtures. CONCLUSION Topical corticosteroids induce posterior subcapsular cataract. The mechanism of action is direct access to the eye without any hepatic-first pass effect on the corticosteroid in question. The increasingly frequent use of corticosteroids in African blacks for skin lightening raises concern regarding the risk of epidemic cataracts in young women attempting to lighten their skin to be beautiful. Increased public awareness should be undertaken to prevent this growing and harmful phenomenon.
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Affiliation(s)
- A Fanny
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire
| | - F Coulibaly
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire
| | - A Ouattara
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire.
| | - Y Sangaré
- Hôpital des fonctionnaires, angle du boulevard Angoulvan et de l'avenue Terrasson de Fougères, Abidjan, Côte d'Ivoire
| | - R Bérété-Coulibaly
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire
| | - K Gbé
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire
| | - S Boni
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire
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9
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Coulibaly F, Hijnen M, Cingi S, Bergoin M, Olieric V, Schulze-Briese C. Unlikely crystals: poxvirus spheroids in vivocrystallization. Acta Crystallogr A 2011. [DOI: 10.1107/s0108767311099193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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10
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Bamani S, Dembele M, Sankara D, Coulibaly F, Kamissoko Y, Ting J, Rotondo LA, Emerson PM, King JD. Evaluation of the prevalence of trachoma 12 years after baseline surveys in Kidal Region, Mali. Trop Med Int Health 2010; 15:306-11. [PMID: 20070630 DOI: 10.1111/j.1365-3156.2009.02459.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE After prevalence surveys in all eight regions, Mali started a national programme to control trachoma in 1998. In the sparsely populated desert region of Kidal, where active trachoma prevalence was 46.2% in children under 10, no interventions beyond routine eye-care services were implemented. We estimated the prevalence of trachoma in Kidal, 12 years after baseline mapping surveys, to determine whether interventions to control trachoma were warranted. METHODS A total of 2165 individuals from 477 households were examined for clinical trachoma signs in a cluster survey using the WHO simplified grading system. Individual and household risk factors for trachoma were assessed. RESULTS The prevalence of follicular trachomatous inflammation (TF) in children 1-9 years of age was 15.6% (95% CI 11.8-19.5%). Trachomatous trichiasis (TT) was observed in 4 persons for an overall prevalence in all ages of 0.16% (95% CI 0.0-0.35%). Estimated household latrine coverage in the region was 33.1% (95% CI 14.0-52.2%). Residents of 52.8% of surveyed households reported access to a water source outside geographical boundaries of their communities. CONCLUSIONS In the absence of control interventions, the prevalence of clinical signs of trachoma among children was substantially lower than estimates 12 years earlier. The current prevalence of active trachoma remains above the threshold adopted by WHO, yet there is little evidence of chronic blinding trachoma.
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Affiliation(s)
- S Bamani
- Programme National de Lutte Contre la Cécité du Mali, Bamako
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11
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Matonti F, Hoffart L, Prost Magnin O, Coulibaly F, Catanèse M, Alessi G, Proust H, Ridings B, Conrath J. [Anterior segment analysis using OCT3]. J Fr Ophtalmol 2008; 31:855-61. [PMID: 19107056 DOI: 10.1016/s0181-5512(08)74725-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE Optical coherence tomography has been used for many years, in particular in the field of the retinal imaging, and is a promising technique in the analysis of the anterior segment, providing a similar resolution to histology for ocular tissue. MATERIAL AND METHODS We present a collection of images obtained with the OCT3 (Carl Zeiss Meditec, Dublin, CA), with parameters set to obtain good-quality images of the iris and corneal structures. RESULTS The OCT provides detailed analysis of the cornea, precise assessment of the dimensions and locations of corneal lesions - in the anterior-posterior plane as well as transversally or obliquely - with 10-microm precision, and the study of the iridocorneal angle and its dynamics. DISCUSSION Using the highly precise OCT3 for retinal imaging, it is possible to obtain good-quality anterior segment imaging, which makes the device highly versatile and thus increases reasons for acquiring this type of apparatus. CONCLUSIONS OCT3 users should not neglect this potential of the device, already in wide use for examining the retina.
