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Diagne JP, De Medeiros ME, Ka AM, Samra A, Diallo HM, Sy EHM, Aw A, Gueye A, Sow S, Diop LA, Ndiaye JMM, Sow AS, Saheli Y, Ndoye PA, Wane AM, Ba EA, Kane H, Ndiaye PA. [Rhegmatogenous retinal detachment: Topography of breaks and agreement with lincoff's rules]. J Fr Ophtalmol 2019; 43:31-34. [PMID: 31761318 DOI: 10.1016/j.jfo.2019.01.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2018] [Revised: 12/23/2018] [Accepted: 01/07/2019] [Indexed: 10/25/2022]
Abstract
PURPOSE To study the topography of retinal breaks and their agreement with Lincoff's rules. MATERIALS AND METHODS We performed a retrospective descriptive study of patients with recent rhegmatogenous retinal detachments followed on the ophthalmology service of Abass Ndao Hospital from January 2006 through December 2016. Patients with no prior retinal treatment were included. RESULTS Over 11 years, we reviewed 97 patients with 107 eyes with retinal detachments. The mean age of our patients was 51.7 years, range 23-79 years. There were 69 male patients, for a male:female ratio of 2.46. Refraction revealed that 38.1% of patients were myopes. Fourteen percent (14%) of patients had experienced trauma to the eye with the detachment. The right eye was involved in 54.6% of patients. The onset was insidious in 54.6% of cases and sudden in 23.7% of cases. All patients had decreased visual acuity, associated with a scotoma in 26.8% of cases. Visual acuity was decreased to light perception through 7/10. In 64.9% of cases, Lincoff's rules were observed. DISCUSSION Lincoff's rules are still relevant for localization of the breaks in retinal detachments. CONCLUSION Diagnosis of a retinal detachment is an essential step, since it determines the treatment. Lincoff's rules still have a role in finding the retinal break in retinal detachments.
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Affiliation(s)
- J P Diagne
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - M E De Medeiros
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - A M Ka
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - A Samra
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - H M Diallo
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - E H M Sy
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - A Aw
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - A Gueye
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - S Sow
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - L A Diop
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - J M M Ndiaye
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - A S Sow
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - Y Saheli
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - P A Ndoye
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - A M Wane
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - E A Ba
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - H Kane
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
| | - P A Ndiaye
- Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
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Sow AS, Ndiaye JMM, Ka AM, Sacramento DGT, Kane H, Nguer M, Diagne JP, Wane AM, Ba EA, Ndoye Roth PA, Ndiaye PA. [Role of CT in diagnosis and monitoring of retinoblastoma in Senegal]. J Fr Ophtalmol 2019; 42:1085-1089. [PMID: 31561918 DOI: 10.1016/j.jfo.2019.06.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 05/29/2019] [Accepted: 06/04/2019] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Retinoblastoma is a malignant tumor of neuroepithelial origin, developed from young retinal cells, occurring in infants and young children. The goal of the study was to assess the role of CT in the diagnosis of retinoblastoma at the Aristide le Dantec Hospital in Dakar. PATIENTS AND METHODS This is an 11-year retrospective study of 160 patient records in the ophthalmology department and pediatric oncology unit of the same hospital. RESULTS One hundred and sixty (160) patients were recruited. The male:female ratio was 1.05. The mean age was 32.19 months. Leukocoria was the most common clinical sign, occurring in 105 cases (65.62 %). The retinoblastoma was intraocular in 97 cases (60.62 %). We saw 122 (76.25 %) unilateral and 3 (1.87 %) trilateral presentations. CT was performed in 150 children with 110 cases (73.33 %) of calcifications ; 62 cases (41.33 %) of optic nerve invasion ; 24 cases (16 %) of extraocular muscle invasion and 18 cases (12 %) endocranial extension. Associated tumors were found on CT: 2 cases of suprasellar mass and 1 case of pineoblastoma. In patients whose specimens were analyzed, histology showed 48.15 % optic nerve invasion, consistent with the CT findings. DISCUSSION CT has an important role in the diagnosis of retinoblastoma, despite its recent contraindication in bilateral and unilateral multinodular forms. CONCLUSION CT is a good alternative to MRI in the diagnosis of retinoblastoma in developing countries with limited technological resources.
