Carole Burillon - Profile on Academia.edu (original) (raw)
Papers by Carole Burillon
Iconographies supplémentaires de l'article : Œdipisme bilatéral non concomitant : à propos d’un cas
Elsevier Masson, Jul 25, 2008
Excimer Laser Photorefractive Keratectomy in High Myopia
Archives of Ophthalmology, 1992
Excimer photorefractive keratectomy was performed at three centers on 16 highly myopic eyes (8 di... more Excimer photorefractive keratectomy was performed at three centers on 16 highly myopic eyes (8 diopters [D] or more) and followed up for 6 months. Ablation depths ranged from 137 to 230 microns. The preoperative spherical equivalent of myopia ranged from -8.62 D to -14.50 D (mean +/- SD, -11.57 +/- 1.62 D). Six months after surgery, the mean refraction (spherical equivalent) was -0.90 +/- 2.13 D. Eleven of 16 eyes achieved refractions within 2 D of that attempted. All eight patients at one site were treated with a maximum-beam diameter of 6.0 mm and were corrected to within 2 D of that attempted, and all were 20/40 or better uncorrected. Three of eight eyes at the other two sites were treated with a 5.5- or 5.6-mm maximum-beam diameter, which achieved corrections within 2 D of that attempted. The epithelium healed within 3 to 4 days, and there were no erosions. Mild subepithelial reticular haze, similar to that seen with excimer photorefractive keratectomy for lower myopia, was seen in all patients, with two patients experiencing more significant corneal haze. This peaked at 3 to 6 weeks and then gradually diminished. All but two patients had a return of their best corrected preoperative visual acuity to within one Snellen line at 6 months. This preliminary study shows excimer photorefractive keratectomy to be a promising surgical treatment for patients with higher myopia.
Medicine, 2017
The purpose of this article is to examine outcomes of Descemet membrane endothelial keratoplasty ... more The purpose of this article is to examine outcomes of Descemet membrane endothelial keratoplasty (DMEK) performed with cornea bank (CB) prestripped tissue and surgeon stripped tissue (SST). This retrospective study examined subjects who underwent DMEK with CB or surgeon prepared tissue for Fuchs endothelial corneal dystrophy. Best-corrected visual acuity (BCVA), corneal thickness, endothelial cell count (ECC), and complications were examined before and throughout a 6-month postoperative period. Eleven CB and 22 SST subjects were included. Six months after surgery, BCVA was 20/20 or better in 36.4% of CB and 22.7% of SST subjects (P = .43). Median logMAR BCVA was 0.10 (0.00-0.20, 20/25) in group CB and 0.10 (0.10-0.30, 20/25) in group SST. Median preoperative corneal thickness was 614.0 mm (577.5-662.0 mm) and 658.0 mm (606.0-689.0 mm) in CB and SST subjects, respectively (P = .37). Six months after surgery, median corneal thickness was lower in the CB group (571.0 mm [478.0-592.0 mm]), than in the SST group (576.0 mm [531.0-607.0 mm], P = .02). At 6 months, median ECC was 1500.0 cell/mm 2 (1321.5-2049.0 cell/ mm 2 , 41% decrease) in group CB and 1403.0 cell/mm 2 (972.5-2010.7 cell/mm 2 , 46% decrease) in group SST (P = .70). Rebubbling was required in 5 CB (45.5%) and 15 SST (68.2%) subjects (P = .39). Fuchs' dystrophy patients have good anatomic and functional DMEK results. Similar outcomes and complication rates occurred with eye bank and surgeon prepared donor tissue. Abbreviations: ANSM = Agence nationale de sécurité du médicament et des produits de santé, BCVA = best corrected visual acuity, BSS = buffered saline solution, CB = cornea bank, CCT= central corneal thickness, DM = Descemet membrane, DMEK = Descemet Membrane Endothelial Keratoplasty, DSEK = Descemet Stripping Endothelial Keratoplasty, ECC = endothelial cell count, ECD = endothelial cell density, FECD = Fuchs endothelial corneal dystrophy, HCEnC = human corneal endothelial cell, logMAR = logarithm of the minimum angle of resolution, OR = operating room, SD = standard deviation, SST = surgeon strip tissue.
