The Carotid Artery Surgery in Mali: A Case Report
Modibo Doumbia,
Baba Ibrahima Diarra,
Mamadou Toure,
Karamoko Diguiba,
Asamaou Keita,
Assa Badiallo Toure,
Dramane Coulibaly,
Siriman Koita,
Sanoussy Daffe,
Salia Traore,
Birama Togola,
Nouhoum Ouologuem,
Seydou Togo,
Moussa Abdoulaye Ouattara,
Sadio Yena
Issue:
Volume 12, Issue 4, December 2023
Pages:
42-44
Received:
2 June 2023
Accepted:
21 June 2023
Published:
9 October 2023
Abstract: Carotid surgery is a preventive measure against cerebrovascular accidents, but it is not widely practised in Mali. This was a case series carried out in the Andre Festoc surgery department in Bamako, Mali. We operated on two male patients under general anaesthesia. Carotid endarteriectomy involves removal of the sequestrum via an approach running alongside the cleidomastodial muscle. This surgery is performed in Mali with encouraging results.
Abstract: Carotid surgery is a preventive measure against cerebrovascular accidents, but it is not widely practised in Mali. This was a case series carried out in the Andre Festoc surgery department in Bamako, Mali. We operated on two male patients under general anaesthesia. Carotid endarteriectomy involves removal of the sequestrum via an approach running a...
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Research Article
To Evaluate the Clinical Effect of Glaucoma Drainage Valve Implantation in the Treatment of Neovascular Glaucoma - A Retrospective Study
Issue:
Volume 12, Issue 4, December 2023
Pages:
45-48
Received:
15 October 2023
Accepted:
27 October 2023
Published:
9 November 2023
Abstract: Background: Glaucoma is a group of diseases characterized by visual nipple atrophy and depression, visual field defects, vision loss and other common clinical manifestations. Neovascular glaucoma is secondary glaucoma. There are many treatment methods for neovascular glaucoma, each with its own advantages and disadvantages. There are mainly drug conservative treatment and surgical treatment. This study is a clinical feature analysis of the effect of glaucoma drain valve implantation in the treatment of neovascular glaucoma. Explain the advantages and disadvantages and research results. Research methods: The clinical data of 56 patients (56 eyes) with neovascular glaucoma who were hospitalized for glaucoma drain valve implantation from January 2022 to January 2023 were collected for retrospective analysis. The patient's follow-up time is 1 d, 1w, 1m, 3m and 1 last follow-up. The follow-up mainly includes the patient's postoperative intraocular pressure, optimal corrective vision, the number of types of anti-glaucoma drugs used and complications. The criteria for surgical success are complete success and conditional success. Comparison of intraocular pressure at different points after surgery, and the number of types of anti-glaucoma drugs used before and after surgery. Objective: To evaluate the effect of glaucoma drain valve implantation in the treatment of neovascular glaucoma. Results: The patient's preoperative intraocular pressure (39.7) mm Hg (1 mm Hg=0.133 kPa); glaucoma patients implanted 1 d, 1w, 1m, 3m and last follow-up intraocular pressure (19.5), (11.2), (12.5), (15.8) and (16.2) mm Hg after the operation with a drainage valve implantation. Compared with intraocular pressure at different points in time, the variance analysis of repeated measurements is statistically significant (F = 6.06, P<0.05).0-6 anti-glaucoma drugs were used before surgery, with an average of 5; 0-2 anti-glaucoma drugs were used after surgery, with an average of 1, and the difference before and after surgery was statistically significant (Z = 5.564, P<0.05). The complete success rate of drain valve implantation is 86.7%, and the conditional success rate is 95.3%. Postoperative complications mainly include drainage valve tube obstruction, drainage valve tube exposure, shallow anterior chamber and inclusion cystic vesicles around the drainage disk, transient superficial anterior chamber, choroid detachment. Intraocular pressure can be controlled after active symptomatic treatment of all complications.
Abstract: Background: Glaucoma is a group of diseases characterized by visual nipple atrophy and depression, visual field defects, vision loss and other common clinical manifestations. Neovascular glaucoma is secondary glaucoma. There are many treatment methods for neovascular glaucoma, each with its own advantages and disadvantages. There are mainly drug co...
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