Pub Date : 2025-02-04DOI: 10.1016/j.jfo.2025.104429
I. Baoud Ould Haddi , D. Flores Cervantes , E. Dorronzoro Ramírez , V. Blázquez Sánchez , C. Bonnin Arias
<div><h3>Purpose</h3><div>To assess the visual function in patients undergoing cataract surgery with three distinct intraocular lens types by evaluating contrast sensitivity under varying photopic and mesopic conditions, as well as examining halo perception.</div></div><div><h3>Methods</h3><div>Visual acuity and contrast sensitivity were measured under photopic and mesopic lighting conditions. Halo perception was also assessed under mesopic conditions. The study involved patients who received one of the following IOLs: Tecnis® Eyhance™, PhysiOL® IsoPure 123™, or AcrySof® IQ Vivity™. The assessment was performed one month after the implantation of the IOL in the second eye.</div></div><div><h3>Results</h3><div>The study included 61 patients and revealed statistically significant differences between the AcrySof® IQ Vivity™ and PhysiOL® IsoPure 123™ IOLs under photopic conditions. The Vivity™ lens demonstrated superior performance compared to the IsoPure 123™ lens at both far (<em>P</em> <!-->=<!--> <!-->0.002) and intermediate distances (<em>P</em> <!-->=<!--> <!-->0.001). Significant differences were also observed between the AcrySof® IQ Vivity™ and Tecnis® Eyhance™ lenses at intermediate distances (<em>P</em> <!-->=<!--> <!-->0.000), with the Vivity™ lens showing better performance than the Eyhance™ lens. Under mesopic conditions, significant discrepancies were found between the PhysiOL® IsoPure 123™ and Tecnis® Eyhance™ lenses at a spatial frequency of 12 cycles per degree (c/g) for long-distance vision (<em>P</em> <!-->=<!--> <!-->0.016), with the Eyhance™ lens outperforming the IsoPure 123™. Furthermore, significant differences were noted when comparing photopic and mesopic conditions for spatial frequencies of 3 cycles per degree (cpg) (<em>P</em> <!-->=<!--> <!-->0.00), 6 cpg (<em>P</em> <!-->=<!--> <!-->0.00), 12 cpg (<em>P</em> <!-->=<!--> <!-->0.013), and 18 cpg (<em>P</em> <!-->=<!--> <!-->0.003), with the Vivity™ lens outperforming other IOL models. The halo perception assessment showed a significant difference between the PhysiOL® IsoPure 123™ and AcrySof® IQ Vivity™ lenses (<em>P</em> <!-->=<!--> <!-->0.012), with the Vivity™ lens exhibiting fewer halos.</div></div><div><h3>Conclusions</h3><div>The study's findings indicate that all three intraocular lens (IOL) models performed well in terms of contrast sensitivity under different lighting conditions. Notably, the AcrySof® IQ VivityTM IOL stood out with the least halo perception.</div></div><div><h3>Objectif</h3><div>Évaluer la fonction visuelle chez les patients opérés de la cataracte avec trois types de lentilles intraoculaires distinctes en évaluant la sensibilité au contraste dans des conditions photopiques et mésopiques variables, ainsi qu’en examinant la perception du halo.</div></div><div><h3>Méthodes</h3><div>La sensibilité au contraste a été mesurée dans différentes conditions d’éclairage, la perception des halos a été évaluée sous des conditions mésopiques, et la satisfactio
{"title":"Comparison of visual function with three intraocular lenses under different illumination conditions","authors":"I. Baoud Ould Haddi , D. Flores Cervantes , E. Dorronzoro Ramírez , V. Blázquez Sánchez , C. Bonnin Arias","doi":"10.1016/j.jfo.2025.104429","DOIUrl":"10.1016/j.jfo.2025.104429","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the visual function in patients undergoing cataract surgery with three distinct intraocular lens types by evaluating contrast sensitivity under varying photopic and mesopic conditions, as well as examining halo perception.</div></div><div><h3>Methods</h3><div>Visual acuity and contrast sensitivity were measured under photopic and mesopic lighting conditions. Halo perception was also assessed under mesopic conditions. The study involved patients who received one of the following IOLs: Tecnis® Eyhance™, PhysiOL® IsoPure 123™, or AcrySof® IQ Vivity™. The assessment was performed one month after the implantation of the IOL in the second eye.