Publications by authors named "Couturier A"

Purpose: To describe a largely unrecognized feature in pathologic myopia, namely, perivascular patchy chorioretinal atrophy (PVCA).

Design: Cross-sectional study.

Methods: A total of 604 eyes of 312 highly myopic patients followed at Strasbourg University Hospitals were reviewed for the presence of PVCA lesions.

View Article and Find Full Text PDF

Purpose: To evaluate the very long-term functional and structural outcomes of internal limiting membrane (ILM) peeling for full-thickness macular holes (FTMH).

Design: Observational case series nested within a multicenter, randomized, controlled clinical trial (RCT) (ClinicalTrials.gov: NCT00190190).

View Article and Find Full Text PDF

Purpose: To describe the postoperative outcomes of eyes with primary full-thickness macular holes (MH) greater than 650 μm.

Design: Retrospective, monocentric, consecutive case series.

Participants: Patients with primary MH operated at Lariboisière Hospital, Paris, France.

View Article and Find Full Text PDF

Background And Objectives: To develop and test VMseg, a new image processing algorithm performing automatic segmentation of retinal non-perfusion in widefield OCT-Angiography images, in order to estimate the non-perfusion index in diabetic patients.

Methods: We included diabetic patients with severe non-proliferative or proliferative diabetic retinopathy. We acquired images using the PlexElite 9000 OCT-A device with a photomontage of 5 images of size 12 x 12 mm.

View Article and Find Full Text PDF

Purpose: To assess the efficacy and safety of 0.19-mg fluocinolone acetonide (FAc) intravitreal implant (Iluvien) in treating chronic postoperative cystoid macular edema (PCME) after pars plana vitrectomy.

Design: Retrospective multicentric case series in clinical settings.

View Article and Find Full Text PDF

Documenting the organization of the retinal capillaries is of importance to understand the visual consequences of vascular diseases which may differentially affect the microvascular layers. Here we detailed the spatial organization of the macular capillaries in ten healthy human subjects using a prototypic adaptive optics-enhanced optical coherence tomography angiography (AO-OCTA) system. Within the central 6° × 6°, the radial peripapillary capillaries and the superficial, intermediate and deep vascular plexuses (SVP, IVP and DVP, respectively) were consistently resolved.

View Article and Find Full Text PDF

Purpose: To describe the retinal and vitreous changes in eyes showing myopic macular schisis (MMS) improvement when vitrectomy was not performed and identify triggering factors.

Design: Retrospective observational study.

Subjects: Patients with nonoperated MMS.

View Article and Find Full Text PDF

Introduction: During glomerular diseases, podocyte-specific pathways can modulate the intensity of histological disease and prognosis. The therapeutic targeting of these pathways could thus improve the management and prognosis of kidney diseases. The Janus Kinase/Signal Transducer and Activator of Transcription (JAK/STAT) pathway, classically described in immune cells, has been recently described in detail in intrinsic kidney cells.

View Article and Find Full Text PDF

In this retrospective study, chimeric antigen receptor T cells remained effective in patients with relapsed/refractory large B-cell lymphoma after prior exposure to bispecific antibodies (BsAbs) targeting different antigens. These results are relevant to clinical practice, particularly given the increasing use of BsAbs in earlier treatment lines.

View Article and Find Full Text PDF
Article Synopsis
  • Macular edema (ME) occurs due to leakage from retinal blood vessels, which can lead to serious vision loss, and current treatments like intravitreal injections (IVIs) are costly and burdensome.
  • The TalaDME study investigates whether a targeted laser treatment (ICG-guided targeted laser - IGTL) combined with standard IVI reduces the number of injections needed within the first year while maintaining visual acuity.
  • This French multicentric trial involves 270 patients with ME linked to diabetic retinopathy or retinal vein occlusion, randomly assigning them to either standard care or the combined treatment to evaluate the effectiveness of laser photocoagulation on reducing injection frequency and improving visual outcomes.
View Article and Find Full Text PDF

Introduction: An important obstacle in the fight against diabetic retinopathy (DR) is the use of a classification system based on old imaging techniques and insufficient data to accurately predict its evolution. New imaging techniques generate new valuable data, but we lack an adapted classification based on these data. The main objective of the Evaluation Intelligente de la Rétinopathie Diabétique, Intelligent evaluation of DR (EviRed) project is to develop and validate a system assisting the ophthalmologist in decision-making during DR follow-up by improving the prediction of its evolution.

View Article and Find Full Text PDF

Diabetic Retinopathy (DR), an ocular complication of diabetes, is a leading cause of blindness worldwide. Traditionally, DR is monitored using Color Fundus Photography (CFP), a widespread 2-D imaging modality. However, DR classifications based on CFP have poor predictive power, resulting in suboptimal DR management.

