[Keratoplasty combined with cataract surgery].

Corneal pathologies leading to keratoplasty are often associated with cataract and combined surgery is therefore mandatory. Triple procedure with penetrating keratoplasty and concurrent cataract extraction followed by intra ocular lens (IOL) implantation is usually the preferential choice because visual rehabilitation is theoretically more rapid. Surgeons have to be aware of surgical conditions during open-sky surgery because vitreous pressure is not counterbalanced by anterior chamber pressure.

Endoscopic revision of external dacryocystorhinostomy failure.

Objective: To evaluate the usefulness of endoscopic analysis and surgery of the lacrimal sac in cases of external dacryocystorhinostomy (DCR) failure.

Material & Method: In a retrospective study, 17 endoscopic procedures in 17 patients during 11 years with recurrent lacrimal obstruction after external DCR were performed. Endoscopic analysis and procedures were carried out with a routine silicone tube catheterization for 3 to 6 months.

Silent sinus syndrome with spontaneous orbital floor reconstruction.

Problem: Silent sinus syndrome is rare and its pathophysiology is unclear. We report a case of silent sinus syndrome characterized by progressive enophtalmos with chronic maxillary atelectasis and asymptomatic chronic maxillary sinusitis.

Methodology: The patient had no history of sinusitis, facial trauma, or sinus surgery.

[Infantile esotropia: comparison of surgery results when the intervention takes place before or after 30 months of age].

Objective: Present and compare surgery results of children with congenital or infantile esotropia, who had surgery before or after 30 months of age, in the Rouen Department of Ophthalmology between 1996 and 2000.

Patients And Methods: A retrospective study included 37 patients, 23 females and 14 males, 19 in the first group who had surgery before 30 months at an average age of 24 months (15-30) and 18 in the second group who had surgery after 30 months at an average age of 56 months (38-81). Hypermetropia was found up to 2 diopters for 14 of 19 patients in the first group and 13 of 18 in the second.

[Comparison of two surgical techniques for the treatment of superior oblique palsy].

Aim: To compare two surgical techniques for the treatment of superior oblique palsy.

Patients And Methods: Retrospective study involving 32 patients operated on at the Rouen Teaching Hospital for superior oblique palsy. Group 1 patients were treated by surgical reinforcement of the superior oblique muscle and group 2 patients were treated by surgical loosening (or weakening) of the antagonist muscles.

Comparison after 10 years of two 100-patient cohorts operated on for eviscerations or enucleations.

Purpose: To compare the indications, surgical techniques, and operative outcome between two 100-patient populations operated on for evisceration or enucleation with a 10-year interval.

Methods: This retrospective study involved 100 patients operated on between 1987 and 1990 (Group 1) compared with another 100 patients operated on between 1996 and 2000 (Group 2). Group 1 included 64 males and 36 females, mean age 49 years; Group 2 included 60 males and 40 females, mean age 53.

Silicone oil migration in the eyelid after vitrectomy for retinal detachment.

Purpose: To report a case of silicone oil intrusion in the upper eyelid, expressed by ptosis occurrence 19 years after surgery.

Methods: Vitrectomy followed by transscleral subretinal fluid drainage and silicone oil tamponade was performed on a 57-year-old man for retinal detachment. Nineteen years later, the patient was referred for mobile subcutaneous lumps of the upper right eyelid.

Long-term results of penetrating keratoplasty. A 10-year-plus retrospective study.

Background: The aim of this study was to retrospectively analyse the outcome of a series of grafted patients over a period of more than 10 years and to determine their long-term survival probability.

Methods: The records of 89 patients who had 103 grafts performed in 97 eyes were analysed. Mean follow-up was 12.

Orbital sinus histiocytosis (Rosai-Dorfman disease): a lacrimal gland involvement.

We report the clinical and histopathological features of 2 cases of orbital Rosai-Dorfman disease with lacrimal gland involvement but no lymphadenopathy or cutaneous involvement. The first case was a 7-year-old boy, who was referred to the ophthalmology department with a proptosis in the left eye. The second case involved a 57-year-old African man, who developed oedema of the right upper eyelid over a 4-month period.

[Phacoemulsification following radial keratotomy. Topographic and refractive analysis concerning an 18-month period (apropos of a case)].

We followed a 45-year-old man who underwent clear cornea phacoemulsification cataract extraction 3 years after radial keratotomy during an 18 month period. We report early and late refractive analysis and corneal topography during the followup period. The patient experienced an hyperopic shift which was different from the aim of 5 diopters due to an early corneal flattening of 3 diopters and an underestimation of the IOL power of 2 diopters using SRKII calculation formula.

[Limbal autograft transplantation, eight consecutive cases].

Background: Limbal autograft transplantation is the procedure of choice in the management of ocular surface disorders secondary to stem cells deficiency. The aim of our study was to investigate the indications, results and limits of this infrequent surgery.

Methods: Limbal autograft transplantation was performed in 8 patients and the mean follow-up period was 11 months.

[Peribulbar anesthesia for peroperative and postoperative pain control in eye enucleation or evisceration: 31 cases].

Objectives: The aim of this prospective study was to assess peroperative and postoperative analgesia in eye enucleation or evisceration performed under peribulbar anesthesia.

Patients And Methods: We report 31 patients undergoing an eye enucleation (17 cases) or evisceration (14 cases). The surgical procedure was performed under local anesthesia alone in 22 patients.

Comparative evaluation of efficacy and safety of ciprofloxacin and norfloxacin ophthalmic solutions.

The efficacy and safety of ciprofloxacin ophthalmic solution 0.3% and norfloxacin ophthalmic solution 0.3% in the treatment of bacterial conjunctivitis and blepharitis were compared in a double masked randomised study.

[Dyschromatopsia: manifestation or epiphenomenon in the course of diabetic neuropathy].

We performed a study in 92 diabetic patients (76 Type 1 and 16 Type 2) without retinopathy to determine the relation between diabetic dyschromatopsia and neuropathy, which has been evoked in previous studies. Color vision was explored with Lanthony's desaturated D 15 panel. Peripheral nervous function was explored with an electrophysiological score which has been beforehand validated.

[Popliteal pterygium syndrome. A exceptional case].

We report the case of a patient with a popliteal pterygium syndrome, a rare malformation associating, in its complete form, cleft lip and cleft palate, cleft lower lip, intergingival synechia, defects of the genito-urinary tract and popliteal pterygium. Based on this observation and a review of the literature, the phenotypic and genotypic aspects of this malformation were discussed together with adapted therapeutic management and genetic counselling.

[A multifactorial etiologic approach to diabetic dyschromatopsia. Study of 100 diabetics].

Diabetic dyschromatopsia is frequent and is a true complication of diabetes mellitus. Causative factors other than retinopathy have been suggested, but they remain unclear. We have explored the color vision of 100 diabetics aged 16 to 65 (88 insulin-dependent, 12 non-insulin dependent) with Lanthony's D15 desatured panel.