Profils des enfants de zero a trois ans examines sous anesthesie generale dans le service d’ophtalmologie du Centre Hospitalier Universitaire Yalgado Ouedraogo:

2020 
Introduction : Les jeunes enfants ont des besoins en soins oculaires souvent plus urgents que ceux des adultes. Les maladies oculaires des enfants de 0-3 ans peuvent engager le pronostic visuel et/ou vital. Le but de notre etait de decrire les profils des patients de 0-3 ans examines sous anesthesie generale dans le service d’ophtalmologie du CHU-Yalgado OuedraogoPatients et methode : etude prospective du 1er Janvier au 31 Octobre 2019. Tous les enfants de 0-3 ans examines sous anesthesie generale ont ete inclus. Les variables etudiees ont ete l’âge, le sexe, la provenance, la duree de la symptomatologie, le motif de consultation, les signes cliniques et le diagnostic retenu.Resultats : cent huit (108) patients ont ete examines. La moyenne de l’âge etait de 15,62±11,41 mois ; le sex ratio etait de 1,4. Les enfants dont les parents residaient a Ouagadougou representaient 57,41 %. La leucocorie etait le motif de consultation le plus frequemment retrouve avec 41,67%. Seuls 25,93% des cas ont ete pris en charge dans le 1er mois de la decouverte de la symptomatologie. Le retinoblastome, le glaucome congenital et la cataracte congenitale etaient les pathologies les plus frequemment rencontrees avec respectivement 31,48 %, 25,93% et 25,93 %.Conclusion : plus de 80% des enfants de 0 a 3 ans examines sous anesthesie generale constituaient des urgences fonctionnelles et/ou vitales. Il serait necessaire d’en informer les parents et les autorites sanitaires afin de favoriser la prise en charge rapide de ces patients.ABSTRACTIntroduction: Young children have eye care needs that are often more urgent than those of adults. Eye diseases in children 0-3 years old can have a visual and / or vital prognosis. The aim of this study was to describe the profile of patients aged 0-3 years under general anesthesia in the ophthalmology department of CHU-Yalgado OuedraogoPatients and method: prospective study from January 1st to October 31, 2019. All children aged 0-3 years examined under general anesthesia were included. The variables studied were age, sex, origin, duration of symptomatology, reason for consultation, clinical signs and diagnosis.Results: One hundred and eight (108) patients were examined. The mean age was 15.62 ± 11.41 months; the sex ratio was 1.4. Children whose parents lived in Ouagadougou accounted for 57.41%. Leucocoria was the most common reason for consultation with 41.67%. Only 25.93% of cases were treated in the first month of symptom discovery. Retinoblastoma, congenital glaucoma and congenital cataract were the most common pathologies with 31.48%, 25.93% and 25.93%, respectively.Conclusion: more than 80% of children aged 0 to 3 years examined under general anesthesia constituted functional and / or vital emergencies. It would be necessary to inform the parents and the health authorities to promote the rapid care of these patients.
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