[Aberrometry and contrast sensitivity after cataract surgery: aspherical IOL evaluation].

Purpose: We report a prospective clinical study investigating efficacy in terms of aberrometry and contrast sensitivity of the aspherical IOL (SW60AT) versus the standard IOL Alcon (SN60AT).

Patients And Methods: Twenty patients in each group underwent phacoemulsification of both eyes. Both eyes of each patient received an aspherical IOL (SW60AT) or a similar standard IOL (SN60AT).

[Study of pupillary motility after implantation of an iris claw lens (Artisan) in a phakic population with severe myopia].

Purpose: To assess the effect of the Artisan lens on pupillary motility in a highly phakic myopic population.

Patients And Methods: Eleven patients (21 eyes) were enrolled in a nonrandomized prospective study between September 2002 and August 2003, with a 6- to 11-month follow-up. A portable Colvard pupillometer was used to measure pupil diameters before and after surgery under two different light conditions: one with scotopic surroundings with absolute darkness in the examination room and the other maximal simulated photopic surroundings, caused by the instillation of a pilocarpine 2% drug until a nonreactive myosis could be observed.

[Macroprolactinemia, a variety of hyperprolactinemia. Apropos of 5 cases].

Macroprolactinemia, due to increased circulating levels of large molecular weight forms of prolactin, results in elevated level of immuno-reactive prolactin. The big variants have only weak biological activity; thus macroprolactinemia appears as a case of hyperprolactinemia without clinical significance as demonstrated by the five patients described. The diagnosis is based upon chromatography which separates the hormone and its variants.

[Cardiac tamponade in severe hypothyroidism. A rare cause].

Pericardial effusion frequently occurs in patients with hypothyroidism, and this fully justifies the use of echocardiography at the time of diagnosis and during the follow-up of hypothyroidism. Signs indicating that the pericardial effusion is poorly tolerated are rare, and the development of pericardial tamponade is exceptionally reported. A case of tamponade in an elderly woman with severe hypothyroidism is described here.

[Gastric bezoar in diabetes mellitus. 3 cases (author's transl)].

Diabetic gastroparesis is the gastric manifestation of diabetic autonomic neuropathy and may result, on rare occasions, in the formation of a bezoar. This was the case in 3 patients (two women aged 36 and 66 and a 19-year-old man) whose insulin-dependent diabetes was complicated with neuropathy. All patients had marked glycaemic instability apparently related to digestive function.