</div></div><div><h3>Results</h3><div>The study included 61 patients and revealed statistically significant differences between the AcrySof® IQ Vivity™ and PhysiOL® IsoPure 123™ IOLs under photopic conditions. The Vivity™ lens demonstrated superior performance compared to the IsoPure 123™ lens at both far (<em>P</em> <!-->=<!--> <!-->0.002) and intermediate distances (<em>P</em> <!-->=<!--> <!-->0.001). Significant differences were also observed between the AcrySof® IQ Vivity™ and Tecnis® Eyhance™ lenses at intermediate distances (<em>P</em> <!-->=<!--> <!-->0.000), with the Vivity™ lens showing better performance than the Eyhance™ lens. Under mesopic conditions, significant discrepancies were found between the PhysiOL® IsoPure 123™ and Tecnis® Eyhance™ lenses at a spatial frequency of 12 cycles per degree (c/g) for long-distance vision (<em>P</em> <!-->=<!--> <!-->0.016), with the Eyhance™ lens outperforming the IsoPure 123™. Furthermore, significant differences were noted when comparing photopic and mesopic conditions for spatial frequencies of 3 cycles per degree (cpg) (<em>P</em> <!-->=<!--> <!-->0.00), 6 cpg (<em>P</em> <!-->=<!--> <!-->0.00), 12 cpg (<em>P</em> <!-->=<!--> <!-->0.013), and 18 cpg (<em>P</em> <!-->=<!--> <!-->0.003), with the Vivity™ lens outperforming other IOL models. The halo perception assessment showed a significant difference between the PhysiOL® IsoPure 123™ and AcrySof® IQ Vivity™ lenses (<em>P</em> <!-->=<!--> <!-->0.012), with the Vivity™ lens exhibiting fewer halos.</div></div><div><h3>Conclusions</h3><div>The study's findings indicate that all three intraocular lens (IOL) models performed well in terms of contrast sensitivity under different lighting conditions. Notably, the AcrySof® IQ VivityTM IOL stood out with the least halo perception.</div></div><div><h3>Objectif</h3><div>Évaluer la fonction visuelle chez les patients opérés de la cataracte avec trois types de lentilles intraoculaires distinctes en évaluant la sensibilité au contraste dans des conditions photopiques et mésopiques variables, ainsi qu’en examinant la perception du halo.</div></div><div><h3>Méthodes</h3><div>La sensibilité au contraste a été mesurée dans différentes conditions d’éclairage, la perception des halos a été évaluée sous des conditions mésopiques, et la satisfactio","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 3","pages":"Article 104429"},"PeriodicalIF":1.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143175568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jfo.2024.104369
T. Aubert , R. Lecoge , P. Bastelica , M. Atlan , M. Paques , P. Hamard , C. Baudouin , A. Labbé
L’anatomie et la vascularisation de la tête du nerf optique sont complexes et soumises à de nombreuses variations. Le principal facteur de risque de neuropathie glaucomateuse est l’hypertonie oculaire (HTO), mais de nombreux autres facteurs ont été identifiés. Une composante vasculaire semble jouer un rôle important dans la pathogénie et/ou la progression d’une neuropathie glaucomateuse, soit sous l’influence de l’HTO soit comme facteur de risque indépendant, comme notamment dans les glaucomes à pression normale (GPN). En effet, une diminution du flux sanguin oculaire a été identifiée comme un facteur de risque de glaucome. Ainsi de nombreux instruments ont été développés pour explorer notamment la vascularisation de la tête du nerf optique et pour essayer de mieux comprendre les modifications de ce flux sanguin dans la tête du nerf optique en cas de neuropathie glaucomateuse. Nous réalisons dans cette revue de la littérature une mise à jour des différents moyens d’exploration de la vascularisation de la tête du nerf optique, depuis l’angiographie aux techniques les plus modernes avec l’OCT angiographie et le laser Doppler holographique. À travers les résultats retrouvés dans les neuropathies optiques glaucomateuses, nous explorerons ce lien étroit entre la diminution du flux sanguin oculaire et le développement ou la progression d’un glaucome. Une meilleure compréhension de cette physiopathologie ouvre la porte à une meilleure prise en charge de nos patients glaucomateux.
