[Specific problems linked to glaucoma in elderly patients].

Chronic glaucoma is one of the main causes of blindness in France. The incidence of the disease increases with age and forms an ever greater public health problem as the population ages. It is therefore important to be aware of the disabilities related to glaucoma in order to optimise the treatment of elderly patients suffering from the disease.

Manifestations and treatment of ocular syphilis during an epidemic in France.

Objectives: To review cases of ocular syphilis presenting to a tertiary uveitis clinic during a syphilis epidemic in France between January 2001 and January 2004.

Study Design: Retrospective chart and patient database review.

Results: Ten patients who presented with symptoms and signs of uveitis tested positive for active syphilis.

Cone dysfunction as a paraneoplastic syndrome associated with retinal antigens approximating 40 kiloDalton.

Reports on cancer-associated retinopathies (CAR) have increased in recent years as the autoimmune reactions responsible have become better understood. The 23-kDalton autoantigen 'recoverin' was the first retinal antigen implicated in CAR, but others have since been described. We report an additional case involving an autoantigen other than recoverin, with five-year follow-up of a 50-year-old woman suffering from the CAR syndrome, with ocular abnormalities restricted to cone dysfunction.

Infliximab in the treatment of posterior uveitis in Behçet's disease. Long term follow up in four patients.

Objective: To evaluate the efficacy of infliximab as adjuvant therapy for refractory uveitis in Behçet's disease.

Methods: Retrospective evaluation of 4 patients with Behçet's disease and severe uveitis, refractory to conventional corticosteroid and immunosuppressant regimens, to which infliximab (anti-tumor necrosis factor-alpha (TNFalpha) antibodies) was added. The outcome measures were intraocular inflammation, visual acuity, reduction of daily corticosteroid dose, and adverse effects.

Optical coherence tomography in the acute and chronic phases of Vogt-Koyanagi-Harada disease.

Purpose: To assess the potential of optical coherence tomography (OCT) in the diagnosis and monitoring of serous retinal detachment in Vogt-Koyanagi-Harada (VKH) disease and to describe OCT characteristics of subretinal sequelae of the disease.

Methods: Six patients in the acute phase of VKH disease with serous retinal detachment were followed in our department from July 2001 to December 2003 using slit-lamp biomicroscopy, OCT, and fluorescein angiography.

Results: OCT was effective in objectively quantifying the amount of serous retinal detachment present and then in following the resolution of subretinal fluid accumulation.

Acute postoperative glaucoma after nonocular surgery remains a diagnostic challenge.

Anesthesia may acutely reveal angle-closure glaucoma. This complication is an ophthalmologic emergency. However, symptoms of acute glaucoma may be overlooked or misinterpreted in a sedated or comatose patient, and this may result in delayed treatment.