View Article and Find Full Text PDF
Article Synopsis
  • Bacteria can share small pieces of DNA called plasmids, which can make them resistant to medicines.
  • This sharing happens through a process called conjugation, where plasmids need to go through several steps to enter a new bacteria.
  • The review talks about new discoveries that explain how plasmids move, settle in, and stay in new bacteria over time.
View Article and Find Full Text PDF

Background: Chimeric antigen receptor T-cell (CAR-T) therapy is increasingly used in patients with refractory haematological malignancies but can induce severe adverse events. We aimed to describe the clinical features and outcomes of patients admitted to the intensive care unit (ICU) after CAR-T therapy.

Methods: This retrospective observational cohort study included consecutive adults admitted to either of two French ICUs in 2018-2022 within 3 months after CAR-T therapy.

View Article and Find Full Text PDF

Patients and their families routinely use the Internet to learn about stem cell research. What they find, is increasingly influenced by ongoing changes in how information is filtered and presented online. This article reflects on recent developments in generative artificial intelligence and how the stem cell community should respond.

View Article and Find Full Text PDF

Background: Diabetic foot ulcers (DFUs) are a common complication of diabetes, associated with important morbidity. Appropriate animal models of DFUs may improve drug development, and subsequently the success rate of clinical trials. However, while many models have been proposed, they are extremely heterogeneous, and no standard has emerged.

View Article and Find Full Text PDF

The multiple roles of iron in the body have been known for decades, particularly its involvement in iron overload diseases such as hemochromatosis. More recently, compelling evidence has emerged regarding the critical role of non-transferrin bound iron (NTBI), also known as catalytic iron, in the care of critically ill patients in intensive care units (ICUs). These trace amounts of iron constitute a small percentage of the serum iron, yet they are heavily implicated in the exacerbation of diseases, primarily by catalyzing the formation of reactive oxygen species, which promote oxidative stress.

View Article and Find Full Text PDF

Objectives: To assess the risk factors for resistance to first-line therapy and long-term response to dexamethasone intravitreal implant (Ozurdex) of patients with macular oedema (MO) secondary to rhegmatogenous retinal detachment repair (RRDR).

Methods: This was a retrospective, consecutive cohort study conducted in patients who underwent RRDR between January 2014 and December 2020 in the Rothschild Foundation Hospital and experienced postoperative MO (POMO) with a follow-up of at least 18 months.

Results: Of the 1152 patients screened, 36 eyes (3.

View Article and Find Full Text PDF

Type 2 diabetes mellitus (T2DM), characterized by hyperglycemia and dyslipidemia, leads to nonproliferative diabetic retinopathy (NPDR). NPDR is associated with blood-retina barrier disruption, plasma exudates, microvascular degeneration, elevated inflammatory cytokine levels, and monocyte (Mo) infiltration. Whether and how the diabetes-associated changes in plasma lipid and carbohydrate levels modify Mo differentiation remains unknown.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate if the nonperfusion index (NPI) from widefield optical coherence tomography angiography (OCTA) could serve as a reliable alternative for diagnosing proliferative diabetic retinopathy (PDR) and to analyze its correlation with the location of new vessels in PDR cases.
  • It involved imaging 51 treatment-naïve eyes with either severe nonproliferative diabetic retinopathy (NPDR) or PDR, revealing that the NPI was significantly higher in PDR eyes compared to NPDR.
  • While the NPI indicated a trend towards being useful in identifying PDR, its overall sensitivity for diagnosis was insufficient, highlighting the importance of assessing nonperfusion areas outside the OCTA
View Article and Find Full Text PDF

Objective: To compare subjective levels of comfort and visual experiences related to microscope light in patients undergoing their first cataract surgery with topical anaesthesia using a digital microscope (the NGENUITY three-dimensional (3D) visualisation system) or a conventional microscope.

Methods And Analysis: A prospective, randomised, single-blinded, parallel-group, multicentre, interventional study. Patients (n=128) were randomly assigned to one of two treatment groups: the experimental group (n=63) had surgery using the digital microscope and the control group (n=65) had surgery with a conventional microscope.

View Article and Find Full Text PDF

Retromode scanning laser ophthalmoscopy imaging captures a pseudo-3-dimensional image of the ocular fundus. Retromode scanning laser ophthalmoscopy imaging was introduced first in 2008 using the Nidek F-10 scanning laser ophthalmoscope (F-10; Nidek Co., Gamagori, Japan).

View Article and Find Full Text PDF