Pub Date : 2025-10-01DOI: 10.1016/j.rfo.2025.10.011
Daniel Claeys (Orthoptiste)
Le but de cet article est de définir et de caractériser les problèmes d’accommodation, les symptômes associés et de proposer une approche thérapeutique pour ces personnes présentant des troubles accommodatifs et par ailleurs en bonne santé.
This article seeks to define and characterize accommodative disorders and their associated symptomatology, and finally to outline a therapeutic framework for managing these conditions in individuals who are otherwise in good general health.
{"title":"Troubles de l’accommodation : définitions et stratégies de prises en charge","authors":"Daniel Claeys (Orthoptiste)","doi":"10.1016/j.rfo.2025.10.011","DOIUrl":"10.1016/j.rfo.2025.10.011","url":null,"abstract":"<div><div>Le but de cet article est de définir et de caractériser les problèmes d’accommodation, les symptômes associés et de proposer une approche thérapeutique pour ces personnes présentant des troubles accommodatifs et par ailleurs en bonne santé.</div></div><div><div>This article seeks to define and characterize accommodative disorders and their associated symptomatology, and finally to outline a therapeutic framework for managing these conditions in individuals who are otherwise in good general health.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"18 4","pages":"Pages 166-171"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.rfo.2025.10.009
Marie Odile Pataut Renard (Orthoptiste)
L’existence d’un strabisme accommodatif chez les patients hypermétropes peut être responsable d’une ésotropie instable de près qui peut fluctuer au cours de la vie. L’utilisation des verres progressifs chez l’enfant peut alors être une alternative très intéressante et éviter parfois la chirurgie.
The existence of accommodative strabismus in hyperopic patients may be responsible for unstable near esotropia that may fluctuate over the course of life. The use of progressive lenses in children can then be a very interesting alternative and sometimes avoid surgery.
{"title":"Strabisme convergent avec incomitance loin/près : que faire ?","authors":"Marie Odile Pataut Renard (Orthoptiste)","doi":"10.1016/j.rfo.2025.10.009","DOIUrl":"10.1016/j.rfo.2025.10.009","url":null,"abstract":"<div><div>L’existence d’un strabisme accommodatif chez les patients hypermétropes peut être responsable d’une ésotropie instable de près qui peut fluctuer au cours de la vie. L’utilisation des verres progressifs chez l’enfant peut alors être une alternative très intéressante et éviter parfois la chirurgie.</div></div><div><div>The existence of accommodative strabismus in hyperopic patients may be responsible for unstable near esotropia that may fluctuate over the course of life. The use of progressive lenses in children can then be a very interesting alternative and sometimes avoid surgery.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"18 4","pages":"Pages 194-196"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prolonged use of screens could impact oculomotor and accommodative functions. To characterize this effect, we studied the evolution of these functions in 18 healthy subjects without convergence insufficiency. After one hour of exposure to screens, we observed a significant decrease in accommodative flexibility and the phoria evolved significantly towards esophoria. The presence of visual symptoms also appears to be associated with reduced accommodative flexibility.
{"title":"Influence des écrans sur les fonctions oculomotrices et accommodatives","authors":"Tristan Jurkiewicz , Célia Essertaize , Genna Meyssonnier","doi":"10.1016/j.rfo.2022.01.010","DOIUrl":"10.1016/j.rfo.2022.01.010","url":null,"abstract":"<div><div>Prolonged use of screens could impact oculomotor and accommodative functions. To characterize this effect, we studied the evolution of these functions in 18 healthy subjects without convergence insufficiency. After one hour of exposure to screens, we observed a significant decrease in accommodative flexibility and the phoria evolved significantly towards esophoria. The presence of visual symptoms also appears to be associated with reduced accommodative flexibility.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"18 4","pages":"Pages 187-193"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74130333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.rfo.2025.10.010
Brigitte Ekpe Lordonnois
Cet article présente le cas d’une femme de 50 ans, amblyope de l’œil gauche et presbyte, souffrant de douleurs cervicales chroniques et de vision floue en vision de près. L’analyse des facteurs visuels, posturaux et environnementaux a permis de proposer des aménagements concrets, améliorant significativement le confort et les capacités fonctionnelles de la patiente au travail. Cette prise en charge clinique illustre l’importance d’une approche globale combinant évaluation visuelle, ajustements optiques et conseils ergonomiques [1].
This article presents the case of a 50-year-old woman with left-eye amblyopia and presbyopia, suffering from chronic neck pain and blurred near vision. The analysis of visual, postural and environmental factors led to concrete adaptations, significantly improving her comfort and functional capacity at work. This clinical management highlights the importance of a comprehensive approach combining visual assessment, optical adjustments and ergonomic guidance.