The Lancet, 2019
Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement s... more Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial. Lancet 2018; 391: 2225-35. 2 Nwachukwu BU, Fields K, Chang B, Nawabi DH, Kelly BT, Ranawat AS. Preoperative outcome scores are predictive of achieving the minimal clinically important difference after arthroscopic treatment of femoroacetabular impingement.
Syndrome de Fraser : à propos de deux cas
Bulletin des sociétés d'ophtalmologie de France, 1997
Le syndrome de Fraser est caracterise par la presence d'une cryptophtalmie, de syndactylie, d... more Le syndrome de Fraser est caracterise par la presence d'une cryptophtalmie, de syndactylie, d'anomalie genitale, d'agenesie renale, et de malformation cranio-cerebrales. Deux cas de syndrome de Fraser sont presentes. Une revue des signes ophtalmologiques ainsi qu'une estimation de la frequence des autres manifestations cliniques sont donnees.
[Ophthalmologic signs in children with autism]
Journal français d'ophtalmologie, 1997
Autism is a clinical entity defined by characteristic association of a lack of social interaction... more Autism is a clinical entity defined by characteristic association of a lack of social interactions and communications, beginning before three years of age. The purpose of this study was to screen ophthalmologic findings in autistic children. Ten autistic children, 6 girls and 4 boys, underwent a complete ophthalmologic examination in the Department of Pediatric Ophthalmology at the Hospital La Timone, Marseilles, France. Their age ranged from 1 to 14 years (mean = 8.5 +/- 3.8). Refraction showed hypermetropia in 7 cases (70%), astigmatism more than 1 diopter in 6 cases (60%), bilateral astigmatism in 4 cases (40%) and unilateral astigmatism in 2 cases (20%). Astigmatism axis was oblique for 8 eyes, with the rule for 6 eyes and against the rule for 2 eyes. Strabismus was present in 6 cases (60%) including 4 cases of exotropia. Fundus examination found pallor of the optic disc in 4 cases. Ophthalmologic findings in autistic children appear to be mainly unilateral or bilateral astigmat...
Journal of Clinical Medicine, 2021
Recently, concerns have been raised about an increased risk of cardiac sarcoidosis in patients wi... more Recently, concerns have been raised about an increased risk of cardiac sarcoidosis in patients with sarcoid uveitis. While cardiac sarcoidosis has a high mortality burden, there is still a lack of precise data on this association. The objective of this study is to describe the frequency and type of cardiac complications associated with sarcoidosis of a large cohort of patients with sarcoid uveitis. We analyzed the cardiac outcomes of a monocentric retrospective cohort of consecutive adults with a diagnosis of sarcoid uveitis between January 2004 and March 2020 in a tertiary French university hospital. A total of 294 patients with a final diagnosis of sarcoid uveitis were included. At final follow-up, seven (2.4%) patients of the cohort had cardiac sarcoidosis. Cardiac sarcoidosis was more frequent among patients with previously reported systemic sarcoidosis (p = 0.008). The prevalence of cardiac sarcoidosis among patients with sarcoid uveitis is low, but patients with previously dia...
Adhésion du staphylococcus epidermidis sur les lentilles intraoculaires : Etude in vitro
But. L'adhesion des bacteries sur les lentilles intra-oculaires peut etre une des causes de l... more But. L'adhesion des bacteries sur les lentilles intra-oculaires peut etre une des causes de l'endophtalmie apres chirurgie de la cataracte. Les auteurs etudient quantitativement l'adhesion in vitro d'une souche de Staphylococcus Epidermidis producteur de slime sur 5 differents types de lentilles: polymethylmethacrylate (PMMA), silicone, acrylique, hydrogel et PMMA a surfaces modifiees. Materiel et methode. Les lentilles sont incubees dans une suspension bacterienne (108 UFC/ml) pendant 1 heure a 37 °C avec agitateur. Trois rincages dans du PBS sont effectues pour eliminer les bacteries faiblement adherentes. L'etude de la fixation bacterienne initiale est realisee par denombrement bacterien et par bioluminescence. Une analyse de la formation de biofilm est en cours de realisation. Resultat. Les resultats montrent que le materiau hydrogel reduit l'adhesion bacterienne de facon significative et ceci est confirme par le denombrement des bacteries et l'extrac...
