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Abstract

RÉSUMÉ
But. Décrire les expériences visuelles des patients au cours de la chirurgie de la cataracte sous anesthésie péribulbaire. Patients et méthodes. Nous avons mené une étude transversale pendant une période d’un mois au CHU-IOTA (Bamako). Étaient inclus les adultes opérés de la cataracte sous anesthésie péribulbaire sans sédation. Les patients étaient interrogés 1 à 4 heures après l’intervention sur les sensations visuelles de l’œil opéré, durant la chirurgie. Résultats. Deux cent sept (207) patients (105 hommes et 102 femmes) ont été retenus. Leur âge moyen était de 62,94 ans ± 12,5. L’acuité visuelle préopératoire des patients était comprise entre 1/10 et la perception lumineuse. Cent cinquante-huit (76,3%) patients ont rapporté des phénomènes visuels observés pendant l’intervention. Il s’agissait de la lumière (rapportée par 76,3% de patients), des couleurs (31,9%), des instruments (22,7%), des doigts du chirurgien (25,1%), de l’eau (27,1%) et des mouvements vagues (19,8%). Parmi eux, 38% étaient effrayés par ces sensations visuelles. Conclusion. Plus de trois-quarts de patients ont des expériences visuelles au cours de la chirurgie de la cataracte sous anesthésie péribulbaire. Certains sont effrayés par ces phénomènes visuels. Il est important de faire un counseling préopératoire approprié afin de réduire le stress des patients.
ABSTRACT
Objective. To report the visual experiences of patients during cataract surgery under peribulbar anesthesia. Patients and Methods. We have conducted a one month transversal study at the CHU-IOTA (Bamako). The patients concerned were adults operated on for cataract under peribulbar anesthesia without sedation. The patients were interviewed 1 to 4 hours after the operation about the visual sensations of the operated eye during the surgery. Results. 207 patients: 105 men and 102 women were selected. The mean age was 62.94 ± 12.5 years. Preoperative visual acuity ranged from 1/10 to light perception. 158 (76.3%) patients reported visual sensations during the surgery. These were light (reported by 76.3% of patients), colors (31.9%), instruments (22.7%), fingers of the surgeon (25.1%), water (27.1%) and unclear moves (19.8%). 38% among them were frightened by those visual sensations. Conclusion. More than three quarters of patients have visual experiences during the cataract surgery under peribulbar anesthesia. Some are frightened by these visual sensations. It would be important to have preoperative counseling to reduce the fear of patients.

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Aboubakar, H., Napo, A., Guirou, N., Sidibe, M., Koki, G., Dohvoma, V., Ebana Mvogo, S., Yaya, S., Kagmeni, G., Epée, E., Bamani, S., Bella, A., & Ebana Mvogo, C. (2018). Expériences Visuelles au Cours de la Chirurgie de la Cataracte sous Anesthésie Péribulbaire. HEALTH SCIENCES AND DISEASE, 19(4 S 1). https://doi.org/10.5281/hsd.v19i4 S 1.1224
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