Titre : Lèpre

Lèpre : Questions médicales fréquentes

Termes MeSH sélectionnés :

Cataract Extraction
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Lèpre", "description": "Quels sont les symptômes de la lèpre ?\nLa lèpre cause-t-elle des douleurs ?\nLes lésions de la lèpre sont-elles douloureuses ?\nComment évoluent les symptômes de la lèpre ?\nPeut-on avoir des symptômes sans être contagieux ?", "url": "https://questionsmedicales.fr/mesh/D007918?mesh_terms=Cataract+Extraction&page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Lèpre", "description": "Comment prévenir la lèpre ?\nLes vaccins protègent-ils contre la lèpre ?\nFaut-il éviter les personnes atteintes de lèpre ?\nQuelles mesures de santé publique sont prises ?\nLa lèpre est-elle une maladie évitable ?", "url": "https://questionsmedicales.fr/mesh/D007918?mesh_terms=Cataract+Extraction&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Lèpre", "description": "Quel est le traitement de la lèpre ?\nLa lèpre peut-elle être guérie ?\nCombien de temps dure le traitement de la lèpre ?\nY a-t-il des effets secondaires au traitement ?\nLe traitement de la lèpre est-il gratuit ?", "url": "https://questionsmedicales.fr/mesh/D007918?mesh_terms=Cataract+Extraction&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Lèpre", "description": "Quelles sont les complications de la lèpre ?\nLa lèpre peut-elle entraîner des handicaps ?\nLes complications sont-elles réversibles ?\nComment gérer les complications de la lèpre ?\nLes complications affectent-elles la qualité de vie ?", "url": "https://questionsmedicales.fr/mesh/D007918?mesh_terms=Cataract+Extraction&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Lèpre", "description": "Qui est à risque de développer la lèpre ?\nL'immunité joue-t-elle un rôle dans la lèpre ?\nLes enfants sont-ils plus à risque ?\nLe statut socio-économique influence-t-il le risque ?\nLes personnes immunodéprimées sont-elles plus vulnérables ?", "url": "https://questionsmedicales.fr/mesh/D007918?mesh_terms=Cataract+Extraction&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostique-t-on la lèpre ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur l'examen clinique et des tests cutanés pour détecter les bacilles." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour la lèpre ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests de sensibilité cutanée et des biopsies peuvent être réalisés pour confirmer la lèpre." } }, { "@type": "Question", "name": "La lèpre est-elle contagieuse ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "La lèpre n'est pas très contagieuse; elle se propage par contact prolongé avec une personne infectée." } }, { "@type": "Question", "name": "Quels signes cliniques indiquent la lèpre ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Des lésions cutanées, des engourdissements et des déformations peuvent indiquer la lèpre." } }, { "@type": "Question", "name": "Peut-on détecter la lèpre par des analyses sanguines ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les analyses sanguines ne sont pas spécifiques; le diagnostic repose principalement sur l'examen clinique." } }, { "@type": "Question", "name": "Quels sont les symptômes de la lèpre ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent des lésions cutanées, des engourdissements et des douleurs nerveuses." } }, { "@type": "Question", "name": "La lèpre cause-t-elle des douleurs ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la lèpre peut provoquer des douleurs nerveuses et des sensations anormales." } }, { "@type": "Question", "name": "Les lésions de la lèpre sont-elles douloureuses ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les lésions cutanées sont souvent indolores, mais peuvent s'infecter et causer des douleurs." } }, { "@type": "Question", "name": "Comment évoluent les symptômes de la lèpre ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes peuvent évoluer lentement, avec des périodes d'aggravation et d'amélioration." } }, { "@type": "Question", "name": "Peut-on avoir des symptômes sans être contagieux ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une personne peut avoir des symptômes sans être contagieuse, surtout en début d'infection." } }, { "@type": "Question", "name": "Comment prévenir la lèpre ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention repose sur le dépistage précoce et le traitement des personnes infectées." } }, { "@type": "Question", "name": "Les vaccins protègent-ils contre la lèpre ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Il n'existe pas de vaccin spécifique contre la lèpre, mais des recherches sont en cours." } }, { "@type": "Question", "name": "Faut-il éviter les personnes atteintes de lèpre ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Non, avec un traitement, les personnes atteintes ne sont plus contagieuses et peuvent être approchées." } }, { "@type": "Question", "name": "Quelles mesures de santé publique sont prises ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Des campagnes de sensibilisation et de dépistage sont mises en place pour contrôler la lèpre." } }, { "@type": "Question", "name": "La lèpre est-elle une maladie évitable ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la lèpre est évitable grâce à un diagnostic précoce et un traitement adéquat." } }, { "@type": "Question", "name": "Quel est le traitement de la lèpre ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement standard est une polychimiothérapie (PCT) avec des antibiotiques comme la rifampicine." } }, { "@type": "Question", "name": "La lèpre peut-elle être guérie ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la lèpre est curable avec un traitement approprié et précoce." } }, { "@type": "Question", "name": "Combien de temps dure le traitement de la lèpre ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement dure généralement de 6 mois à 2 ans, selon la forme de la maladie." } }, { "@type": "Question", "name": "Y a-t-il des effets secondaires au traitement ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des effets secondaires peuvent survenir, mais ils sont généralement légers et gérables." } }, { "@type": "Question", "name": "Le traitement de la lèpre est-il gratuit ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Dans de nombreux pays, le traitement de la lèpre est gratuit et accessible." } }, { "@type": "Question", "name": "Quelles sont les complications de la lèpre ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des lésions nerveuses, des déformations et des infections secondaires." } }, { "@type": "Question", "name": "La lèpre peut-elle entraîner des handicaps ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des lésions nerveuses peuvent causer des handicaps permanents si non traitées." } }, { "@type": "Question", "name": "Les complications sont-elles réversibles ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Certaines complications peuvent être réversibles avec un traitement précoce, d'autres non." } }, { "@type": "Question", "name": "Comment gérer les complications de la lèpre ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "La gestion des complications nécessite un suivi médical et des soins adaptés aux lésions." } }, { "@type": "Question", "name": "Les complications affectent-elles la qualité de vie ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les complications peuvent significativement affecter la qualité de vie des patients." } }, { "@type": "Question", "name": "Qui est à risque de développer la lèpre ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les personnes vivant dans des zones endémiques et celles en contact avec des malades sont à risque." } }, { "@type": "Question", "name": "L'immunité joue-t-elle un rôle dans la lèpre ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une immunité affaiblie augmente le risque de développer la lèpre." } }, { "@type": "Question", "name": "Les enfants sont-ils plus à risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Les enfants peuvent être à risque, mais la maladie touche principalement les adultes." } }, { "@type": "Question", "name": "Le statut socio-économique influence-t-il le risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un faible statut socio-économique est associé à un risque accru de lèpre." } }, { "@type": "Question", "name": "Les personnes immunodéprimées sont-elles plus vulnérables ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes immunodéprimées ont un risque accru de contracter la lèpre." } } ] } ] }