Kératotomie radiaire: analyse des patients sous-corrigés, à partir de 200 interventions successives
Journal Francais D Ophtalmologie, 1991
: The authors present the results of a series of 200 radial keratotomies. there were two anatomic... more : The authors present the results of a series of 200 radial keratotomies. there were two anatomical complications, neither of which caused any clinical damage. 83% of patients obtained 5/10 distant visual acuity or more without correction. The overcorrection rate was 1.5%. The incidence of induced astigmatism was 3.0%. The real failure of the method lay in an undercorrection rate of 13%. These cases are analysed here. Correction proved easier as patients were older: 0.64 diopters per decade. There was a 0.30 diopter gain in men over women. With corneal curvature of more than 43.5 diopters, the benefit was 0.15 diopters per diopter of keratotomy. Limbus to optical zone incisions provided 1.60 diopters as compared with optical zone to limbus incisions, while redeepening incisions provided only 0.27 diopters. Emphasis is placed upon practical matters, such as quality of measurement, instruments and the dexterity of the surgeon. We limit surgical indications to within the range of -1.50 diopters to -4.50 diopters of myopia. The undercorrection rate within this myopia range was 6.3%, increasing to 39.0% over the range.
Intérêt de la surveillance de la réfraction chez l'enfant opéré d'un strabisme congénital
Bulletin des sociétés d'ophtalmologie de France, 1997
Le but de cette etude est de souligner l'importance de la refraction chez l'enfant opere ... more Le but de cette etude est de souligner l'importance de la refraction chez l'enfant opere d'un congenital. L'importance de l'accommodation chez l'enfant, l'evolution de la refraction pendant les premieres annees de la vie, et les relations etroites qui unissent la refraction et l'equilibre oculomoteur expliquent la necessite de la surveillance de ces elements chez l'enfant strabique d'origine fonctionnel a fortiori lorsque le traitement chirurgical initial a ete effectue lors des deux premieres annees de vie. Apres avoir aborde l'accommodation, la refraction, et l'acuite visuelle chez l'enfant, les auteurs replacent ces parametres dans le contexte du strabisme congenital opere. Cette etude montre l'importance de la surveillance de la refraction chez l'enfant opere d'un strabisme congenital. Les relations etroites qui unissent refraction, accommodation et equilibre oculomoteur expliquent l'impossibilite de dissocier c...
Background: Sarcoidosis is one of the leading causes of uveitis. To date, no studies have assesse... more Background: Sarcoidosis is one of the leading causes of uveitis. To date, no studies have assessed the factors specifically related with recovery in ocular sarcoidosis. In this study, we aimed to determine factors associated with ocular and extraocular recovery in patients with sarcoid uveitis. Methods: A retrospective study of sarcoid uveitis, with a three-year minimum follow-up in Lyon University Hospital between December 2003 and December 2019. Patients presented biopsy-proven sarcoidosis or presumed sarcoid. Recovery was defined by a disease-free status, spontaneously or despite being off all treatments for three years or more. Results: 143 patients were included: 110 with biopsy-proven and 33 with presumed sarcoid uveitis. Seventy-one percent were women, the median age at presentation was 53 years, and 71% were Caucasian. Chronic uveitis was the main clinical presentation (75%), mostly panuveitis (48%) with bilateral involvement (82%). After a median follow-up of 83.5 months, r...
Evaluation of Regenerating Matrix Agent Therapy (RGTA: Cacicol®) on epithelial corneal healing after photokeratectomy
Traitement des lésions de l'endothélium
Cornea, 2020
Purpose: Contact lens (CL)-related microbial keratitis (MK) has major public health implications,... more Purpose: Contact lens (CL)-related microbial keratitis (MK) has major public health implications, with about 300 million wearers worldwide, and certain potentially modifiable risk factors. This study aimed to identify the risk factors of CL-related MK. Methods: A multicenter case-control study was conducted between 2014 and 2017. Cases presenting with CL-related MK were submitted to an anonymous 52-item questionnaire, which was also completed by healthy controls. Univariate followed by multivariate logistic regression analysis was performed. Risk factors for CL-related MK were given as odds ratio (OR) with 95% confidence interval and P-value. Results: The study included a total of 2267 patients (1198 cases and 1069 controls). The MK risk factors for the daily disposable lenses group were exceeding the lens renewal period (OR = 9.16, P = 0.008) and occasionally wearing CL when sleeping (OR = 15.83, P = 0.035). The most important risk factors in the nondaily disposable lenses group were lens cleaning solution distributed by eye care brands (OR = 3.50, P , 0.001) and failure to renew lens cases (OR = 3.39, P = 0.001). Statistically and clinically significant variables were used to establish the MK risk equation for CL wearers, allowing an individual calculation of the risk of MK under lenses. Conclusions: The MK risk equation is a valuable tool for educating patients about the risks associated with wearing CL. It allows the patient to be informed about their overall risk of infection while detailing the precipitating elements of the infectious risk with the aim of modifying risk behavior.