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Affiliation(s)
- F Matonti
- Service d'ophtalmologie, Hôpital de la Timone, Marseille, France.
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12
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Fanny A, Gbé K, Coulibaly F, Bérété-Coulibaly R, Boni S, Ouattara A, Kéita M. [Central serous chorioretinopathy: a study of six cases observed in Abidjan between 2003 and 2005, suggesting a role played by the Ivorian political-military crisis]. J Fr Ophtalmol 2008; 31:1018-24. [PMID: 19107079 DOI: 10.1016/s0181-5512(08)74749-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This study aimed to show that central serous chorioretinopathy is present in Ivory Coast and that the emotional and psychosocial context plays an important role in this disorder's pathogenesis. PATIENTS AND METHOD The authors report six central serous chorioretinopathy cases based on angiographic diagnosis, five in Black African subjects and one in a European subject. These cases were observed over a period of 2 years during the Ivorian political-military crisis. RESULTS In a center where angiography has been a current practice since 1999, up to 2002 479 angiographies were done without a single central serous chorioretinopathy case being diagnosed. After the beginning of the political-military crisis, six cases of central serous chorioretinopathy were observed out of 417 angiographies over a period of 2 years. All the patients were males, between 20 and 50 years old, five were Black Africans and one was a white European. Their professions varied (a contractor, a soldier, a business executive, for example). The angiography showed break points in ink spots in the majority of the cases, with one case showing multiple break points. All the patients were emotionally distraught because of the uncertainty of the political situation. CONCLUSION This study confirms that central serous chorioretinopathy does indeed exist in the Black African subject, as it exists in the leucoderma subject without discrimination. This study emphasizes the anxiety and extreme emotional context as an initiating factor in the occurrence of central serous chorioretinopathy.
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Affiliation(s)
- A Fanny
- Service d'ophtalmologie, CHU Treichville, Abidjan, Côte d'Ivoire.
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13
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Baker E, Kang H, Coulibaly F, Clow F, Proft T. Isopeptide bonds stabilize Gram-positive bacterial pilus structure and assembly. Acta Crystallogr A 2008. [DOI: 10.1107/s0108767308087989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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14
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Coulibaly F, Chiu E, Ikeda K, Gutmann S, Haebel P, Schulze-Briese C, Mori H, Metcalf P. The structure of baculovirus intracellular polyhedrin crystals reveals homoplasy of viral polyhedra. Acta Crystallogr A 2008. [DOI: 10.1107/s0108767308089514] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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15
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Rey F, Duquerroy S, Coulibaly F, Lepault J, Navaza J, Chevalier C, Da Costa B, Delmas B. Evolutionary links among viruses of different categories revealed by dsRNA virus capsid structures. Acta Crystallogr A 2008. [DOI: 10.1107/s0108767308098164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023] Open
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16
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Fanny A, Ouattara A, Coulibaly F, Nigué L, Gbé K, Bérété-Coulibaly R, Boni S, Soumahoro M. Épaisseur cornéenne centrale et erreur potentielle de la tonométrie à aplanation de Goldmann chez le patient noir africain atteint de glaucome primitif à angle ouvert. J Fr Ophtalmol 2008; 31:405-8. [PMID: 18563040 DOI: 10.1016/s0181-5512(08)71435-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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17
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Coulibaly F, Fanny A, Kassieu G, Ouattara A. 411 La trabéculoplastie au laser argon dans le traitement du glaucome primitif à angle ouvert : une expérience de 100 patients chez le Noir Africain. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)71009-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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18
