TITLE:
The Acute Angle Closure Crisis in Senegalese Melanodermas: Epidemiological and Clinical Aspects of 24 Cases
AUTHORS:
Sy El Hadji Malick, Aw Aissatou, Soda Mbaye, Mouhamed Ndiaye, Aly Mbara Ka, Jean Pierre Diagne, Aboubacry Sadikh Sow, Joseph Matar Mass Ndiaye, Paule Aida Ndoye, Papa Amadou Ndiaye
KEYWORDS:
Acute Crisis, Angle, Hypertonia, Gonioscopy
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.13 No.4,
November
30,
2023
ABSTRACT: Introduction Acute angle closure crisis (AACC) is a major ophthalmic emergency. It is
a sight-threatening pathology that is very common in women but rarely described
in melanodermas. The aim of this work is to investigate the epidemiological and
clinical aspects of acute angle closure crisis. Results We collected 24
patient records, totaling 25 eyes. The average age of our patients was 52.04
years, with a male-to-female ratio of 0.6. A family history of glaucoma
occurred in 34% of patients. Patients consulted for a painful red eye
associated or not with decreased visual acuity (DVA). The condition was bilateral in one patient. The average visual acuity
wax 0.34/10e. The cornea was cloudy and the pupil in areflexic
mydriasis in all sick eyes. Hypothalamia was present in 72% of eyes and
cataracts in 54.16% of cases. The average intraocular press was 44.38 mmHg and
the average cup/disc (C/D) was 0.46. Gonioscopy was performed in 7 patients.
The fellow eye did not present any abnormalities in 92% of cases. Conclusion The acute angle closure crisis is a rare condition in melanodermas and
common in woman. His
diagnostic is essentially clinical and completed by gonioscopy which plays a
fundamental role.