Ophthalmic Ultrasonography in Sub-Saharan Africa—A Kinshasa Experience

The aim of this study was to analyze the use of the diagnostic B-scan ultrasound. Should it be made accessible to all surgical centers in Sub-Saharan Africa in order to (i) avoid unnecessary cataract surgery and (ii) evaluate extraocular pathology? This study was conducted in Kinshasa from 2006 to 2...

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Autores principales:	Georgette Ngweme, M.T. Ngoyi Bambi, Longo Flavien Lutete, Ngoy Janvier Kilangalanga, Adrian Hopkins, Oliver Stachs, Rudolf Friedrich Guthoff, Thomas Stahnke
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	B-scan ultrasound ultrasonography dense cataract posterior segment abnormalities ocular adnexal pathology Sub-Saharan Africa Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/6975689b13c44673a63e429006a54fcb
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spelling	oai:doaj.org-article:6975689b13c44673a63e429006a54fcb2021-11-25T17:20:42ZOphthalmic Ultrasonography in Sub-Saharan Africa—A Kinshasa Experience10.3390/diagnostics111120092075-4418https://doaj.org/article/6975689b13c44673a63e429006a54fcb2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2009https://doaj.org/toc/2075-4418The aim of this study was to analyze the use of the diagnostic B-scan ultrasound. Should it be made accessible to all surgical centers in Sub-Saharan Africa in order to (i) avoid unnecessary cataract surgery and (ii) evaluate extraocular pathology? This study was conducted in Kinshasa from 2006 to 2019. Three hundred and twenty-three patients were included and separated into two groups. Group 1 included 262 patients with dense cataract. Group 2 consisted of 61 patients with pathologies of the ocular adnexa, and all were examined with a B-scan ultrasound. In group 1, there were 437 systematically screened eyes. Three hundred and ninety-eight eyes (91.08%) showed no abnormalities, 13 (2.97%) retinal detachments were identified, and 15 (3.43%) demonstrated a detached posterior hyaloid membrane. In the second group, 61 patients were examined (group 2). In 20 of them, surgery was performed for biopsy, tumor excision, mucoceles drainage, and palliative treatment. The need for routine B-scan examinations in dense cataract patients seems to be limited and can most likely be replaced by a thorough application of locally available examination techniques. B-scan application is recommended to manage orbital patients in the most cost-effective way.Georgette NgwemeM.T. Ngoyi BambiLongo Flavien LuteteNgoy Janvier KilangalangaAdrian HopkinsOliver StachsRudolf Friedrich GuthoffThomas StahnkeMDPI AGarticleB-scan ultrasoundultrasonographydense cataractposterior segment abnormalitiesocular adnexal pathologySub-Saharan AfricaMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 2009, p 2009 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	B-scan ultrasound ultrasonography dense cataract posterior segment abnormalities ocular adnexal pathology Sub-Saharan Africa Medicine (General) R5-920
spellingShingle	B-scan ultrasound ultrasonography dense cataract posterior segment abnormalities ocular adnexal pathology Sub-Saharan Africa Medicine (General) R5-920 Georgette Ngweme M.T. Ngoyi Bambi Longo Flavien Lutete Ngoy Janvier Kilangalanga Adrian Hopkins Oliver Stachs Rudolf Friedrich Guthoff Thomas Stahnke Ophthalmic Ultrasonography in Sub-Saharan Africa—A Kinshasa Experience
description	The aim of this study was to analyze the use of the diagnostic B-scan ultrasound. Should it be made accessible to all surgical centers in Sub-Saharan Africa in order to (i) avoid unnecessary cataract surgery and (ii) evaluate extraocular pathology? This study was conducted in Kinshasa from 2006 to 2019. Three hundred and twenty-three patients were included and separated into two groups. Group 1 included 262 patients with dense cataract. Group 2 consisted of 61 patients with pathologies of the ocular adnexa, and all were examined with a B-scan ultrasound. In group 1, there were 437 systematically screened eyes. Three hundred and ninety-eight eyes (91.08%) showed no abnormalities, 13 (2.97%) retinal detachments were identified, and 15 (3.43%) demonstrated a detached posterior hyaloid membrane. In the second group, 61 patients were examined (group 2). In 20 of them, surgery was performed for biopsy, tumor excision, mucoceles drainage, and palliative treatment. The need for routine B-scan examinations in dense cataract patients seems to be limited and can most likely be replaced by a thorough application of locally available examination techniques. B-scan application is recommended to manage orbital patients in the most cost-effective way.
format	article
author	Georgette Ngweme M.T. Ngoyi Bambi Longo Flavien Lutete Ngoy Janvier Kilangalanga Adrian Hopkins Oliver Stachs Rudolf Friedrich Guthoff Thomas Stahnke
author_facet	Georgette Ngweme M.T. Ngoyi Bambi Longo Flavien Lutete Ngoy Janvier Kilangalanga Adrian Hopkins Oliver Stachs Rudolf Friedrich Guthoff Thomas Stahnke
author_sort	Georgette Ngweme
title	Ophthalmic Ultrasonography in Sub-Saharan Africa—A Kinshasa Experience
title_short	Ophthalmic Ultrasonography in Sub-Saharan Africa—A Kinshasa Experience
title_full	Ophthalmic Ultrasonography in Sub-Saharan Africa—A Kinshasa Experience
title_fullStr	Ophthalmic Ultrasonography in Sub-Saharan Africa—A Kinshasa Experience
title_full_unstemmed	Ophthalmic Ultrasonography in Sub-Saharan Africa—A Kinshasa Experience
title_sort	ophthalmic ultrasonography in sub-saharan africa—a kinshasa experience
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6975689b13c44673a63e429006a54fcb
work_keys_str_mv	AT georgettengweme ophthalmicultrasonographyinsubsaharanafricaakinshasaexperience AT mtngoyibambi ophthalmicultrasonographyinsubsaharanafricaakinshasaexperience AT longoflavienlutete ophthalmicultrasonographyinsubsaharanafricaakinshasaexperience AT ngoyjanvierkilangalanga ophthalmicultrasonographyinsubsaharanafricaakinshasaexperience AT adrianhopkins ophthalmicultrasonographyinsubsaharanafricaakinshasaexperience AT oliverstachs ophthalmicultrasonographyinsubsaharanafricaakinshasaexperience AT rudolffriedrichguthoff ophthalmicultrasonographyinsubsaharanafricaakinshasaexperience AT thomasstahnke ophthalmicultrasonographyinsubsaharanafricaakinshasaexperience
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Ophthalmic Ultrasonography in Sub-Saharan Africa—A Kinshasa Experience

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