{"title":"Adaptation ergonomique du poste de travail chez une patiente amblyope et presbyte","authors":"Brigitte Ekpe Lordonnois","doi":"10.1016/j.rfo.2025.10.010","DOIUrl":"10.1016/j.rfo.2025.10.010","url":null,"abstract":"<div><div>Cet article présente le cas d’une femme de 50 ans, amblyope de l’œil gauche et presbyte, souffrant de douleurs cervicales chroniques et de vision floue en vision de près. L’analyse des facteurs visuels, posturaux et environnementaux a permis de proposer des aménagements concrets, améliorant significativement le confort et les capacités fonctionnelles de la patiente au travail. Cette prise en charge clinique illustre l’importance d’une approche globale combinant évaluation visuelle, ajustements optiques et conseils ergonomiques <span><span>[1]</span></span>.</div></div><div><div>This article presents the case of a 50-year-old woman with left-eye amblyopia and presbyopia, suffering from chronic neck pain and blurred near vision. The analysis of visual, postural and environmental factors led to concrete adaptations, significantly improving her comfort and functional capacity at work. This clinical management highlights the importance of a comprehensive approach combining visual assessment, optical adjustments and ergonomic guidance.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"18 4","pages":"Pages 200-204"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.rfo.2025.10.001
Sophie Georges-Randretsa , Marie-Pierre Beaunoir
{"title":"Transmettre et Innover en orthoptie, Paris le 14 juin 2025","authors":"Sophie Georges-Randretsa , Marie-Pierre Beaunoir","doi":"10.1016/j.rfo.2025.10.001","DOIUrl":"10.1016/j.rfo.2025.10.001","url":null,"abstract":"","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"18 4","pages":"Pages 158-159"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Le rapport AC/A (accommodation/convergence) est un indicateur précieux dans l’analyse orthoptique des déséquilibres binoculaires. Trop souvent mal interprété ou sous-exploité, il permet pourtant de mieux cerner certaines décompensations et de guider la pose du diagnostic orthoptique et la prise en charge. Cet article propose une clarification des méthodes de calcul, de l’interprétation clinique du rapport AC/A et de ses implications dans la pratique quotidienne, à travers un cas clinique illustrant l’excès de divergence, un exemple moins connu où la thérapeutique n’est pas nécessairement la rééducation.
The CA/A (accommodation/convergence) ratio is a valuable indicator in the orthoptic analysis of binocular disorders. Although it is often misinterpreted or underutilised, it can help to better identify certain decompensations and guide orthoptic diagnosis and management. This article clarifies the methods of calculation, the clinical interpretation of the CA/A ratio and its implications in everyday practice, through a clinical case illustrating excessive divergence, a lesser-known example where treatment does not necessarily involve rehabilitation.
{"title":"Intérêt du rapport AC/A dans l’évaluation orthoptique","authors":"Cloé Clavel (Orthoptiste) , Malvina Beltrami (Orthoptiste)","doi":"10.1016/j.rfo.2025.10.003","DOIUrl":"10.1016/j.rfo.2025.10.003","url":null,"abstract":"<div><div>Le rapport AC/A (accommodation/convergence) est un indicateur précieux dans l’analyse orthoptique des déséquilibres binoculaires. Trop souvent mal interprété ou sous-exploité, il permet pourtant de mieux cerner certaines décompensations et de guider la pose du diagnostic orthoptique et la prise en charge. Cet article propose une clarification des méthodes de calcul, de l’interprétation clinique du rapport AC/A et de ses implications dans la pratique quotidienne, à travers un cas clinique illustrant l’excès de divergence, un exemple moins connu où la thérapeutique n’est pas nécessairement la rééducation.</div></div><div><div>The CA/A (accommodation/convergence) ratio is a valuable indicator in the orthoptic analysis of binocular disorders. Although it is often misinterpreted or underutilised, it can help to better identify certain decompensations and guide orthoptic diagnosis and management. This article clarifies the methods of calculation, the clinical interpretation of the CA/A ratio and its implications in everyday practice, through a clinical case illustrating excessive divergence, a lesser-known example where treatment does not necessarily involve rehabilitation.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"18 4","pages":"Pages 177-181"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.rfo.2025.10.008
Camille Adamkiewicz (orthoptiste)
Une patiente de 45 ans présentant une ésophorie-tropie était sous-corrigée en hypermétropie et passe en exotropie lors du changement de correction optique. La prise en charge a reposé non seulement sur l’ajustement de la correction optique, mais aussi sur une prise en charge rééducative, visant à restaurer l’équilibre oculomoteur.
