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Biomedical subjects

S Gaigi

Publications and source records attributed to S Gaigi.

At least 19 recordsLinked to original sources

[Diabetic retinopathy in insulin-dependent diabetes mellitus at time of diagnosis].

Diabetic retinopathy is one of the diabetic microangiopathy complications generally occurring after insulin-dependent diabetes has evolved for a few years. We report a 27-year-old woman with severe nonproliferative diabetic retinopathy discovered at the time of insulin-dependent diabetes diagnosis. Argon laser photocoagulation of retinal ischemic territories was initiated. The disease progressed to proliferative diabetic retinopathy. Diabetic retinopathy incidence, onset and severity in insulin-dependent diabetics is discussed. Systematic ophthalmic examination seems necessary at the onset of insulin-dependent or non-insulin-dependent diabetes.

Adult↗

[Epidemiology and development of macular edema in the diabetic].

Macular edema is the first cause of blindness in diabetics. Macular edema is defined by macular thickening or deposits of hard exudates. On 1000 diabetics examined over 2 years, 60 patients had a macular edema of which we retained 38 cases(54 eyes). All the patients had an ophthalmologic examination with a retinal angiography. Laser photocoagulation with green Argon laser was instituted in 50 eyes. 63% had background rethinopathy. Total or partial regression of the edema happened in 84.4%. Laser photocoagulation decrease by the half vision loss risk. Interest of early detection and treatment to decrease blindness incidence of macular edema in diabetics.

Adult↗

[Diabetes and the day hospital].

The day hospital is a relatively new way of hospitalization in Tunisia, the first experience beginning in 1985 to the National Institute of Nutrition. This hospitalization avoid the drawbacks of classic hospitalization (dependency, discomfort, separation) and boredom and present a lot of advantages of social command, humanitarian, psychological, medical and economical the cost of hospitalization is clearly reduced). This day hospitalization is beneficial in several pathologies notably the illness nutrition and metabolic diseases (diabetes, obesity, dyslipoproteinemia, hyperuricemia), where the patients continue to have a good physical activity and where the education médico sanitary and dietary hygiéno occupies a position of choice.

Day Care, Medical↗

[The cornea of diabetics].

PURPOSE: The aim of the study is to investigate corneal sensitivity and the risk factors of corneal hypoesthaesia in diabetics. METHODS: General examination and full ophthalmologic examination completed by exploration of corneal sensitivity were performed in one hundred thirty diabetic patients. RESULTS: Eleven per cent of patients showed microkystic oedema, whereas corneal hypoesthaesia was found in 45% of cases. Corneal hypoesthaesia was correlated with the duration and balance of diabetic mellitus, the age of patients and the presence of diabetic retinopathy. On the other hand, peripheral neuropathy was found in 88% of cases. CONCLUSION: Ophthalmologic examination of diabetics should not be limited to retina only but should also include the entire eye ball and especially the cornea in patients with high risk.

Adolescent↗

[Methods for screening and surveillance of diabetic retinopathy].

PURPOSE: The aim of this study is to investigate the various tests which allow to detect and follow-up diabetic retinopathy (DR). METHODS: Sixteen patients without DR or with background retinopathy underwent, once every six months: a full ophthalmologic investigation; a fluorescein angiography; a color vision test; a central visual field investigation. RESULTS: The impairment of angiography preceeded damage of eye fundus in 27% of cases. Deficiency of color vision and visual field were found in 57% of cases and in 35% respectively. These preceeded the appearance of angiographic DR in 50% of cases and 32% of cases respectively. CONCLUSION: The importance of such tools in the evolution of DR especially in young diabetics is discussed.

Adult↗

[Fetal hydrocolpos].

Foetal hydrocolpos is a rare abnormality, which may be detected by antenatal ultrasound, during neonatal clinical examination or during autopsy of the foetus. Foetal prognosis is related to the extent of the initial anatomical abnormality. Foetal hydrocolpos is usually combined with other congenital malformations and is therefore part of a syndrome or combination. A review of the literature was carried out when two cases occurred in the Rabta maternity clinic in Tunis in order to investigate the incidence, diagnostic tools and prognosis of this abnormality.

Abnormalities, Multiple↗

[Primary open-angle glaucoma and diabetes].

UNLABELLED: Open-angle glaucoma is most frequent in diabetics. Its evolution seems to be most severe although an equilibrated tonometry under glaucoma treatment in literature. AIM OF THE STUDY: comparison of evolution of glaucoma between diabetics and non diabetics. MATERIAL AND METHODS: A retrospective study of 72 glaucomatous patients diabetic and non diabetic was performed. A complete ophthalmologic examination with tonometry, funduscopy: sup disc measurement and automated perimetry was realised. Evolution was studied after chirurgical or medical treatment each four months with a mean follow up of 2 years. RESULTS: We observed that the evolution of Open-angle glaucoma in diabetics is significatively not different from non diabetics. CONCLUSION: Open-angle glaucoma evolution in diabetics is not more severe than general population.

Diabetes Complications↗