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Fanny A, Ouattara A, Coulibaly F, Gbe K, Berete Coulibaly R, Boni S, Soumahoro M. 213 Chorio-rétinopathie séreuse centrale : à propos de 6 cas d’observation récente à Abidjan, rôle évoqué de la crise ivoirienne. J Fr Ophtalmol 2007. [DOI: 10.1016/s0181-5512(07)80025-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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19
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Gbe K, Fanny A, Coulibaly F, Boni S, Berete Coulibaly R, Ouattara A, Soumahoro M. 253 Aspects cliniques et prise en charge des plaies cornéo-sclérales chez l’enfant: à propos de 100 cas. J Fr Ophtalmol 2007. [DOI: 10.1016/s0181-5512(07)80065-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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20
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Coulibaly F, Fanny A, Ouattara A, Gbe K, Berete Coulibaly R, Boni S, Soumahoro M. 205 Épaisseur cornéenne centrale chez le sujet de race noire : à propos de 100 cas étudiés à Abidjan. J Fr Ophtalmol 2007. [DOI: 10.1016/s0181-5512(07)80017-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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21
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Fanny A, Ouattara A, Aka J, Coulibaly F, Gbé K, Boni S, Bérété-Coulibaly R, Konan-Touré ML, Adjorlolo C. Valeurs biométriques de l’œil du sujet africain de race noire et hypothèse du rôle dans certaines pathologies. J Fr Ophtalmol 2007; 30:68-72. [PMID: 17287675 DOI: 10.1016/s0181-5512(07)89553-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
INTRODUCTION The international literature seldom refers to eye measurements of the black African patient. Therefore, the various patterns where biometry elements are used as constituents deserve reconsideration as they may not correspond to the eye of the black patient of our region. This study provides true measurements for the black African patient in Ivory Coast. It also establishes hypotheses by extrapolating the role of measurements in pathologies such as glaucoma. MATERIAL and method: The study included 325 eyes of 217 male and female patients. All the patients underwent ocular keratometrics and echo biometrics to measure the depth of the anterior chamber, the width of the lens, and the total axial length with the ultrascan biometer using the contact method in A echometrics. RESULTS The mean keratometry in women was significantly higher than in men (43.99 +/- 1.62 diopters vs 43.46 +/- 1.45 diopters). The anterior chamber was deeper in men (2.69 mm +/- 0.54 vs 2.53 mm +/- 0.48). The men's eyes were significantly longer, with an axial length of 23.26 mm +/- 1.07 vs 22.56 mm +/- 0.90. CONCLUSION Significant biometric differences between men's and women's eyes, on the one hand, and between black African and white patients' eyes, on the other hand, can be observed. The reasons for these differences are several: they are natural, socioeconomic, and technical. If standard implant of a different power for black and white patients can be imagined, can we also infer that the biometrics of a black African patient predisposes him to a disorder such as glaucoma more than a white patient? Further in-depth studies could provide an answer to this question.
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Affiliation(s)
- A Fanny
- Service d'Ophtalmologie, CHU Treichville, Abidjan, Côte d'Ivoire
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22
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Matonti F, Prost Magnin O, Galland F, Hoffart L, Coulibaly F, Conrath J, Ridings B. Oblitération de l’artère centrale de la rétine secondaire à une dissection de la carotide interne sur fibrodysplasie artérielle. J Fr Ophtalmol 2006; 29:e15. [PMID: 16988621 DOI: 10.1016/s0181-5512(06)73855-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
INTRODUCTION We report a case of a 66-year-old woman presenting a central retinal artery occlusion with no cardiovascular risk factor, with assessment using supra-aortic artery ultrasonography showing total internal carotid artery thrombosis. OBSERVATION When vascular thrombosis risk factors are absent, more in-depth assessment such as a supra-aortic artery angioscan can provide the diagnosis of arterial dissection on arterial fibromuscular dysplasia. CONCLUSION Central retinal artery occlusion is a rare but severe pathology. Therefore it is very important not to neglect the etiological assessment, because it can be the revealing element of a severe pathology.
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Affiliation(s)
- F Matonti
- Service d'Ophtalmologie, Hôpital de la Timone, 264, rue Saint Pierre, 13385 Marseille Cedex 05.