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Affiliation(s)
- A S Sow
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal.
| | - J M M Ndiaye
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - A M Ka
- Clinique ophtalmologique, CHU Abass Ndao, Dakar, Sénégal
| | - D G T Sacramento
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - H Kane
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - M Nguer
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - J P Diagne
- Clinique ophtalmologique, CHU Abass Ndao, Dakar, Sénégal
| | - A M Wane
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - E A Ba
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - P A Ndoye Roth
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - P A Ndiaye
- Clinique ophtalmologique, CHU Abass Ndao, Dakar, Sénégal
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Sow AS, Ndiaye JM, Wane AM, Kane H, Ka AM, Diagne JP, Nguer M, Quenum MED, Ba EA, Ndoye Roth PA, Ndiaye PA. [Ametropia among senegalese children in a hospital setting]. J Fr Ophtalmol 2019; 42:959-961. [PMID: 31235321 DOI: 10.1016/j.jfo.2019.05.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Revised: 05/12/2019] [Accepted: 05/16/2019] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Ametropia is common in children and cause strabismus and amblyopia. The goal was to establish its prevalence in a hospital setting among Senegalese children. PATIENTS AND METHODS This was a retrospective study of patients under 15 years of age with clear ocular media. The marital status, circumstances of discovery, and results of cycloplegic refraction were recorded. RESULTS Of 1506 children, 175 demonstrated ametropia. The mean age was 8 years, and the male : female ratio was 0.68. Family history of ametropia was present in 8.5 %. Decreased VA was present in 39.66 %, headache 10.06 %, and strabismus 4.47 %. Automated refraction in 109 patients and skiascopy in one patient showed 58.18 % cases of myopia, 18.18 % of hyperopia and 36.57 % of astigmatism. DISCUSSION The most common ametropia was myopia. Patients were referred for symptomatic ametropia. CONCLUSION Screening for ametropia might occur earlier if it is associated with pediatric monitoring in our regions.
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Affiliation(s)
- A S Sow
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal.
| | - J M Ndiaye
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - A M Wane
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - H Kane
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - A M Ka
- Clinique ophtalmologique, CHU Abass Ndao Dakar Gueule Tapée, Sénégal
| | - J P Diagne
- Clinique ophtalmologique, CHU Abass Ndao Dakar Gueule Tapée, Sénégal
| | - M Nguer
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - M E D Quenum
- Clinique ophtalmologique, CHU Abass Ndao Dakar Gueule Tapée, Sénégal
| | - E A Ba
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - P A Ndoye Roth
- Clinique ophtalmologique, CHU Aristide Le Dantec, Dakar, Sénégal
| | - P A Ndiaye
- Clinique ophtalmologique, CHU Abass Ndao Dakar Gueule Tapée, Sénégal
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Diagne JP, De Medeiros ME, Ka AM, Ndiaye JM, Sow AS, Wane AM, Ndoye Roth PA, Ba EA, Diallo HM, Kane H, Sow S, Nguer M, Sy EM, Aw A, Gueye A, Ndiaye PA. [Giant retinal tears: Senegalese experience]. J Fr Ophtalmol 2019; 42:133-137. [PMID: 30709563 DOI: 10.1016/j.jfo.2018.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 06/17/2018] [Accepted: 06/27/2018] [Indexed: 11/28/2022]
Abstract
PURPOSE To appreciate the epidemiological characteristics and to show the therapeutic aspects of the giant retinal tears. PATIENTS AND METHODS We conducted a retrospective study from January 2014 to June 2017 on subjects with giant retinal tears. Patients with media opacities limiting examination were excluded. RESULTS We identified 17 cases of giant retinal tears. The frequency of detachments related to a giant retinal tear was 17% compared to all retinal tears. The mean age was 50.75 years with a sex ratio (M/F) of 6.5. We found three cases of high myopia, one case of hyperopia and four trauma cases. All patients had a decrease in visual acuity. The average time to consultation was four weeks. The mean intraocular pressure was 8mmHg. The tear was found in the left eye in eight cases and in the right eye in five cases; two cases were bilateral. We performed intraocular surgery in five eyes and laser in four eyes. We achieved anatomical reattachment and functional improvement in all operated patients. COMMENTS AND CONCLUSION The prognosis of a giant retinal tear remains guarded, especially if patients are seen and treated late. Laser photocoagulation of giant tears remains effective, especially in cases of early diagnosis.