The anatomy and vasculature of the optic nerve head are complex and subject to numerous variations. The main risk factor for glaucomatous optic neuropathy is elevated intraocular pressure, but many other factors have been identified. A vascular component seems to play an important role in the pathogenesis and/or progression of glaucomatous optic neuropathy, either under the influence of ocular hypertension or as an independent risk factor, particularly as in normal tension glaucoma (NTG). Reduced ocular blood flow has been identified as a risk factor for glaucoma. Numerous instruments have therefore been developed to explore the vasculature of the optic nerve head and to try to better understand the changes in blood flow in the optic nerve in glaucomatous optic neuropathy. In this review, we provide an update on the various means of imaging the vasculature of the optic nerve head, from angiography to the most modern techniques with angiographic OCT and laser Doppler holography. Using the results found in glaucomatous optic neuropathies, we will explore the close link between reduced ocular blood flow and the development or progression of glaucoma. A better understanding of this pathophysiology opens the door to improved management of our glaucoma patients.
{"title":"Méthodes d’exploration de la vascularisation de la tête du nerf optique dans la neuropathie glaucomateuse : une revue de la littérature","authors":"T. Aubert , R. Lecoge , P. Bastelica , M. Atlan , M. Paques , P. Hamard , C. Baudouin , A. Labbé","doi":"10.1016/j.jfo.2024.104369","DOIUrl":"10.1016/j.jfo.2024.104369","url":null,"abstract":"<div><div>L’anatomie et la vascularisation de la tête du nerf optique sont complexes et soumises à de nombreuses variations. Le principal facteur de risque de neuropathie glaucomateuse est l’hypertonie oculaire (HTO), mais de nombreux autres facteurs ont été identifiés. Une composante vasculaire semble jouer un rôle important dans la pathogénie et/ou la progression d’une neuropathie glaucomateuse, soit sous l’influence de l’HTO soit comme facteur de risque indépendant, comme notamment dans les glaucomes à pression normale (GPN). En effet, une diminution du flux sanguin oculaire a été identifiée comme un facteur de risque de glaucome. Ainsi de nombreux instruments ont été développés pour explorer notamment la vascularisation de la tête du nerf optique et pour essayer de mieux comprendre les modifications de ce flux sanguin dans la tête du nerf optique en cas de neuropathie glaucomateuse. Nous réalisons dans cette revue de la littérature une mise à jour des différents moyens d’exploration de la vascularisation de la tête du nerf optique, depuis l’angiographie aux techniques les plus modernes avec l’OCT angiographie et le laser Doppler holographique. À travers les résultats retrouvés dans les neuropathies optiques glaucomateuses, nous explorerons ce lien étroit entre la diminution du flux sanguin oculaire et le développement ou la progression d’un glaucome. Une meilleure compréhension de cette physiopathologie ouvre la porte à une meilleure prise en charge de nos patients glaucomateux.</div></div><div><div>The anatomy and vasculature of the optic nerve head are complex and subject to numerous variations. The main risk factor for glaucomatous optic neuropathy is elevated intraocular pressure, but many other factors have been identified. A vascular component seems to play an important role in the pathogenesis and/or progression of glaucomatous optic neuropathy, either under the influence of ocular hypertension or as an independent risk factor, particularly as in normal tension glaucoma (NTG). Reduced ocular blood flow has been identified as a risk factor for glaucoma. Numerous instruments have therefore been developed to explore the vasculature of the optic nerve head and to try to better understand the changes in blood flow in the optic nerve in glaucomatous optic neuropathy. In this review, we provide an update on the various means of imaging the vasculature of the optic nerve head, from angiography to the most modern techniques with angiographic OCT and laser Doppler holography. Using the results found in glaucomatous optic neuropathies, we will explore the close link between reduced ocular blood flow and the development or progression of glaucoma. A better understanding of this pathophysiology opens the door to improved management of our glaucoma patients.</div></div>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 2","pages":"Article 104369"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jfo.2024.104368
C. Grange , V. Gualino , L. Klotz , T. Coutureau , P. Fournié , V. Soler
