Revue Francophone d'Orthoptie最新文献

{"title":"Les saccades : physiologies et tracés","authors":"Muriel Moindrot PhD","doi":"10.1016/j.rfo.2026.06.006","DOIUrl":"10.1016/j.rfo.2026.06.006","url":null,"abstract":"<div><div>Les saccades sont des mouvements rapides, précis et conjugués des deux yeux. Leur physiologie implique des structures distribuées à travers le cerveau. Le fonctionnement de ce réseau de structures peut être évalué grâce à l’enregistrement des saccades oculaires. Grâce aux paramètres principaux des saccades (latence, vitesse et précision), le comportement des patients peut être appréhendé ainsi que, dans certains cas, l’origine des dysfonctionnements.</div></div><div><div>Saccades are fast, accurate, and conjugate movements of both eyes. Their physiology relies on a neural network distributed across the brain. The functioning of this network can be assessed through the recording of eye movements. Based on key saccadic parameters—latency, velocity, and accuracy—patient's behavior can be characterized, and in some cases, the underlying sources of dysfunction can be identified.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"19 3","pages":"Pages 159-162"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148806702","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}

{"title":"Vertiges vision et motricité binoculaires : innover pour mieux comprendre et mieux soigner","authors":"Zoï Kapoula (Directrice de Recherche Émérite au CNRS)","doi":"10.1016/j.rfo.2026.06.009","DOIUrl":"10.1016/j.rfo.2026.06.009","url":null,"abstract":"<div><div>Cet article met en lumière l’interaction essentielle entre la vision binoculaire, la motricité oculaire et le système vestibulaire dans le maintien de la stabilité posturale et de la perception spatiale. La vision humaine repose sur une activité motrice constante impliquant mouvements oculaires, vergences et réflexes vestibulo-oculaires. Les dysfonctionnements de ce système intégré — tels que les déficits de vergence, les troubles vestibulaires ou les altérations de la perception de profondeur — peuvent entraîner vertiges, instabilité et risque accru de chute, en particulier chez les personnes âgées. Les recherches récentes montrent que les réflexes vestibulo-oculaires sont modulés par la profondeur et les vergences, soulignant l’importance d’une coordination binoculaire dynamique. Les modes de vie modernes, marqués par l’usage intensif des écrans et la réduction des explorations en profondeur, pourraient fragiliser ces mécanismes. Les travaux du CNRS démontrent un lien systématique entre déficits de vergence et vestibulopathies, ainsi que l’efficacité de protocoles de neuro-entraînement pour améliorer posture et stabilité. Ces résultats soutiennent un changement de paradigme vers des approches intégratives et écologiques pour le diagnostic et la prise en charge.</div></div><div><div>This article explores the critical interplay between binocular vision, oculomotor control, and the vestibular system in maintaining postural stability and spatial perception. Human vision is not merely sensory but deeply motor-driven, relying on constant coordination between eye movements, vergence, and vestibulo-ocular reflexes. Disruptions in this integrated system — such as vergence deficits, vestibular dysfunction, or impaired depth perception — can lead to vertigo, instability, and increased fall risk, particularly in older adults. Recent research highlights that vestibulo-ocular reflexes are modulated by depth and vergence, emphasizing the need for dynamic binocular coordination. Modern lifestyles, including prolonged screen exposure and reduced three-dimensional exploration, may further impair these mechanisms. CNRS research shows that vergence deficits are systematically associated with vestibular disorders and that targeted neurotraining improves posture and stability. These findings support a paradigm shift toward integrative, ecological approaches for diagnosis and rehabilitation.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"19 3","pages":"Pages 166-168"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148806704","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}

{"title":"Normes","authors":"Isabelle Comandré (Orthoptiste)","doi":"10.1016/j.rfo.2026.06.016","DOIUrl":"10.1016/j.rfo.2026.06.016","url":null,"abstract":"","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"19 3","pages":"Page 129"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148806696","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}

