Choriorétinite séreuse centrale atypique :imagerie multimodale d'un patient dans un contexte de granulomatose avec polyangéite

SCOPUS: le.jinfo:eu-repo/semantics/publishe

Traitement au laser des décollements de l'épithélium pigmentaire rétinien associes à des néovaisseaux sous-rétiniens dans le cadre de la degenerescence maculaire liée à l'âge: étude rétrospective.

Pigment Epithelial Detachment (PED) associated with subretinal new vessels (SRNV) is a particular aspect of Age Related Macular Degeneration (ARMD). We retrospectively analysed the results of dye laser photocoagulation in 63 eyes of 56 patients with vascularised PED. We photocoagulated in a confluent manner the presumed zones of SRNV, detected by fluorescein angiography and three-mirrors-lens examination. In most cases, the SRNV were of the occult type. In 89% of the treated eyes we obtained a flattening of the PED and the visual acuity was stabilized or ameliorated in 66% of the cases after a mean follow up of 29 months. This final visual acuity was better or equal to 1/10 in 64% of the cases and superior or equal to 5/10 in 46% of the cases. Subfoveal SRNV, initial visual acuity of less than 1/10, and persistence or recurrence of the PED after treatment were of bad prognosis. However, recurrence of the SRNV was not necessarily of bad prognosis if it could be retreated. Treatment of interpapillomacular SRNV had the best prognosis. Laser photocoagulation can be beneficial in well selected patients with vascularised PED.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Vastes Hémorragies sous-rétiniennes dans le cadre de la dégénérescence maculaire liée à l'age: etude préliminaire.

We retrospectively studied 58 eyes with a subretinal haemorrhage > or = 5 disc areas related to age-related macular degeneration. The subretinal new vessels which caused the haemorrhage were occult or mixed except in 2 cases of well-defined new vessels where the haemorrhage appeared after a trauma. A pigment epithelium detachment was present in 1/3 of the cases before the haemorrhage. 36% of the patients had one or more important haemorrhagic recurrences. In 32% of the cases, the visual acuity before the haemorrhage was > or = 4/10. The final evolution resulted in an important fibroglial and atrophic central scar with a dramatic loss of visual acuity (85% VA < 0,1).SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Central perpendicular line in macular spectral-domain optical coherence tomography in five eyes

Purpose: The aim of this study is to report a rare spectral-domain optical coherence tomography finding in the macula. Methods: This is a descriptive consecutive case series. Patients diagnosed with hyperreflective central perpendicular line in the macular spectral-domain optical coherence tomography were included. Best-corrected visual acuity assessment, standard Amsler grid test, biomicroscopic examination and macular spectral-domain optical coherence tomography were performed. Results: We examined three men and one woman, aged 56 to 91 years (average age: 75.25 years). Spectral-domain optical coherence tomography showed a hyperreflective central perpendicular line in five eyes accompanied by vitreofoveal adhesion in all of them. In two eyes, we observed a lifting of the ellipsoid zone, and in one eye the external limiting membrane was also pulled. In one eye, a subtle lifting of the interdigitation zone was revealed. In another eye, we also found a triangular foveolar detachment of the interdigitation zone. Snellen’s best-corrected visual acuity ranged from 0.2 to −0.1 logMAR (average of 0.006 logMAR). Amsler grid test was unremarkable in four eyes and metamorphopsia was detected in one eye. One eye developed a full-thickness macular hole several weeks after the phacoemulsification cataract surgery. Conclusion: The presence of a central perpendicular line can be revealed by the macular spectral-domain optical coherence tomography. We hypothesize that this finding could be considered as a sign of vitreomacular traction. In our patients, best-corrected visual acuity was only mildly reduced, and Amsler grid test was affected in only one eye.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Carotide rete mirabile et pseudoxanthoma élastique, juste une coïncidence ?

Introduction: Pseudoxanthoma elasticum (PXE) is a rare disease of the connective tissue in the skin, the eyes and the cardiovascular system. A study to search for abnormal cerebral vascular pathway in patients with Pseudoxanthoma elasticum (PXE) and/or angioïd streaks (ocular lesions mostly described in PXE) was performed. Patients and Methods: We investigated, through a prospective and a retrospective cases series in patients with PXE and/or angioïd streaks who respectively performed magnetic resonance imaging (MRI) or whose previous neurological imaging was read a second time. Results: We identified two patients with carotid rete mirabile and PXE. One in each group of 14 prospective and 9 retrospective patients with angioïd streaks. Conclusion: The association between these two rare diseases, PXE and CRM, is probably not just a coincidence.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Visual recovery in patients with AIDS and CMV induced retinal detachment

info:eu-repo/semantics/nonPublishe

Présentation particulière d'un ostéome choroïdien bilatéral chez un enfant

Report of a presentation of bilateral choroidal osteoma without neovascularization in a child following a school screening. Diagnosis was based on funduscopy, optical coherence tomography and B-scan ultrasonography. The child was followed regularly with cycloplegic refraction, funduscopy, macular SD-OCT and EDI-SD-OCT. Fluorescein angiography and OCT-angiography will be performed if necessary. Purpose: To report a peculiar presentation of bilateral choroidal osteoma in a very young child. Methods: Case report. Results: During a school screening, a 4-year-old girl was detected with anisometropia as the first sign of a bilateral choroidal osteoma. The diagnosis was based on funduscopy, optical coherence tomography and B-scan ultrasonography. Conclusion: Choroidal osteomas are rare benign tumors that can lead to severe visual loss due to progression or complications. They are found mostly in young adults, but in our case, the refractive screening allowed an early diagnosis despite the lack of visual symptoms.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Behçet oculaire: aspects pratiques.

The diagnosis of ocular Behçet is clinical. This affection is characterised by a bilateral anterior and/or posterior recurrent non granulomatous intraocular inflammation. The treatment consists in the use of one or several associated immunomodulators and immunosuppressors. In order to decrease the drug toxicity we prefer to increase the number of associated drugs than to increase the doses in severe resistant cases. The prognosis can be significantly improved by a very strict control of chronic inflammation and of each exacerbation. Interferon alpha could be a good new treatment in the future.SCOPUS: re.jinfo:eu-repo/semantics/publishe

Ocular Behçet’s disease: Procedural aspects

info:eu-repo/semantics/publishe

Manifestations infectieuses choriorétiniennes au cours du SIDA

info:eu-repo/semantics/publishe