<div><h3>Introduction</h3><div>La chirurgie de cataracte, généralement ambulatoire, est l’intervention la plus pratiquée en France. Les patients sont contactés la veille et le lendemain par téléphone, appels chronophages et soumis à une grande variabilité interopérateur. Les SMS automatisés permettent l’envoi instantané d’informations standardisées à de nombreux patients. Notre objectif était d’évaluer leur impact sur la satisfaction et l’observance.</div></div><div><h3>Matériels et méthodes</h3><div>Notre étude prospective comporte deux bras : groupe intervention recevant les SMS, et groupe contrôle. Nous avons recueilli la satisfaction des patients par un questionnaire et nous avons comparé le respect des consignes préopératoires.</div></div><div><h3>Résultats</h3><div>La moyenne de satisfaction des patients concernant les SMS était de 9,3<!--> <!-->±<!--> <!-->0,9 sur 10. Pour 96 % d’entre eux, les SMS renforçaient la relation avec les professionnels, et 99 % trouvaient ces messages utiles pour mieux suivre les recommandations préopératoires, sans différence significative entre les groupes concernant le respect des consignes.</div></div><div><h3>Discussion</h3><div>Le taux très élevé de satisfaction montre que les patients sont avides d’information. Le sentiment d’amélioration de la relation dans cette population âgée bat en brèche la crainte de déshumanisation de la relation. Les SMS permettent l’envoi et le recueil d’information de manière efficiente avec une bonne acceptabilité.</div></div><div><h3>Conclusion</h3><div>Les SMS automatisés sont une alternative aux appels téléphoniques pour informer les patients avant et après un acte sans l’écueil du fossé digital des applications mobiles. Des études sont en cours pour élargir les indications et confirmer le gain en termes d’observance et de libération du temps soignant.</div></div><div><h3>Introduction</h3><div>Cataract surgery, generally performed on an outpatient basis, is the most common surgical procedure in France. Patients are contacted the day before and the day after by telephone, which is time-consuming and subject to great inter-operator variability. Automated SMS allows standardized information to be sent instantaneously to a large number of patients. Our goal was to assess the impact of SMS messaging on patient satisfaction and compliance.</div></div><div><h3>Materials and methods</h3><div>Our prospective study consisted of two arms: an intervention group receiving SMS, and a control group. We recorded patient satisfaction using a questionnaire and compared compliance with preoperative instructions.</div></div><div><h3>Results</h3><div>Mean patient satisfaction with SMS was 9.3<!--> <!-->±<!--> <!-->0.9 out of 10. For 96% of patients, SMS messages strengthened the relationship with professionals, and 99% found them useful for following preoperative recommendations, with no significant difference between groups in terms of compliance.</div></div><div><h3>Discussion</h3><div>The ve
{"title":"Améliorer la qualité de l’information en chirurgie ambulatoire de cataracte via l’envoi automatisé de SMS : une étude prospective","authors":"C. Grange , V. Gualino , L. Klotz , T. Coutureau , P. Fournié , V. Soler","doi":"10.1016/j.jfo.2024.104368","DOIUrl":"10.1016/j.jfo.2024.104368","url":null,"abstract":"<div><h3>Introduction</h3><div>La chirurgie de cataracte, généralement ambulatoire, est l’intervention la plus pratiquée en France. Les patients sont contactés la veille et le lendemain par téléphone, appels chronophages et soumis à une grande variabilité interopérateur. Les SMS automatisés permettent l’envoi instantané d’informations standardisées à de nombreux patients. Notre objectif était d’évaluer leur impact sur la satisfaction et l’observance.</div></div><div><h3>Matériels et méthodes</h3><div>Notre étude prospective comporte deux bras : groupe intervention recevant les SMS, et groupe contrôle. Nous avons recueilli la satisfaction des patients par un questionnaire et nous avons comparé le respect des consignes préopératoires.</div></div><div><h3>Résultats</h3><div>La moyenne de satisfaction des patients concernant les SMS était de 9,3<!--> <!-->±<!--> <!-->0,9 sur 10. Pour 96 % d’entre eux, les SMS renforçaient la relation avec les professionnels, et 99 % trouvaient ces messages utiles pour mieux suivre les recommandations préopératoires, sans différence significative entre les groupes concernant le respect des consignes.</div></div><div><h3>Discussion</h3><div>Le taux très élevé de satisfaction montre que les patients sont avides d’information. Le sentiment d’amélioration de la relation dans cette population âgée bat en brèche la crainte de déshumanisation de la relation. Les SMS permettent l’envoi et le recueil d’information de manière efficiente avec une bonne acceptabilité.</div></div><div><h3>Conclusion</h3><div>Les SMS automatisés sont une alternative aux appels téléphoniques pour informer les patients avant et après un acte sans l’écueil du fossé digital des applications mobiles. Des études sont en cours pour élargir les indications et confirmer le gain en termes d’observance et de libération du temps soignant.