Cataract Formation With a Primary Iris Stromal Cyst
Journal of Pediatric Ophthalmology & Strabismus, 2004
An 11-year-old boy was diagnosed with a primary acquired iris stromal cyst. A 5-year follow-up sh... more An 11-year-old boy was diagnosed with a primary acquired iris stromal cyst. A 5-year follow-up showed growth of the cyst with visual impairment. An inferior iridectomy was performed including the whole cystic lesion. The presence of a cataract is rare, especially in adolescents, but requires treatment to preserve the globe and vision.
Analyse des patients sous-corriges apres keratotomie radiaire : a partir de 200 observations successives
Http Www Theses Fr, 1990
Biofilms à Staphylococcus epidermidis à la surface des implants intraoculaires
Journal Français d'Ophtalmologie, 2005
ABSTRACT
Journal Français d'Ophtalmologie, 2005
Postoperative endophthalmitis is still one of the most fearsome complications of cataract surgery... more Postoperative endophthalmitis is still one of the most fearsome complications of cataract surgery. The present review's aims are to study the etiology and pathogenesis of endophthalmitis and the criteria for antibiotic prophylaxis. Endophthalmitis prevalence is 0.07%-0.32% in cataract surgery. The clinical presentation needs to be perfectly known, even if none of the signs is pathognomonic. Bacteria predominantly cultured in postoperative endophthalmitis are Gram-positive, especially Staphylococcus epidermidis. Most of the bacteria come from the patient. Bacterial adhesion to intraocular lenses (IOLs) takes place during their implantation, a prominent etiological factor. Polypropylene was the first biomaterial that proved this relation of cause and effect between bacterial adhesion and endophthalmitis. The benefit of antibiotic prophylaxis during cataract surgery has yet not been proven, since the low prevalence of endophthalmitis makes controlled studies with a large cohort difficult. The criteria and the four possible administration approaches (topical, subconjunctival, irrigation liquid, systemic) are analyzed.
292 Œdipisme (Auto-Énucléation) Bilatéral Non Concomitant : À Propos D’Un Cas
Journal Français d'Ophtalmologie, 2007
Introduction L’œdipisme (ou auto-enucleation) est un acte d’auto-mutilation rare que l’on rencont... more Introduction L’œdipisme (ou auto-enucleation) est un acte d’auto-mutilation rare que l’on rencontre en general chez des patients psychotiques decompenses, moins frequemment chez des toxicomanes ou chez des deficients mentaux. Objectifs et Methodes Nous rapportons le cas d’un homme de 35 ans qui, 3 ans apres s’etre auto-enuclee l’œil gauche lors d’une bouffee delirante aigue revelatrice d’une psychose chronique, s’est mutile l’œil droit de la meme facon. Nous detaillons la prise en charge chirurgicale et medicale urgente indiquee dans ces circonstances. Discussion Dans la plupart des cas decrits, l’auto-mutilation ne concerne qu’un œil et rarement les deux. Ce cas d’œdipisme bilateral non concomitant est donc exceptionnel. Il convient dans ces circonstances d’eliminer en urgence une complication intracerebrale induite par les tractions exercees sur le nerf optique a type d’hemorragie meningee dont les signes peuvent etre masques par l’etat psychique du patient et de prendre les mesures psychiatriques qui s’imposent (hospitalisation imposee, contention, anti-psychotiques). Conclusion L’œdipisme est un acte d’auto-mutilation exceptionnel relevant d’une prise en charge multidisciplinaire en urgence (ophtalmologique, radiologique et psychiatrique).