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Affiliation(s)
- J P Diagne
- Hôpital Abass-Ndao-de-Dakar, Dakar, Sénégal.
| | | | - A M Ka
- Hôpital Abass-Ndao-de-Dakar, Dakar, Sénégal.
| | - J M Ndiaye
- Hôpital Aristide-Le-Dantec-de-Dakar, Dakar, Sénégal.
| | - A S Sow
- Hôpital Aristide-Le-Dantec-de-Dakar, Dakar, Sénégal.
| | - A M Wane
- Hôpital Aristide-Le-Dantec-de-Dakar, Dakar, Sénégal.
| | | | - E A Ba
- Hôpital Aristide-Le-Dantec-de-Dakar, Dakar, Sénégal.
| | - H M Diallo
- Hôpital Abass-Ndao-de-Dakar, Dakar, Sénégal.
| | - H Kane
- Hôpital Aristide-Le-Dantec-de-Dakar, Dakar, Sénégal.
| | - S Sow
- Hôpital Abass-Ndao-de-Dakar, Dakar, Sénégal.
| | - M Nguer
- Hôpital Aristide-Le-Dantec-de-Dakar, Dakar, Sénégal.
| | - E M Sy
- Hôpital Abass-Ndao-de-Dakar, Dakar, Sénégal.
| | - A Aw
- Hôpital Abass-Ndao-de-Dakar, Dakar, Sénégal.
| | - A Gueye
- Hôpital Abass-Ndao-de-Dakar, Dakar, Sénégal.
| | - P A Ndiaye
- Hôpital Abass-Ndao-de-Dakar, Dakar, Sénégal.
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Wane AM, Ka AM, Diagne JP, Mouen Bengue G, Sow AS, Ndoye Roth PA, Ba EA, De Medeiros ME, Kane H, Ndiaye JM, Diallo HM, Ndiaye PA, Ndiaye MR. [Perception of ocular blinding manifestations of sickle cell disease by practitioners in Dakar university hospital]. J Fr Ophtalmol 2018; 41:507-512. [PMID: 29903585 DOI: 10.1016/j.jfo.2017.11.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2016] [Revised: 11/02/2017] [Accepted: 11/16/2017] [Indexed: 11/29/2022]
Abstract
INTRODUCTION In Senegal, 10% of the population are said to be carriers of hemoglobin S, the most widespread hemoglobinopathy in the world. It is responsible for potentially blinding ophthalmological manifestations. Few practitioners refer patients for ophthalmologic screening. The goal of our study was to assess the level of knowledge of practitioners of the blinding ocular lesions of sickle cell disease. MATERIALS AND METHODS A cross-sectional prospective study was carried out over five months. It included Dakar university hospital practitioners aside from ophthalmologists. On the survey form, each practitioner specified his or her specialty and responded to eight questions regarding sickle cell patients seen in consultation, knowledge of the blinding lesions related to the disease, and ocular monitoring for blinding systemic diseases. The practitioners were divided into three groups: department of medicine and medical specialties (group I), surgery and surgical specialties (group II), and biology and functional testing (group III). The descriptive analysis was done with the EPI-INFO software version 6.04. RESULTS The participation rate was 45.88%. Group I represented 45.29% of the sample, Group II 35.85% and Group III 18.86%. In all, 87.73% of practitioners saw sickle cell patients in consultation, 75.47% were aware of ocular involvement related to sickle cell disease, and 58.49% were aware of blinding lesions. 94.62% of practitioners saw sickle cell disease patients without systematically recommending ophthalmological consultation. CONCLUSION Practitioners' level of knowledge of the blinding ocular lesions of sickle cell disease is considered to be low.
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Affiliation(s)
- A M Wane
- Service d'ophtalmologie de l'hôpital A.-Le Dantec, Dakar, Sénégal.