</div></div><div><h3>Introduction</h3><div>Cataract surgery, generally performed on an outpatient basis, is the most common surgical procedure in France. Patients are contacted the day before and the day after by telephone, which is time-consuming and subject to great inter-operator variability. Automated SMS allows standardized information to be sent instantaneously to a large number of patients. Our goal was to assess the impact of SMS messaging on patient satisfaction and compliance.</div></div><div><h3>Materials and methods</h3><div>Our prospective study consisted of two arms: an intervention group receiving SMS, and a control group. We recorded patient satisfaction using a questionnaire and compared compliance with preoperative instructions.</div></div><div><h3>Results</h3><div>Mean patient satisfaction with SMS was 9.3<!--> <!-->±<!--> <!-->0.9 out of 10. For 96% of patients, SMS messages strengthened the relationship with professionals, and 99% found them useful for following preoperative recommendations, with no significant difference between groups in terms of compliance.</div></div><div><h3>Discussion</h3><div>The ve","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 2","pages":"Article 104368"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jfo.2024.104379
F. Eslami , M. Ghiasian , B. Mohamadrahimi , N. Jiriaee , A. Eslamighayour
<div><h3>Objective</h3><div>Parkinson's disease is the second most common disease of the central nervous system after Alzheimer's disease. Currently, no blood test or other laboratory tests are available to diagnose this condition. One of the practical methods in diagnosing and evaluating the progress of neurodegenerative diseases is the use of optical coherence tomography (OCT), with which it is possible to accurately measure the thickness of the layers of the retina, as well as the thickness and volume of the macula. The goal of this study was to determine the OCT findings in patients with Parkinson's disease compared to the normal population.</div></div><div><h3>Method</h3><div>This study was conducted in 2019 at the Neurology Clinic of Farshchian Hospital, Hamadan (Iran). Sampling was performed based on the inclusion/exclusion criteria of the study and the required sample size. Patients referred to the Neurology Department of Farshchian Hospital were first examined by a neurologist, then referred to the ophthalmology clinic for a complete ophthalmological examination. OCT imaging was performed by an experienced, skilled optometrist after pupillary dilation with tropicamide drops. RNFL thickness, macula and fovea, and the measured macular volumes were recorded along with other information, including age, sex, disease duration, severity of disease symptoms, and drug use. Finally, the data were analyzed using SPSS version 22 statistical software.</div></div><div><h3>Findings</h3><div>A total of 103 individuals including 49 males (47.6%) and 54 females (52.4%) with a mean age of 70.66 years were examined. The subjects included two groups, patients (53 subjects) and control (50 subjects), who were matched in terms of age and gender distribution. The mean RNFL thickness and macular thickness and volume in the patient group were significantly lower than in the control group (<em>P</em> <!--><<!--> <!-->0.05). There was an inverse relationship between the thickness of the RNFL and the macula with the duration of the disease and the severity of the disease symptoms (<em>P</em> <!--><<!--> <!-->0.05).</div></div><div><h3>Conclusion</h3><div>In this study, a significant decrease in RNFL thickness and macular thickness and volume was shown in patients with Parkinson's disease compared to the age- and sex-matched control group. It can be said that the changes in the macula and RNFL in Parkinson's disease and with progression of the disease are suitable markers for diagnosing and investigating the progression of Parkinson's disease.</div></div><div><h3>Objectif</h3><div>La maladie de Parkinson est la deuxième maladie du système nerveux central la plus répandue après la maladie d’Alzheimer. Actuellement, aucun test sanguin ou autre test de laboratoire n’est disponible pour diagnostiquer cette maladie. L’une des méthodes pratiques de diagnostic et d’évaluation de l’évolution des maladies neurodégénératives est l’utilisation de la tomographie par cohére
