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[Ocular manifestations in rheumatoid arthritis: 24 cases in Abidjan]
E S C L Kouakou1, M Diomandé2, J C Yao1
1Service de Rhumatologie du CHU de Bouaké (Côte d'Ivoire).
Objective:
Determine the prevalence and the main ocular manifestations in rheumatoid arthritis in Abidjan.
Patients And Methods:
Prospective and descriptive study of 24 patients with rheumatoid arthritis fulfilling the criteria of the American College of Rheumatology, views from September 2003 to August 2004 in department of rheumatology at the University Hospital of Cocody. The patients performed an eye examination including: visual acuity examination at the slit lamp, ocular fundus, color vision and visual field.
Results:
Ocular manifestations were observed in 9 of 24 patients representing a prevalence of 37.5%. There were 03 cases of decreased visual acuity, 03 cataract, 02 keratitis cases and 01 cases of anterior uveitis. No fundus abnormality in color vision and visual field was highlighted. These manifestations were found between 5 and 10 years (04 cases) and after 10 years (05 cases) of evolution of the disease. The term rheumatoid arthritis influenced the occurrence of ocular manifestations (P = 0.00).
Conclusion:
Ocular manifestations in rheumatoid arthritis are rare in our practice and were mainly affected by visual acuity, annexes and anterior segment of the eye.
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