| | - A M Ka
- Centre d'ophtalmologie de l'hôpital Abass-Ndao, Dakar, Sénégal
| | - J P Diagne
- Service d'ophtalmologie de l'hôpital A.-Le Dantec, Dakar, Sénégal
| | - G Mouen Bengue
- Centre d'ophtalmologie de l'hôpital Abass-Ndao, Dakar, Sénégal
| | - A S Sow
- Service d'ophtalmologie de l'hôpital A.-Le Dantec, Dakar, Sénégal
| | - P A Ndoye Roth
- Service d'ophtalmologie de l'hôpital A.-Le Dantec, Dakar, Sénégal
| | - E A Ba
- Service d'ophtalmologie de l'hôpital A.-Le Dantec, Dakar, Sénégal
| | - M E De Medeiros
- Centre d'ophtalmologie de l'hôpital Abass-Ndao, Dakar, Sénégal
| | - H Kane
- Service d'ophtalmologie de l'hôpital A.-Le Dantec, Dakar, Sénégal
| | - J M Ndiaye
- Service d'ophtalmologie de l'hôpital A.-Le Dantec, Dakar, Sénégal
| | - H M Diallo
- Centre d'ophtalmologie de l'hôpital Abass-Ndao, Dakar, Sénégal
| | - P A Ndiaye
- Centre d'ophtalmologie de l'hôpital Abass-Ndao, Dakar, Sénégal
| | - M R Ndiaye
- Service d'ophtalmologie de l'hôpital A.-Le Dantec, Dakar, Sénégal
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Ndoye Roth PA, Toure SA, Kane H, Sow AS, Wane AM, Ndiaye JM, Ka AM, Diagne JP, Diallo HM, Demedeiros Quenum ME, Nguer M, Ba EA, Ndiaye PA, Ndiaye MR. [Isolated microspherophakia in a Senegalese family]. J Fr Ophtalmol 2017; 40:110-114. [PMID: 28087083 DOI: 10.1016/j.jfo.2016.09.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 09/17/2016] [Accepted: 09/22/2016] [Indexed: 11/27/2022]
Abstract
PURPOSE To report the clinical investigation of isolated microspherophakia involving a Senegalese family in order to appreciate its functional impact. OBSERVATIONS This is a rural family comprised of 7 members. The sibship included three girls and two boys. One of the girls, who lived in a distant zone, was unable to be examined. Of all the examined members of the family, only the father was unaffected by the illness. There was no consanguinity. The general medical examination was normal. The best-corrected visual acuity (VA) for the girls was 2/10. For one of the boys, BCVA was 8/10 for both eyes, and for the other, BCVA was 10/10 for the right eye and 8/10 for the left eye. The mother's VA was 10/10 and P2 without correction. Myopia and astigmatism were present in the 4 children of the sibship. During the examination, we noted the presence of small crystalline lenses, which were very round and presented an abnormal visibility of the lens equator and zonular fibers. The diagnosis of microspherophakia was confirmed by measurement of the lens diameters by ultrasound biomicroscopy. Complications were present in the girls, including pupillary block glaucoma and amblyopia for the elder, and retinal degeneration and amblyopia for the younger daughter. The elder daughter was managed medically with glaucoma drops. The younger daughter received optical correction and a prophylactic Argon LASER treatment. The two boys received optical correction. No treatment was recommended for the mother. CONCLUSION Microspherophakia is a rare condition. Some serious complications can lead to amblyopia. A better multidisciplinary evaluation would allow for early detection and a better prognosis.
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Affiliation(s)
- P A Ndoye Roth
- Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal
| | - S A Toure
- Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal
| | - H Kane
- Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal.
| | - A S Sow
- Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal
| | - A M Wane
- Service d'ophtalmologie, hôpital d'Enfants de Diamniadio, 21000 Thiès, Sénégal
| | - J M Ndiaye
- Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal
| | - A M Ka
- Service d'ophtalmologie, hôpital Abass Ndao, avenue Cheikh Anta Diop x Canal IV, BP 5866, Dakar-Fann, Sénégal
| | - J P Diagne
- Service d'ophtalmologie, hôpital Abass Ndao, avenue Cheikh Anta Diop x Canal IV, BP 5866, Dakar-Fann, Sénégal
| | - H M Diallo
- Service d'ophtalmologie, hôpital Abass Ndao, avenue Cheikh Anta Diop x Canal IV, BP 5866, Dakar-Fann, Sénégal
| | - M E Demedeiros Quenum
- Service d'ophtalmologie, hôpital Abass Ndao, avenue Cheikh Anta Diop x Canal IV, BP 5866, Dakar-Fann, Sénégal
| | - M Nguer
- Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal
| | - E A Ba
- Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal
| | - P A Ndiaye
- Service d'ophtalmologie, hôpital Abass Ndao, avenue Cheikh Anta Diop x Canal IV, BP 5866, Dakar-Fann, Sénégal
| | - M R Ndiaye
- Clinique ophtalmologique, hôpital Aristide Le Dantec, 30, avenue Pasteur, 12900 Dakar, Sénégal
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