title: Indications for surgical removal of the eye in rural areas in cameroon.
abstract: OBJECTIVE
  To determine the main clinical indications for surgical removal of the eye in rural areas in Cameroon.
  
  
  METHODS
  Retrospective non-comparative case series.
  
  
  METHODS
  A total of 253 patients presenting to the Manna eye clinic Nkongsamba who underwent destructive eye surgery (DES) between January 2006 and December 2010 were reviewed.
  
  
  METHODS
  Age, gender, occupation, prior medication, visual acuity, operation indications, and type of operation.
  
  
  RESULTS
  There were 58.10% (n = 147) men and 41.90% (n = 106) women. Median age was 29 years (interquartile range: 14-69 years); age ranged from 10 to 88 years. A total of 67.19% (n = 170) of participants were farmers and lived in rural zones. In all, 79.05% (n = 200) confessed to have trying a medication before the presentation. Surgical indications included infective causes (perforated corneal ulcer 33.20% (n = 84) and endophthalmitis 18.20% (n = 46)), trauma 17.40% (n = 44), painful blind eyes 11.50% (n = 29), malignancy 10.70% (n = 27), and others 9.10% (n = 23).
  
  
  CONCLUSIONS
  The most common causes of DES in this series could be avoided. Therefore, preventive measures including extensive health education of the public and traditional healers on the risks linked to the use of traditional medicines in ophthalmology and the late presentation of eye disease, quality control of the campaigns that offer free cataract operations in the country.
authors.affiliation: University Teaching Hospital Yaounde (UTHY), Cameroon. ; University of Yaoundé I, Faculty of Medicine and Biomedical Sciences, Cameroon.
authors.forename: Giles
authors.initials: G
authors.lastname: Kagmeni
authors.affiliation: University of Mountains, Bangangté, Cameroon.
authors.forename: Christelle Domngang
authors.initials: CD
authors.lastname: Noche
authors.affiliation: University of Yaoundé I, Faculty of Medicine and Biomedical Sciences, Cameroon.
authors.forename: Georges
authors.initials: G
authors.lastname: Nguefack-Tsague
authors.affiliation: Eye Clinic and Polyclinic of Leipzig University, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Wiedemann
keywords: enucleation; evisceration; exenteration