Sources (10000 au total)

Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery.

Cataract is the leading cause of blindness in the world and, as such, cataract surgery is one of the most commonly performed operations globally. Surgical techniques have changed dramatically over the... To compare the effectiveness and safety of FLACS with standard ultrasound phacoemulsification cataract surgery (PCS) by gathering evidence from randomised controlled trials (RCTs).... We searched the Cochrane Central Register of Controlled Trials (CENTRAL; which contains the Cochrane Eyes and Vision Trials Register; 2022, Issue 5); Ovid MEDLINE; Ovid Embase; LILACS; the ISRCTN regi... We included RCTs where FLACS was compared to PCS.... Three review authors independently screened the search results, assessed risk of bias and extracted data using the standard methodological procedures expected by Cochrane. The primary outcome for this... We included 42 RCTs conducted in Europe, North America, South America and Asia, which enrolled a total of 7298 eyes of 5831 adult participants. Overall, the studies were at unclear or high risk of bia...

Cataract surgery in patients with uveitis: Data from the Swedish National Cataract Register.

To investigate the surgical and pharmacological management and outcomes of patients with cataract and concurrent uveitis.... Data from the Swedish National Cataract Register, 2018-2019, were collected and analysed. Uveitic eyes were identified and eyes without uveitis were used as controls. Generalized estimating equations ... The study included 719 eyes with and 256 360 without uveitis. The mean age was 66.0 ± 13.5 (standard deviation [SD]) years in the uveitis group and 74.3 ± 8.7 years in the control group (p < 0.001). S... In this large registry-based Swedish cohort study, the findings demonstrate that cataract surgery in patients with uveitis poses more challenges and requires special surgical precautions. Eyes with co...

Assessing the cataract surgical rate and gender equity in cataract services in south-east Nigeria.