A 45 years old patient displaying esophoria-tropia was under hyperopia correction, and displayed a shift to exotropia during a change of corrective lenses. Patient care relied not only on adjusting corrective lenses, but also on reeducation, aiming at restoring oculomotor balance.
{"title":"De l’ésophorie à l’exotropie chez l’adulte hypermétrope : prise en charge réfractive et rééducative","authors":"Camille Adamkiewicz (orthoptiste)","doi":"10.1016/j.rfo.2025.10.008","DOIUrl":"10.1016/j.rfo.2025.10.008","url":null,"abstract":"<div><div>Une patiente de 45 ans présentant une ésophorie-tropie était sous-corrigée en hypermétropie et passe en exotropie lors du changement de correction optique. La prise en charge a reposé non seulement sur l’ajustement de la correction optique, mais aussi sur une prise en charge rééducative, visant à restaurer l’équilibre oculomoteur.</div></div><div><div>A 45 years old patient displaying esophoria-tropia was under hyperopia correction, and displayed a shift to exotropia during a change of corrective lenses. Patient care relied not only on adjusting corrective lenses, but also on reeducation, aiming at restoring oculomotor balance.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"18 4","pages":"Pages 197-199"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.rfo.2025.10.005
Daniel Claeys (Orthoptiste)
L’accommodation permet, dans des conditions normales et optimales, une vision nette entre le point le plus éloigné de vision nette (le punctum remotum) et le point le plus proche autorisant cette vision nette (le punctum proximum d’accommodation). Cette accommodation est une fonction automatico-réflexe induite par différents éléments comme le flou, la sensation subjective de proximité ou encore la convergence. Dans le cadre d’une demande de fixation rapprochée, en constante augmentation ces dernières décennies, sont apparus des troubles asthénopiques. L’examen minutieux de l’œil et du système oculaire en vision éloignée ne suffit plus. Il est impératif de savoir mener un examen complet et exhaustif de toutes les composantes sollicitées en vision rapprochée pour assurer une prise en soin avisée de ces troubles asthénopiques.
Accommodation enables clear vision, under normal and optimal conditions, between the farthest point of clear vision — the punctum remotum — and the nearest point at which clear vision is still possible — the punctum proximum. This function is a reflexive, automatic process triggered by several factors, including blur, the subjective perception of proximity, and convergence. With the steadily increasing visual demand for near tasks in recent decades, related asthenopics symptoms have become more prevalent. À thorough examination of the eyes and ocular system at distance is no longer sufficient. It is now essential to perform a comprehensive and detailed assessment of all components involved in near vision to provide effective and informed care for these asthenopic disorders.
{"title":"Des yeux pour voir, une accommodation pour regarder…","authors":"Daniel Claeys (Orthoptiste)","doi":"10.1016/j.rfo.2025.10.005","DOIUrl":"10.1016/j.rfo.2025.10.005","url":null,"abstract":"<div><div>L’accommodation permet, dans des conditions normales et optimales, une vision nette entre le point le plus éloigné de vision nette (<em><strong>le punctum remotum</strong></em>) et le point le plus proche autorisant cette vision nette (<em><strong>le punctum proximum d’accommodation</strong></em>). Cette accommodation est une fonction automatico-réflexe induite par différents éléments comme le flou, la sensation subjective de proximité ou encore la convergence. Dans le cadre d’une demande de fixation rapprochée, en constante augmentation ces dernières décennies, sont apparus des troubles asthénopiques. L’examen minutieux de l’œil et du système oculaire en vision éloignée ne suffit plus. Il est impératif de savoir mener un examen complet et exhaustif de toutes les composantes sollicitées en vision rapprochée pour assurer une prise en soin avisée de ces troubles asthénopiques.</div></div><div><div>Accommodation enables clear vision, under normal and optimal conditions, between the farthest point of clear vision — the <em>punctum remotum</em> — and the nearest point at which clear vision is still possible — the <em>punctum proximum</em>. This function is a reflexive, automatic process triggered by several factors, including blur, the subjective perception of proximity, and convergence. With the steadily increasing visual demand for near tasks in recent decades, related asthenopics symptoms have become more prevalent. À thorough examination of the eyes and ocular system at distance is no longer sufficient. It is now essential to perform a comprehensive and detailed assessment of all components involved in near vision to provide effective and informed care for these asthenopic disorders.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"18 4","pages":"Pages 161-165"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号