Iconographies supplémentaires de l'article : Œdipisme bilatéral non concomitant : à propos d’un cas
Elsevier Masson, Jul 25, 2008
Excimer Laser Photorefractive Keratectomy in High Myopia
Archives of Ophthalmology, 1992
Excimer photorefractive keratectomy was performed at three centers on 16 highly myopic eyes (8 di... more Excimer photorefractive keratectomy was performed at three centers on 16 highly myopic eyes (8 diopters [D] or more) and followed up for 6 months. Ablation depths ranged from 137 to 230 microns. The preoperative spherical equivalent of myopia ranged from -8.62 D to -14.50 D (mean +/- SD, -11.57 +/- 1.62 D). Six months after surgery, the mean refraction (spherical equivalent) was -0.90 +/- 2.13 D. Eleven of 16 eyes achieved refractions within 2 D of that attempted. All eight patients at one site were treated with a maximum-beam diameter of 6.0 mm and were corrected to within 2 D of that attempted, and all were 20/40 or better uncorrected. Three of eight eyes at the other two sites were treated with a 5.5- or 5.6-mm maximum-beam diameter, which achieved corrections within 2 D of that attempted. The epithelium healed within 3 to 4 days, and there were no erosions. Mild subepithelial reticular haze, similar to that seen with excimer photorefractive keratectomy for lower myopia, was seen in all patients, with two patients experiencing more significant corneal haze. This peaked at 3 to 6 weeks and then gradually diminished. All but two patients had a return of their best corrected preoperative visual acuity to within one Snellen line at 6 months. This preliminary study shows excimer photorefractive keratectomy to be a promising surgical treatment for patients with higher myopia.
Medicine, 2017
The purpose of this article is to examine outcomes of Descemet membrane endothelial keratoplasty ... more The purpose of this article is to examine outcomes of Descemet membrane endothelial keratoplasty (DMEK) performed with cornea bank (CB) prestripped tissue and surgeon stripped tissue (SST). This retrospective study examined subjects who underwent DMEK with CB or surgeon prepared tissue for Fuchs endothelial corneal dystrophy. Best-corrected visual acuity (BCVA), corneal thickness, endothelial cell count (ECC), and complications were examined before and throughout a 6-month postoperative period. Eleven CB and 22 SST subjects were included. Six months after surgery, BCVA was 20/20 or better in 36.4% of CB and 22.7% of SST subjects (P = .43). Median logMAR BCVA was 0.10 (0.00-0.20, 20/25) in group CB and 0.10 (0.10-0.30, 20/25) in group SST. Median preoperative corneal thickness was 614.0 mm (577.5-662.0 mm) and 658.0 mm (606.0-689.0 mm) in CB and SST subjects, respectively (P = .37). Six months after surgery, median corneal thickness was lower in the CB group (571.0 mm [478.0-592.0 mm]), than in the SST group (576.0 mm [531.0-607.0 mm], P = .02). At 6 months, median ECC was 1500.0 cell/mm 2 (1321.5-2049.0 cell/ mm 2 , 41% decrease) in group CB and 1403.0 cell/mm 2 (972.5-2010.7 cell/mm 2 , 46% decrease) in group SST (P = .70). Rebubbling was required in 5 CB (45.5%) and 15 SST (68.2%) subjects (P = .39). Fuchs' dystrophy patients have good anatomic and functional DMEK results. Similar outcomes and complication rates occurred with eye bank and surgeon prepared donor tissue. Abbreviations: ANSM = Agence nationale de sécurité du médicament et des produits de santé, BCVA = best corrected visual acuity, BSS = buffered saline solution, CB = cornea bank, CCT= central corneal thickness, DM = Descemet membrane, DMEK = Descemet Membrane Endothelial Keratoplasty, DSEK = Descemet Stripping Endothelial Keratoplasty, ECC = endothelial cell count, ECD = endothelial cell density, FECD = Fuchs endothelial corneal dystrophy, HCEnC = human corneal endothelial cell, logMAR = logarithm of the minimum angle of resolution, OR = operating room, SD = standard deviation, SST = surgeon strip tissue.