{"title":"Troubles neurodéveloppementaux : apports de l’oculomotricité dans le dépistage précoce","authors":"Alexis Cheviet","doi":"10.1016/j.rfo.2026.06.008","DOIUrl":"10.1016/j.rfo.2026.06.008","url":null,"abstract":"<div><div>Les divers paradigmes oculomoteurs existants constituent aujourd’hui un atout majeur afin d‘inférer, dans une certaine mesure, l’intégrité de certaines fonctions cognitives. Par leur capacité à produire des mesures objectives sans réponse verbale, leur utilisation dans le cadre d’un dépistage précoce des troubles neurodéveloppementaux (TND) peut s’avérer utile dans l’aide au diagnostic, notamment la dyslexie développementale, le trouble du spectre de l’autisme (TSA) ainsi que le trouble du déficit de l’attention avec ou sans hyperactivité (TDAH).</div></div><div><div>Oculomotor paradigms have emerged as a valuable tool for probing the integrity of specific cognitive functions. Their capacity to provide objective measures independent of verbal responses makes them particularly relevant for the early screening of neurodevelopmental disorders (NDDs), where they can contribute to diagnostic assessment in conditions such as developmental dyslexia, autism spectrum disorder (ASD), and attention deficit hyperactivity disorder (ADHD).</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"19 3","pages":"Pages 163-165"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148806703","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}

{"title":"Prise en soin précoce et oculomotricité : cas clinique","authors":"Dominique Rey-Roussel (Orthoptiste)","doi":"10.1016/j.rfo.2026.06.012","DOIUrl":"10.1016/j.rfo.2026.06.012","url":null,"abstract":"<div><div>L’étude détaillée de l’oculomotricité est une étape essentielle de notre pratique orthoptique. Pour souligner l’intérêt d’étayer cette étude au cours de notre examen, le cas clinique d’un bébé de 7 mois que l’on nommera ici Théo, atteint de paralysie oculomotrice sur hypertension intracrânienne (HTIC) est présenté. Son bilan orthoptique neurovisuel et le plan de prise en soin sont développés.</div></div><div><div>The detailed study of oculomotor function is an essential part of our orthoptic practice. To highlight the importance of supporting this assessment during our examination, we present the clinical case of a 7-month-old infant, here referred to as Theo, suffering from oculomotor palsy secondary to intracranial hypertension (ICH). His neurovisual orthoptic assessment and the care plan are described in detail.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"19 3","pages":"Pages 174-178"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148806706","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}

{"title":"Apport innovant de la réalité virtuelle et de l’eye tracker pour l’amélioration des capacités visuelles dans la DMLA atrophique : cas clinique","authors":"Séverine Crédeville,&nbsp;Luc Jeanjean","doi":"10.1016/j.rfo.2026.06.014","DOIUrl":"10.1016/j.rfo.2026.06.014","url":null,"abstract":"<div><div>Ce cas clinique présente l’utilisation innovante de la réalité virtuelle et de l’eye tracking dans la rééducation orthoptique d’un patient atteint de DMLA atrophique. L’utilisation du dispositif EMAA Pro 2 a permis d’améliorer la fixation, la coordination œil/tête, et la fatigue visuelle. Les résultats suggèrent que cette approche pourrait offrir un outil complémentaire pour la prise en charge basse vision.</div></div><div><div>This clinical case presents the innovative use of virtual reality and eye tracking in the orthoptic rehabilitation of a patient with atrophic AMD. The use of the EMAA Pro 2 device made it possible to improve fixation, eye/head dissociation and tolerance to visual fatigue. The results suggest that this approach could offer a complementary tool for the management of low vision.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"19 3","pages":"Pages 179-184"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148806707","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}

{"title":"Les Assises de l’Orthoptie, Saint-Malo, 20 et 21 mars 2026","authors":"Muriel Amortila (Orthoptiste)","doi":"10.1016/j.rfo.2026.06.001","DOIUrl":"10.1016/j.rfo.2026.06.001","url":null,"abstract":"","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"19 3","pages":"Pages 132-135"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148806698","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}