{"title":"Optical coherence tomography (OCT) findings in patients with Parkinson's disease presenting to Farshchian Hospital (Sina) in 2019 compared to the normal population","authors":"F. Eslami , M. Ghiasian , B. Mohamadrahimi , N. Jiriaee , A. Eslamighayour","doi":"10.1016/j.jfo.2024.104379","DOIUrl":"10.1016/j.jfo.2024.104379","url":null,"abstract":"<div><h3>Objective</h3><div>Parkinson's disease is the second most common disease of the central nervous system after Alzheimer's disease. Currently, no blood test or other laboratory tests are available to diagnose this condition. One of the practical methods in diagnosing and evaluating the progress of neurodegenerative diseases is the use of optical coherence tomography (OCT), with which it is possible to accurately measure the thickness of the layers of the retina, as well as the thickness and volume of the macula. The goal of this study was to determine the OCT findings in patients with Parkinson's disease compared to the normal population.</div></div><div><h3>Method</h3><div>This study was conducted in 2019 at the Neurology Clinic of Farshchian Hospital, Hamadan (Iran). Sampling was performed based on the inclusion/exclusion criteria of the study and the required sample size. Patients referred to the Neurology Department of Farshchian Hospital were first examined by a neurologist, then referred to the ophthalmology clinic for a complete ophthalmological examination. OCT imaging was performed by an experienced, skilled optometrist after pupillary dilation with tropicamide drops. RNFL thickness, macula and fovea, and the measured macular volumes were recorded along with other information, including age, sex, disease duration, severity of disease symptoms, and drug use. Finally, the data were analyzed using SPSS version 22 statistical software.</div></div><div><h3>Findings</h3><div>A total of 103 individuals including 49 males (47.6%) and 54 females (52.4%) with a mean age of 70.66 years were examined. The subjects included two groups, patients (53 subjects) and control (50 subjects), who were matched in terms of age and gender distribution. The mean RNFL thickness and macular thickness and volume in the patient group were significantly lower than in the control group (<em>P</em> <!--><<!--> <!-->0.05). There was an inverse relationship between the thickness of the RNFL and the macula with the duration of the disease and the severity of the disease symptoms (<em>P</em> <!--><<!--> <!-->0.05).</div></div><div><h3>Conclusion</h3><div>In this study, a significant decrease in RNFL thickness and macular thickness and volume was shown in patients with Parkinson's disease compared to the age- and sex-matched control group. It can be said that the changes in the macula and RNFL in Parkinson's disease and with progression of the disease are suitable markers for diagnosing and investigating the progression of Parkinson's disease.</div></div><div><h3>Objectif</h3><div>La maladie de Parkinson est la deuxième maladie du système nerveux central la plus répandue après la maladie d’Alzheimer. Actuellement, aucun test sanguin ou autre test de laboratoire n’est disponible pour diagnostiquer cette maladie. L’une des méthodes pratiques de diagnostic et d’évaluation de l’évolution des maladies neurodégénératives est l’utilisation de la tomographie par cohére","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 2","pages":"Article 104379"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jfo.2024.104355
S. Damoun, E. Chhuy, G. Thuret, P. Gain
{"title":"Panuvéite bilatérale sur salmonellose chronique chez un patient atteint d’un déficit en interleukine 12B","authors":"S. Damoun, E. Chhuy, G. Thuret, P. Gain","doi":"10.1016/j.jfo.2024.104355","DOIUrl":"10.1016/j.jfo.2024.104355","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 2","pages":"Article 104355"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jfo.2024.104385
A. Hage , P. Bastelica , A. Majoulet , M. Laurent , M. Sahyoun , N. Bouheraoua , V. Borderie , J.-P. Nordmann , M. Paques , A. Labbé , C. Baudouin
<div><h3>Purpose</h3><div>Acute postoperative endophthalmitis (APE) is a rare but severe complication of cataract surgery. During the most recent decades, the use of povidone-iodine (PVI) before surgery combined with intracameral cefuroxime has drastically reduced the incidence of endophthalmitis. The goal of this study is to describe the changes in endophthalmitis rates after cataract surgery over the past two decades in a large tertiary ophthalmology center.</div></div><div><h3>Methods</h3><div>A single-center retrospective descriptive study was conducted in the Quinze-Vingts National Ophthalmology Hospital (Paris, France). We included all eyes that underwent cataract surgery between 2000 and 2022. Cases of APE following cataract surgery were reported. The main outcome was the change in yearly incidence of APE. Rates were compared before and after the following events: application of a prophylactic protocol for local anesthesia, use of intracameral cefuroxime, and use of 2% lidocaine gel.