The Lancet, 2019
Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement s... more Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial. Lancet 2018; 391: 2225-35. 2 Nwachukwu BU, Fields K, Chang B, Nawabi DH, Kelly BT, Ranawat AS. Preoperative outcome scores are predictive of achieving the minimal clinically important difference after arthroscopic treatment of femoroacetabular impingement.
Syndrome de Fraser : à propos de deux cas
Bulletin des sociétés d'ophtalmologie de France, 1997
Le syndrome de Fraser est caracterise par la presence d'une cryptophtalmie, de syndactylie, d... more Le syndrome de Fraser est caracterise par la presence d'une cryptophtalmie, de syndactylie, d'anomalie genitale, d'agenesie renale, et de malformation cranio-cerebrales. Deux cas de syndrome de Fraser sont presentes. Une revue des signes ophtalmologiques ainsi qu'une estimation de la frequence des autres manifestations cliniques sont donnees.
[Ophthalmologic signs in children with autism]
Journal français d'ophtalmologie, 1997
Autism is a clinical entity defined by characteristic association of a lack of social interaction... more Autism is a clinical entity defined by characteristic association of a lack of social interactions and communications, beginning before three years of age. The purpose of this study was to screen ophthalmologic findings in autistic children. Ten autistic children, 6 girls and 4 boys, underwent a complete ophthalmologic examination in the Department of Pediatric Ophthalmology at the Hospital La Timone, Marseilles, France. Their age ranged from 1 to 14 years (mean = 8.5 +/- 3.8). Refraction showed hypermetropia in 7 cases (70%), astigmatism more than 1 diopter in 6 cases (60%), bilateral astigmatism in 4 cases (40%) and unilateral astigmatism in 2 cases (20%). Astigmatism axis was oblique for 8 eyes, with the rule for 6 eyes and against the rule for 2 eyes. Strabismus was present in 6 cases (60%) including 4 cases of exotropia. Fundus examination found pallor of the optic disc in 4 cases. Ophthalmologic findings in autistic children appear to be mainly unilateral or bilateral astigmat...
Journal of Clinical Medicine, 2021
Recently, concerns have been raised about an increased risk of cardiac sarcoidosis in patients wi... more Recently, concerns have been raised about an increased risk of cardiac sarcoidosis in patients with sarcoid uveitis. While cardiac sarcoidosis has a high mortality burden, there is still a lack of precise data on this association. The objective of this study is to describe the frequency and type of cardiac complications associated with sarcoidosis of a large cohort of patients with sarcoid uveitis. We analyzed the cardiac outcomes of a monocentric retrospective cohort of consecutive adults with a diagnosis of sarcoid uveitis between January 2004 and March 2020 in a tertiary French university hospital. A total of 294 patients with a final diagnosis of sarcoid uveitis were included. At final follow-up, seven (2.4%) patients of the cohort had cardiac sarcoidosis. Cardiac sarcoidosis was more frequent among patients with previously reported systemic sarcoidosis (p = 0.008). The prevalence of cardiac sarcoidosis among patients with sarcoid uveitis is low, but patients with previously dia...
Adhésion du staphylococcus epidermidis sur les lentilles intraoculaires : Etude in vitro
But. L'adhesion des bacteries sur les lentilles intra-oculaires peut etre une des causes de l... more But. L'adhesion des bacteries sur les lentilles intra-oculaires peut etre une des causes de l'endophtalmie apres chirurgie de la cataracte. Les auteurs etudient quantitativement l'adhesion in vitro d'une souche de Staphylococcus Epidermidis producteur de slime sur 5 differents types de lentilles: polymethylmethacrylate (PMMA), silicone, acrylique, hydrogel et PMMA a surfaces modifiees. Materiel et methode. Les lentilles sont incubees dans une suspension bacterienne (108 UFC/ml) pendant 1 heure a 37 °C avec agitateur. Trois rincages dans du PBS sont effectues pour eliminer les bacteries faiblement adherentes. L'etude de la fixation bacterienne initiale est realisee par denombrement bacterien et par bioluminescence. Une analyse de la formation de biofilm est en cours de realisation. Resultat. Les resultats montrent que le materiau hydrogel reduit l'adhesion bacterienne de facon significative et ceci est confirme par le denombrement des bacteries et l'extrac...
