Surgical management of dysthyroid diplopia with preservation of the anterior ciliary vascularization: review of ten cases.

Purpose: During the surgical correction of dysthyroid diplopia, the risk of ischemia by transection of the anterior ciliary arteries is well-known. In order to avoid this, we modified the classical surgical technique: (1) through the preservation of the vascular pedicles during muscle recession and (2) if necessary, through a plication (instead of a resection) of the ipsilateral antagonist muscle. The objective to be achieved is thus the resolution of the diplopia without ischemic complications.

[Surgical treatment of lower eyelid retraction occurring after inferior rectus recession: a case report of a patient with congenital fibrosis of the extraocular muscles].

Lower eyelid retraction is a complication that frequently follows large inferior rectus recession. It may result in cosmetic problems or lagophthalmos with corneal exposure. We report the case of a child who had restrictive strabismus related to orbital fibrosis.

Bilateral necrotizing scleritis following strabismus surgery for thyroid ophthalmopathy.

A case of a bilateral necrotizing scleritis following strabismus surgery for thyroid ophthalmopathy is described. A 71-year-old man was operated on for esotropia due to prior and equilibrated Grave's disease. Two weeks after surgery, he had a scleral necrosis that was located on the surgery sites (insertion of the two medial rectus muscles).

[Management of acute visual loss in children].

Acute or rapidly progressive visual loss in children needs urgent attention and treatment. It may be unilateral orbilateral. Etiology depends upon the involved areas: eye ball, optic nerve, retro-chiasmatic pathways.

[Intrastromal epithelial cysts of the iris: two case studies].

Aim: Intrastromal epithelial cysts, congenital or acquired, are rare tumors of the anterior chamber. We report two cases, one in a 4-Month-old girl and one in a 14-Year-old teenage girl.

Material And Methods: In the infant case, a large cyst with a superior base obstructed the visual axis.

Binocular coordination of saccades in children with strabismus before and after surgery.

Purpose: To examine the quality of binocular coordination of saccades in children with various types of strabismus and the effect of strabismus surgery.

Methods: Eight subjects were tested (5-15 years old): five with convergent strabismus, three with divergent strabismus. A standard saccade paradigm was used to elicit horizontal saccades to target LEDs (5 degrees to 15 degrees ).

["Idiopathic" acute optic neuropathies in children].

We reported a retrospective study of 27 children (mean age = 10 years), who presented a loss of vision due to an acute optic neuritis, between 1982 and 1997. The symptoms ar more likely bilateral in children, and frequently associated with systemic viral infection or hepatitis B vaccination. Multiple sclerosis occurs approximately in 20 p.

[Acute optic neuritis in children: clinical features and treatment. A study of 28 eyes in 20 children].

Purpose: Analyzing a personal series of children with acute optic neuritis (AON), we studied

Material And Methods: A retrospective study of 28 eyes in 20 patients (mean age: 10;7 years), examined between 1982 and 1997, with a follow-up ranging from 6 months to 15 years (mean: 5;5 years). We recorded etiologic factors, clinical features (ocular and extra ocular), biological results, and neuroimaging findings.

Results: Initial involvement was uni- or bilateral with poor visual acuity (under 20/200 in 22 eyes of 28).

[Exploration of retro-chiasmatic visual pathways in human albinism].

Purpose: Several research studies have explored the abnormal crossing of the retinogeniculate and geniculocortical optic pathways in human albinos. This prospective study has dealt with visual evoked potentials (VEPs) of human subjects to identify the percentage of albinos with asymmetric VEPs.

Patients And Methods: A series of 16 albino patients ranging in age from 6 to 37 years were examined.

[Spasmus nutans: apropos of 16 cases].

Unlabelled: Spasmus nutans is a syndrome occurring in early childhood. It consists of a triad of symptoms: head nodding, ocular oscillations and anomalous head position. Ophthalmologic and neurological findings are otherwise normal.

[Persistent and hyperplastic primary vitreous syndrome. Clinical and therapeutic aspects].

Purpose: Persistent hyperplastic primary vitreous (PHPV) is a rare developmental malformation of the eye. This anomaly is usually unilateral and unassociated with other disease. PHPV may have clinical variations: an anterior and/or a posterior one.

