Complications de la Chirurgie de la Cataracte à l’Hôpital Central de Yaounde

Viola Dohvoma, SR Ebana Mvogo, JA Ndongo, J Ngapou, C Mvilongo Tsimi, MB Nguena, ME Akono Zoua, D Owono, Emilienne Epee, Côme Ebana Mvogo

Abstract



RÉSUMÉ
But. Déterminer le taux de complications de la chirurgie de la cataracte à l’Hôpital Central de Yaoundé (HCY). Méthodologie. Nous avons réalisé une étude descriptive portant sur les dossiers de malades ayant été opérés de cataracte à l’HCY de mars 2013 à décembre 2017. Les dossiers incomplets ainsi que ceux des patients sans suivi postopératoire étaient exclus. Les complications ont été recensées et analysées. Resultats. Nous avons récensé 264 yeux opérés mais inclus 124 yeux de 97 patients, dont les dossiers étaient complets avec suivi postopératoire. L’âge moyen des patients était de 65,91ans ±16,02. La cataracte sénile était prédominante (91,75% des cas). Les complications per-opératoires les plus fréquentes étaient la rupture de la capsule postérieure (3,22%) et l’hyphéma (3,22%). L’hypertonie postopératoire transitoire était présent chez 4,84% des cas. Les complications tardives étaient représentées par la cataracte secondaire avec 26,56% des cas au 2ème mois post-opératoire. Aucun cas d’endophtalmie n’a été enrigistré. Conclusion. Le taux de complications de la chirurgie de la cataracte à l’Hôpital Central de Yaoundé est faible. Ce taux pourrait diminuer davantage avec l’expérience des chirurgiens.

ABSTRACT
Purpose. To report the rate of complications of cataract surgery at the Yaounde Central Hospital (YCH). Methodology. We carried out a descriptive study using records of patients operated for cataract at the YCH betweeen March 2013 and December 2017. Records of patients lost to follow up were excluded. Results. A total of 264 eyes were operated during the study period, but only 124 eyes of 97 patients whose records were complete with post operative follow up were included. The mean age of the patients was 65.91 ±16.02 years. Senile cataract was the most frequent etiologic form (91.75% of cases). The most common intraoperative complications were posterior capsule tear and hyphema in 3.22% of cases each. Early but transient postoperative raised intraocular pressure was seen in 4.84% of cases. The most common late postoperative complication was secondary cataract, found in 26.56% of patients after the 2nd month. No case of endophthalmitis was recorded. Conclusion. The rate of complications in cataract surgery at the Yaounde Central Hospital is low. This could be lower with an increase in the experience of the surgeons.


Keywords


cataracte, chirurgie, complications, Yaoundé.

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