Kératotomie radiaire: analyse des patients sous-corrigés, à partir de 200 interventions successives
Journal Francais D Ophtalmologie, 1991
: The authors present the results of a series of 200 radial keratotomies. there were two anatomic... more : The authors present the results of a series of 200 radial keratotomies. there were two anatomical complications, neither of which caused any clinical damage. 83% of patients obtained 5/10 distant visual acuity or more without correction. The overcorrection rate was 1.5%. The incidence of induced astigmatism was 3.0%. The real failure of the method lay in an undercorrection rate of 13%. These cases are analysed here. Correction proved easier as patients were older: 0.64 diopters per decade. There was a 0.30 diopter gain in men over women. With corneal curvature of more than 43.5 diopters, the benefit was 0.15 diopters per diopter of keratotomy. Limbus to optical zone incisions provided 1.60 diopters as compared with optical zone to limbus incisions, while redeepening incisions provided only 0.27 diopters. Emphasis is placed upon practical matters, such as quality of measurement, instruments and the dexterity of the surgeon. We limit surgical indications to within the range of -1.50 diopters to -4.50 diopters of myopia. The undercorrection rate within this myopia range was 6.3%, increasing to 39.0% over the range.
Intérêt de la surveillance de la réfraction chez l'enfant opéré d'un strabisme congénital
Bulletin des sociétés d'ophtalmologie de France, 1997
Le but de cette etude est de souligner l'importance de la refraction chez l'enfant opere ... more Le but de cette etude est de souligner l'importance de la refraction chez l'enfant opere d'un congenital. L'importance de l'accommodation chez l'enfant, l'evolution de la refraction pendant les premieres annees de la vie, et les relations etroites qui unissent la refraction et l'equilibre oculomoteur expliquent la necessite de la surveillance de ces elements chez l'enfant strabique d'origine fonctionnel a fortiori lorsque le traitement chirurgical initial a ete effectue lors des deux premieres annees de vie. Apres avoir aborde l'accommodation, la refraction, et l'acuite visuelle chez l'enfant, les auteurs replacent ces parametres dans le contexte du strabisme congenital opere. Cette etude montre l'importance de la surveillance de la refraction chez l'enfant opere d'un strabisme congenital. Les relations etroites qui unissent refraction, accommodation et equilibre oculomoteur expliquent l'impossibilite de dissocier c...
Background: Sarcoidosis is one of the leading causes of uveitis. To date, no studies have assesse... more Background: Sarcoidosis is one of the leading causes of uveitis. To date, no studies have assessed the factors specifically related with recovery in ocular sarcoidosis. In this study, we aimed to determine factors associated with ocular and extraocular recovery in patients with sarcoid uveitis. Methods: A retrospective study of sarcoid uveitis, with a three-year minimum follow-up in Lyon University Hospital between December 2003 and December 2019. Patients presented biopsy-proven sarcoidosis or presumed sarcoid. Recovery was defined by a disease-free status, spontaneously or despite being off all treatments for three years or more. Results: 143 patients were included: 110 with biopsy-proven and 33 with presumed sarcoid uveitis. Seventy-one percent were women, the median age at presentation was 53 years, and 71% were Caucasian. Chronic uveitis was the main clinical presentation (75%), mostly panuveitis (48%) with bilateral involvement (82%). After a median follow-up of 83.5 months, r...
Evaluation of Regenerating Matrix Agent Therapy (RGTA: Cacicol®) on epithelial corneal healing after photokeratectomy
Traitement des lésions de l'endothélium
Cornea, 2020
Purpose: Contact lens (CL)-related microbial keratitis (MK) has major public health implications,... more Purpose: Contact lens (CL)-related microbial keratitis (MK) has major public health implications, with about 300 million wearers worldwide, and certain potentially modifiable risk factors. This study aimed to identify the risk factors of CL-related MK. Methods: A multicenter case-control study was conducted between 2014 and 2017. Cases presenting with CL-related MK were submitted to an anonymous 52-item questionnaire, which was also completed by healthy controls. Univariate followed by multivariate logistic regression analysis was performed. Risk factors for CL-related MK were given as odds ratio (OR) with 95% confidence interval and P-value. Results: The study included a total of 2267 patients (1198 cases and 1069 controls). The MK risk factors for the daily disposable lenses group were exceeding the lens renewal period (OR = 9.16, P = 0.008) and occasionally wearing CL when sleeping (OR = 15.83, P = 0.035). The most important risk factors in the nondaily disposable lenses group were lens cleaning solution distributed by eye care brands (OR = 3.50, P , 0.001) and failure to renew lens cases (OR = 3.39, P = 0.001). Statistically and clinically significant variables were used to establish the MK risk equation for CL wearers, allowing an individual calculation of the risk of MK under lenses. Conclusions: The MK risk equation is a valuable tool for educating patients about the risks associated with wearing CL. It allows the patient to be informed about their overall risk of infection while detailing the precipitating elements of the infectious risk with the aim of modifying risk behavior.