[In utero study of the eye of normal fetuses. Static ultrasonographic aspects and clinical implications].

Purpose Of The Study: Some ocular diseases are detected by amniotic fluid analysis. However, some serious eye malformations are only detected at birth. By analogy to other organs, we were concerned by fetal sonography studying in utero ocular structures.

[Surgery of ectopia lentis in Marfan disease in children and young adults].

Introduction: To determine the visual outcome of surgical therapy and conservative management, we retrospectively reviewed all our patients with ectopia lentis and Marfan's disease.

Material And Method: Thirty-five eyes of 18 patients (age 8 to 47, average 25.3) were studied.

[Neuron-specific enolase in the aqueous humor. Its significance in the differential diagnosis of retinoblastoma].

Several studies support that retinoblastoma originates from a primitive neuroectodermal cell, the main argument being the expression of the neuron-specific enolase (NSE) by the retinoblastic cells. NSE was measured in the aqueous humor taken off: 1) in 19 patients with various eye disorders for which the diagnosis of retinoblastoma was definitely excluded (NSE = 5.0 +/- 7.

[Cyclodiathermy: is it effective in the treatment of glaucoma?].

The authors describe the non penetrating technique of cyclodiathermy in the treatment of different types of glaucoma and publish the results and the complications of the application of this technique on thirty three eyes among their patients. These eyes included congenital glaucoma (8 eyes), aphakic glaucoma (5 eyes), after silicone surgery (5 eyes), neovascular glaucoma (4 eyes), traumatic glaucoma (4 eyes), secondary glaucoma (3 eyes), Sturge-Weber-Krabbe (2 eyes) and open angle glaucoma (2 eyes). Their study with a mean follow up of 2.

[Benign isolated 6th nerve paralysis in children. Developmental aspects apropos of 9 new cases].

Benign isolated VI nerve palsy in children is a rare but now well-established clinical entity. The diagnosis is essentially an exclusion one. We report nine additional cases.

[Foveal displacement after weakening of the inferior muscle. Study using retinophotography].

Among oculomotor disturbances, the cyclotorsions are difficult to quantify. The most accurate and objective method seems to be the retinophotography, which give the measure of the displacement of the fovea relative to the horizontal line lying through the papillary center. The authors have compared this measure over 16 eyes, before and after inferior oblique weakening.

[Retinal detachment: temporary internal tamponade with silicone oil after vitrectomy. Anatomic and functional results].

Forty-seven patients with retinal detachment treated by vitrectomy and silicone oil injection benefited from semi-premature ablation of the oil: after a mean of 5 months for supple retinal detachments and 6 1/2 months for those associated with vitreoretinal proliferation. Ablation was performed after obtaining a solid chorioretinal scar by cryopexy or endodiathermy, usually combined with laser panphotocoagulation. The technique used for ablation is described.

[Obliteration of the posterior holes and tears of the retina by endodiathermy after vitrectomy].

The authors report 19 cases of posterior retinal and tears treated by endodiathermy after vitrectomy. Nine cases were iatrogenic with a retinal break occurring during an intravitreal procedure. The remaining 10 cases were non-iatrogenic.

[Treatment of retinal detachment by vitrectomy and injection of silicone oil. Long-term results and complications in 105 cases].

The present study is a two year-follow up of 105 eyes (including 27 aphakic eyes), operated on retinal detachment by silicone oil injection after pars plana vitrectomy. This procedure was chosen either as an initial treatment (37 eyes) or after a classical treatment by external indentation had failed (68 eyes). All cases of retinal detachment were of bad prognosis: macular hole, massive periretinal proliferation, isolated or associated with a tear.

[Sarcoidosis in a child disclosed by blindness with major hypercalcemia].

We report here a case of sarcoidosis, observed in a 12 year-old algerian girl. When the child was examined, at an advanced stage of the disease, her clinical condition was very critical, associating blindness, cachexia, hepatic and splenic enlargement, and major hypercalcaemia. Though chest roentgenograms were normal, the results of both functional pulmonary tests and broncho-alveolar lavage were pathologic.