3.9 Article

Epidemiology and clinical pattern of ocular toxoplasmosis in Kinshasa

期刊

JOURNAL FRANCAIS D OPHTALMOLOGIE
卷 42, 期 8, 页码 900-906

出版社

MASSON EDITEUR
DOI: 10.1016/j.jfo.2019.05.017

关键词

Uveitis; Toxoplasmosis; Epidemiology; Clinical; Kinshasa; DR Congo

向作者/读者索取更多资源

Purpose. - To determine the epidemiology and clinical pattern of Congolese patients with ocular toxoplasmosis. Patients and methods. - A retrospective study was conducted on records of patients with ocular toxoplasmosis examined in the Teaching Hospital of Kinshasa (DR Congo) from 2010 to 2012. Each patient underwent a complete ophthalmic examination. Sociodemographic data, clinical symptoms and signs, visual outcome, modality of treatment and type of complications were studied. Results. - Thirty-five cases of ocular toxoplasmosis were diagnosed out of 18,144 patients, giving a frequency of 0.2 %. Eighteen men (51.4 %) were affected, with a sex ratio of 1.05. The mean age of the patients was 40.9 +/- 20 years (range: 1072 years). The mean time until consultation was 10 months (range: 2 days84 months). Ocular involvement was unilateral for 65.7 % of patients. Decreased visual acuity (77.1 %) and pain (7.1 %) were the main ocular complains. Chorioretinal lesions involved the central retina in 26 patients (74.3 %). Five patients (14.2 %) developed recurrences during follow-up. Complications affected 17 patients (48.6 %), with macular scarring (34.3 %) and cataract (17.1 %) being the most common. At the first consultation, 61.7 % of the affected eyes had visual impairment (VA < 0.3). Visual impairment was associated with macular lesions (P < 0.001, OR = 3 [1.46.1]) and age greater than 45 years (P = 0.002, OR = 11 [2.253.6]). Conclusion. - In our context, complications are common with ocular toxoplasmosis,s and they lead to visual impairment in the majority of patients. (C) 2019 Elsevier Masson SAS. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

3.9
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据