Cataract Formation With a Primary Iris Stromal Cyst
Journal of Pediatric Ophthalmology & Strabismus, 2004
An 11-year-old boy was diagnosed with a primary acquired iris stromal cyst. A 5-year follow-up sh... more An 11-year-old boy was diagnosed with a primary acquired iris stromal cyst. A 5-year follow-up showed growth of the cyst with visual impairment. An inferior iridectomy was performed including the whole cystic lesion. The presence of a cataract is rare, especially in adolescents, but requires treatment to preserve the globe and vision.
Analyse des patients sous-corriges apres keratotomie radiaire : a partir de 200 observations successives
Http Www Theses Fr, 1990
Biofilms à Staphylococcus epidermidis à la surface des implants intraoculaires
Journal Français d'Ophtalmologie, 2005
ABSTRACT
Journal Français d'Ophtalmologie, 2005
Postoperative endophthalmitis is still one of the most fearsome complications of cataract surgery... more Postoperative endophthalmitis is still one of the most fearsome complications of cataract surgery. The present review's aims are to study the etiology and pathogenesis of endophthalmitis and the criteria for antibiotic prophylaxis. Endophthalmitis prevalence is 0.07%-0.32% in cataract surgery. The clinical presentation needs to be perfectly known, even if none of the signs is pathognomonic. Bacteria predominantly cultured in postoperative endophthalmitis are Gram-positive, especially Staphylococcus epidermidis. Most of the bacteria come from the patient. Bacterial adhesion to intraocular lenses (IOLs) takes place during their implantation, a prominent etiological factor. Polypropylene was the first biomaterial that proved this relation of cause and effect between bacterial adhesion and endophthalmitis. The benefit of antibiotic prophylaxis during cataract surgery has yet not been proven, since the low prevalence of endophthalmitis makes controlled studies with a large cohort difficult. The criteria and the four possible administration approaches (topical, subconjunctival, irrigation liquid, systemic) are analyzed.
292 Œdipisme (Auto-Énucléation) Bilatéral Non Concomitant : À Propos D’Un Cas
Journal Français d'Ophtalmologie, 2007
Introduction L’œdipisme (ou auto-enucleation) est un acte d’auto-mutilation rare que l’on rencont... more Introduction L’œdipisme (ou auto-enucleation) est un acte d’auto-mutilation rare que l’on rencontre en general chez des patients psychotiques decompenses, moins frequemment chez des toxicomanes ou chez des deficients mentaux. Objectifs et Methodes Nous rapportons le cas d’un homme de 35 ans qui, 3 ans apres s’etre auto-enuclee l’œil gauche lors d’une bouffee delirante aigue revelatrice d’une psychose chronique, s’est mutile l’œil droit de la meme facon. Nous detaillons la prise en charge chirurgicale et medicale urgente indiquee dans ces circonstances. Discussion Dans la plupart des cas decrits, l’auto-mutilation ne concerne qu’un œil et rarement les deux. Ce cas d’œdipisme bilateral non concomitant est donc exceptionnel. Il convient dans ces circonstances d’eliminer en urgence une complication intracerebrale induite par les tractions exercees sur le nerf optique a type d’hemorragie meningee dont les signes peuvent etre masques par l’etat psychique du patient et de prendre les mesures psychiatriques qui s’imposent (hospitalisation imposee, contention, anti-psychotiques). Conclusion L’œdipisme est un acte d’auto-mutilation exceptionnel relevant d’une prise en charge multidisciplinaire en urgence (ophtalmologique, radiologique et psychiatrique).