In 2020, almost 100 million people were blind or visually impaired from cataract. Cataract surgery is a cost-effective treatment for cataracts. In Nigeria, twice as many women are cataract blind as me... A retrospective review of cataract surgery undertaken in all eye health facilities in Imo State in 2019. Data collected included the type and location of facilities, patient demographics and the numbe... The CSR overall was 330/million and was slightly higher in women (347/million) than in men (315/million) (p<0.001). More elderly women (≥65 years) accessed cataract surgery through outreach than men a... The overall CSR in Imo state was approximately one-third of that recommended for sub-Saharan Africa. Although the CSR was higher in women than in men, considerably higher CSRs are needed in women to a...

Risk communication in cataract surgery.

Risk communication is an integral aspect of shared decision-making and evidence-based patient choice. There is currently no recommended way of communicating risks and benefits of cataract surgery to p... Two-arm parallel randomised study and patients referred for cataract surgery were assigned to receive information framed either positively (99% chance of no adverse effects) or negatively (1% chance o... This study included 100 patients, 50 in each study group. Median (IQR) risk perception was 2 (1-2) in the positive framing group and 3 (1-3) in the negative framing group (p<0.0001). Risk framing was ... Patients who received positive framing reported lower risk scores for cataract surgery than patients who received negative framing. Patient factors were not identified as significant determinants in p...

Intraoperative challenges and complications of cataract surgery between cataract surgery alone and phacovitrectomy in eyes with diabetic retinopathy: efficacy of illuminated chopper-assisted cataract surgery.

To compare the intraoperative challenges, complications, and operation time of illuminated chopper-assisted cataract surgery between cataract surgery only and phacovitrectomy in eyes with diabetic ret... One university hospital, retrospective case series. Two hundred ninety-five eyes of 295 consecutive patients with diabetic retinopathy who underwent cataract surgery only or phacovitrectomy were retro... Of the 295 eyes, 211 underwent cataract surgery only, and 84 underwent phacovitrectomy. Intraoperative challenges such as small pupil, miosis, or poor red reflex occurred more frequently (46 [21.8%] v... The use of an illuminated chopper is a potential solution for diabetic cataract surgery, particularly in phacovitrectomy, by decreasing the use of supplemental devices, operation time, and posterior c... Retrospectively registered....

Comparison of ultrasound energy consumption between low-energy femtosecond laser-assisted cataract surgery and conventional phacoemulsification cataract surgery in patients with different cataract densities.

Femtosecond laser-assisted cataract surgery (FLACS)'s effect on reducing ultrasound energy, accumulated with cumulative dispersed energy (CDE) units, still remains controversial. This study aims to ev... It was a retrospective case-control study. Total 629 eyes receiving either low-energy FLACS (performed with Ziemer LDV Z8 platform) or CPS were divided into two groups according to preoperative gradin... We found overall CDE had no significant difference between two surgeries. However, low-energy FLACS led to a significantly lower CDE in patients with harder cataracts than CPS (18.47 ± 4.32 vs. 12.96 ... The reduced energy consumption was observed by using low-energy FLACS irrespective of surgeons' experience or the approaches adopted in patients with harder cataracts. Therefore, we can have more conf...

Analysis of age at detection and outcomes of dense unilateral congenital cataract surgery for children on the paediatric cataract register.

Analysis of age at time of detection and surgery of dense unilateral cataract and investigation of best-corrected visual acuity (BCVA) in a nationwide register-based cohort study, based on the routine... Data were derived from the Paediatric Cataract Register (PECARE). All children (n = 54) diagnosed with dense congenital unilateral cataract between January 2007 and September 2014 who had surgery befo... The majority, 35/54 (65%), were detected and operated on before age 6 weeks and 30/35 (86%) were referred from maternity wards. Visual acuity (VA) ≥ 0.5 (decimal, 0.3 logMAR) was found in 7/53 (13%) o... A total of 90% of the children were detected with cataract within 100 days of birth and 80% were operated on within this period. This study showed better visual acuity in those treated for dense unila...

The carbon footprint of cataract surgery in Spain.

Climate change is one of the most important threats to human health nowadays. The healthcare industry produces a significant part of greenhouse gases (GHG) emissions. The aim of this study is to asses... This observational case series study estimates and analyses the carbon footprint of a single cataract surgery using phacoemulsification in Ávila Hospital. ISO standard 14064 was applied.... The carbon footprint of a single cataract surgery in Ávila Hospital was 86.62kg CO... Collaboration between pharmaceuticals and ophthalmologists is important to improve the environmental impact of cataract surgery. Future research is needed to introduce changes that do not compromise p...