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23
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Coulibaly F, Chevalier C, Galloux M, Da Costa B, Lepault J, Delmas B, Rey F. [Structural relationships among birnaviruses and other icosahedral viruses]. Virologie (Montrouge) 2006; 10:233-235. [PMID: 34679310 DOI: 10.1684/vir.2011.4839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- F Coulibaly
- UMR CNRS/INRA Virologie moléculaire et structurale, 91198 Gif-sur-Yvette
| | - C Chevalier
- UR INRA Virologie et Immunologie moléculaires, 78350 Jouy-en-Josas
| | - M Galloux
- UR INRA Virologie et Immunologie moléculaires, 78350 Jouy-en-Josas
| | - B Da Costa
- UR INRA Virologie et Immunologie moléculaires, 78350 Jouy-en-Josas
| | - J Lepault
- UMR CNRS/INRA Virologie moléculaire et structurale, 91198 Gif-sur-Yvette
| | - B Delmas
- UR INRA Virologie et Immunologie moléculaires, 78350 Jouy-en-Josas
| | - F Rey
- UMR CNRS/INRA Virologie moléculaire et structurale, 91198 Gif-sur-Yvette
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24
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Fanny A, Coulibaly F, Gbe K, Meite M, Adjorlolo C, Konan-Toure ML, Berete R, Boni S, Ouattara A, Diallo M. [Sickle cell beta-thalassemia leading to serious ischemic retinopathy: a study of 18 patients in Abidjan]. J Fr Ophtalmol 2006; 28:391-5. [PMID: 15973200 DOI: 10.1016/s0181-5512(05)81070-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The authors in this study intended to demonstrate that S-beta thalassemia can lead to severe ocular hemorrhagic risks, as is true of the sickle cell form. Both forms are also comparable in terms of the risk of aseptic necrosis of the femoral head. Out of the 18 patients studied, 13 (72.2%) had sickle cell retinopathy. Three of 13 patients had already developed new vessels and risked intravitreous hemorrhage. The authors recommend that more vigilance be mounted for the detection of S-beta thalassemia so as to benefit from rigorous and systematic follow-up and early treatment. Retinal argon laser photocoagulation is only effective if a clear diagnosis is made early.
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Affiliation(s)
- A Fanny
- Service d'Ophtalmologie, CHU de Treichville, Abidjan 08, Côte d'Ivoire.
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25
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Combes J, Proust H, Coulibaly F, Navaro A, Bernard R, Conrath J, Fany A. 409 La greffe de membrane amniotique : intérêts et limites. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)73530-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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26
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Coulibaly F, Proust H, Bernard R, Conrath J, Fany A. 393 Utilisations particulières de la ciclosporine en ophtalmologie. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)73514-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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27
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Proust H, Coulibaly F, Conrath J, bernard R, Fany A. 390 Prise en charge de l’ulcère de Mooren : à propos de deux cas. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)73511-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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28
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Fany A, Coulibaly F, Coulibaly I, Konan-Toure M, Gbe K, Adjorlolo C, Berete-Coulibaly R, Boni S, Ouattara A. 225 Amétropies en milieu scolaire, profil épidémiologique et clinique, influence sur les résultats scolaires : à propos de 57 cas observés. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)74621-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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29
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Forzano O, Andre J, Coulibaly F, Conrath J, Proust H, Ridings B. 429 La phaco-alternative sans suture. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)73549-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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30
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Fany A, Ouattara A, Coulibaly F, Gbe K, Boni S, Berete-Coulibaly R, Toure-Konan M, Adjorlolo C. 231 Biométrie de l’œil du sujet noir africain : résultats et hypothèse d’un facteur de risque glaucomateux. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)74627-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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31
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Fany A, Boni S, Adjorlolo C, Konan MLT, Gbe K, Coulibaly F, Berete R. La rétinopathie chez le porteur du trait drépanocytaire AS : mythe ou réalité ? J Fr Ophtalmol 2004; 27:1025-30. [PMID: 15557865 DOI: 10.1016/s0181-5512(04)96259-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
INTRODUCTION The retinopathy of sickle cell diseases is an ischemic retinopathy that occurs frequently in the major forms of HbSS and HbSC sickle cell diseases. The retinopathy of sickle trait HbAS has not been described extensively. PATIENTS AND METHODS The aim of this study was to describe the retinal characteristics and thus gain better knowledge of sickle trait HbAS retinopathy. Seventy HbAS patients had a complete ocular examination including fluorescein angiography. RESULTS Seventy percent of the patients had retinal lesions, with 49.3% non-vasoproliferative lesions, 22.7% prevasoproliferative lesions and 2.7% neovascular lesions. DISCUSSION AND CONCLUSION Retinopathy is associated with the HbAS sickle cell trait, but it is less serious than in the major forms of sickle cell syndrome.