</div></div><div><h3>Results</h3><div>We included 178,752 cataract procedures in the study. A total of 49 cases of APE were reported between 2000 and 2022 (0.027%). Endophthalmitis rates progressively decreased, particularly after the introduction of intracameral cefuroxime in surgical practice in 2011. Since an adequate protocol for topical anesthesia was adopted, and intracameral cefuroxime was used systematically, rates of APE decreased and remained as low as 0.007% for the past decade, even though the number of yearly cataract procedures almost doubled.</div></div><div><h3>Conclusion</h3><div>The incidence of endophthalmitis after cataract surgery has significantly decreased over the past twenty-three years in our tertiary care center. The use of PVI before surgery along with systematic intracameral cefuroxime has allowed us to achieve very low rates of endophthalmitis.</div></div><div><h3>Objectif</h3><div>L’endophtalmie postopératoire aiguë (EPA) est une complication de la chirurgie de cataracte rare mais sévère. Durant les dernières décennies, l’utilisation de povidone-iodée avant la chirurgie, associée à la céfuroxime intracamérulaire ont drastiquement diminuée l’incidence des endophtalmie. L’objectif est de décrire l’évolution des taux d’endophtalmie après chirurgie de la cataracte durant les 23 dernières années dans un centre ophtalmologique tertiaire.</div></div><div><h3>Méthode</h3><div>Une étude descriptive rétrospective monocentrique a été menée à l’hôpital national de la vision des Quinze-Vingts (Paris, France). Nous avons inclus tous les yeux opérés de cataracte entre 2000 et 2022. Les cas d’EPA après chirurgie de cataracte ont été rapportés. Le critère de jugement principal était l’évolution de l’incidence annuelle des EPA. Les taux ont été comparés avant et après les évènements suivants : introduction d’un protocole d’anesthésie locale, utilisation de céfuroxime intracamérulaire et application de gel de lidocaïne 2 %.</div></div><div><h3>Résul
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Pub Date : 2025-02-01DOI: 10.1016/j.jfo.2024.104382
A. Kassotis , J. Shabto , S. Stevens , A. Coombs , M. Kazim
Objective
Hyperbaric oxygen therapy (HBOT) has emerged as a versatile tool in the management of an array of medical conditions, including tissue ischemia and delayed wound healing. Despite the incorporation of HBOT in other medical fields, HBOT is not routinely utilized in the field of ophthalmic plastic and reconstructive periorbital surgery.
Design
Case series.
Participants
A series of oculofacial cases treated with adjuvant HBOT is reviewed. The authors describe a 47-year-old man presenting with vision loss secondary to a retinal vascular event one day after orbital surgery, a 38-year-old woman presenting with acute hyaluronic acid filler-associated blindness, and a 44-year-old man presenting with orbital necrotizing fasciitis after minor trauma.
Results
In each case, HBOT was utilized as adjuvant management, with favorable outcomes despite a guarded initial prognosis.
Conclusions
HBOT shows promise as part of a treatment regimen for a variety of conditions in oculoplastic and reconstructive surgery.
Objectif
L’oxygénothérapie hyperbare (OHB) est devenue un outil polyvalent dans la prise en charge d’un large éventail de pathologies, notamment l’ischémie tissulaire et le retard de cicatrisation des plaies. Malgré l’incorporation de l’OHB dans d’autres domaines médicaux, l’OHB n’est pas systématiquement utilisée dans le domaine de la chirurgie ophtalmique plastique et reconstructive périorbitaire.
Méthode/participants
Une série de cas oculofaciaux traités avec OHB adjuvante est passée en revue. Les auteurs décrivent un homme de 47 ans présentant une perte de vision secondaire à un événement vasculaire rétinien un jour après une chirurgie orbitaire, une femme de 38 ans atteinte d’une cécité aiguë associée aux produits de comblement à l’acide hyaluronique et un homme de 44 ans affichant une fasciite nécrosante orbitaire après un traumatisme mineur.
Résultats
Dans chaque cas, l’OHB a été utilisée comme traitement adjuvant avec des résultats favorables malgré un pronostic initial réservé.
Conclusions
L’OHB s’avère prometteuse dans le cadre d’un schéma thérapeutique pour diverses affections en chirurgie oculoplastique et reconstructive.
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Pub Date : 2025-02-01DOI: 10.1016/j.jfo.2024.104361
T.-T. Wang , I.-H. Yang , Y.-H. Lai
{"title":"Visual illusions and optic neuritis following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination","authors":"T.-T. Wang , I.-H. Yang , Y.-H. Lai","doi":"10.1016/j.jfo.2024.104361","DOIUrl":"10.1016/j.jfo.2024.104361","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 2","pages":"Article 104361"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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