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Affiliation(s)
- A Fany
- Service d'Ophtalmologie, CHU de Treichville, Abidjan, Côte d'Ivoire
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32
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Mensah A, Fany A, Adjorlolo C, Touré ML, Kasieu Gbe M, Mihluedo KA, Diallo AJW, Coulibaly F, Bérété R. [Epidemiology of eye injuries in Abidjanian children]. Sante 2004; 14:239-43. [PMID: 15745874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Eye injuries, most of them preventable, are particularly severe in Africa, because of the risks of infection and delay in treatment. We report a 16-month (March 1997-June 1998) prospective observational survey of eye injuries in children up to the age of 15 years at Treichville-Abidjan University Hospital. During this period, 62 children were treated for these injuries. Ocular traumas represented 4% (n = 245) of new admissions in ophthalmology, and 29% of these injuries occurred in children. The sex ratio was 5:2 boys to girls, and their mean age was 8.66 +/- 3.56 years. Eye injuries occurred most often during play (84%, n = 52). More than 85% (n = 53) of children were alone or without adult supervision at the time of the injury. The causal agent was most often wood (35%) followed by metal (29%). The mean time from injury to hospital admission was 1.8 +/- 0.77 day. Only 19% of patients were admitted the day of injury. Most patients (66%) first sought treatment in a primary care centre. More than 70% (n = 44) of injuries necessitated hospitalisation. Open eyeball wounds were the most common injury (53%) and were associated with endophthalmitis in 16%. The mean recovery of visual acuity was 0.1. At admission, 40 of the injured eyes (64.5%) had monocular blindness; six recovered, for a final blindness rate of 55%. Injuries associated with wooden objects had a final blindness rate of 77% and play-related injuries 63%. The primary posttraumatic sequelae were corneal scars. Eyeball phthysis (14.5%) was secondary to 8 open wounds of the eyeball and one postcontusion retinal detachment. Eye injuries remain a major cause of monocular blindness in children in Cote d'Ivoire. Most of them can be prevented by relatively simple measures including supervision of children and rapid hospitalisation when injury occurs.
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Affiliation(s)
- Adama Mensah
- Centre hospitalier universitaire de Treichville, 01 BP V3 Abidjan 01 Côte d'Ivoire
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Fany A, Gbe K, Konan-Toure ML, Adjorlolo C, Koffi K, Coulibaly F, Boni S. [Isolated palpebral tumor revealing Von Recklinghausen's neurofibromatosis: a case report]. J Fr Ophtalmol 2002; 25:822-5. [PMID: 12471350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023]
Abstract
INTRODUCTION Von Recklinghausen's neurofibromatosis is the most frequent of phakomatoses. Its incidence is 1/2,500-3,000 births. It is inherited through a dominant autosomal mode with a strong prevalence and changing expression. Eye and skin signs are essential to diagnosis and this case provided a noteworthy example of a unilateral upper palpebral tumor revealing this disease. CLINICAL CASE We report a case of a 6-year-old boy whose original clinical manifestation was a tumor on the upper eyelid of the right eye, present at birth. According to the anamnesis, this palpebral tumor gradually increased in size, causing a full ptosis. A biopsy exeresis of the tumor was carried out with an anatomicopathological study of the biopsy specimen, confirming the diagnosis. CONCLUSION The anatomicopathological study of the biopsy specimen enabled diagnosis of a neurofibromatosis revealed by this isolated palpebral localization responsible for significant aesthetic and functional damage.
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Affiliation(s)
- A Fany
- Service d'Ophtalmologie, CHU Treichville, 18 BP 160 Abidjan 18, Côte d'Ivoire, France
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