{"title":"Les séquelles de la fonction visuelle chez les bébés victimes du syndrome du bébé secoué","authors":"Leslie Feugnet (Orthoptiste)","doi":"10.1016/j.rfo.2026.06.015","DOIUrl":"10.1016/j.rfo.2026.06.015","url":null,"abstract":"<div><div>Le syndrome du bébé secoué (SBS) peut provoquer différentes lésions corticales et oculaires qui vont, quant à elles, entraîner des séquelles visuelles graves : cécité corticale, agnosies visuelles, atteintes du champ visuel, ou diverses lésions oculaires. Ces troubles impactent durablement la vie quotidienne et la scolarité des enfants victimes du SBS. Un dépistage de ces séquelles visuelles et une prise en charge adaptée sont nécessaires.</div></div><div><div>Shaken baby syndrome can cause different cortical and ocular lesions. These lesions will lead to serious visual sequelae: cortical blindness, visual agnosia, visual field impairments, or various eye lesions. These disorders have a lasting impact on the daily life and schooling of child victims of SBS. Detection for these visual sequelae and appropriate management are necessary.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"19 3","pages":"Pages 189-192"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148806693","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}

{"title":"Oculomotricité et motricité globale : interactions développementales et perturbations dans le handicap moteur","authors":"Eddy Ammarkhodja (Orthoptiste)","doi":"10.1016/j.rfo.2026.06.005","DOIUrl":"10.1016/j.rfo.2026.06.005","url":null,"abstract":"<div><div>La vision est un processus fondamentalement actif dont l’oculomotricité constitue le premier maillon, guidant la préhension, structurant la posture et conditionnant la marche. Dans la paralysie cérébrale (PC), cette synergie visuomotrice est rompue. Les déficits oculomoteurs, présents chez jusqu’à 98 % des enfants tétraplégiques, compromettent la coordination du geste et fragmentent la perception du mouvement, tandis que l’instabilité posturale contraint le système visuel à une fonction d’équilibration, réduisant sa disponibilité pour l’exploration et les apprentissages. Un cercle dysfonctionnel s’installe alors, dans lequel déficits moteurs, visuels et cognitifs se potentialisent mutuellement. En s’appuyant sur la littérature récente, cet article analyse ces interactions pathologiques et défend une approche rééducative décloisonnée, dans laquelle l’orthoptiste occupe une place centrale pour restaurer le lien fonctionnel entre perception visuelle et action, et permettre ainsi à l’enfant de s’engager activement dans son développement.</div></div><div><div>Vision is a fundamentally active process in which oculomotricity constitutes the first building block, guiding prehension, structuring posture and underpinning gait. In cerebral palsy (CP), this visuomotor synergy is disrupted. Oculomotor deficits, present in up to 98 % of children with tetraplegia, compromise movement coordination and fragment motion perception, while postural instability constrains gaze to a balance regulation function, reducing its availability for exploration and learning. A dysfunctional cycle then develops, in which motor, visual and cognitive deficits mutually reinforce one another. Drawing on recent literature, this article analyses these pathological interactions and advocates for an integrated rehabilitative approach, in which the orthoptist plays a central role in restoring the functional link between visual perception and action, thereby enabling the child to engage actively in their own development.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"19 3","pages":"Pages 143-147"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148807137","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}

{"title":"Apport de l’examen oculomoteur au diagnostic des maladies neurodégénératives","authors":"Giovanni Castelnovo MD,&nbsp;Marie Deverdal MD","doi":"10.1016/j.rfo.2026.06.007","DOIUrl":"10.1016/j.rfo.2026.06.007","url":null,"abstract":"<div><div>L’étude des mouvements oculaires occupe une place importante en neurologie. Les anomalies oculomotrices constituent des marqueurs sensibles des dysfonctionnements cérébraux et renseignent sur les réseaux impliqués dans le contrôle moteur et cognitif. L’exploration clinique et instrumentale de l’oculomotricité représente ainsi un outil utile pour l’évaluation des maladies neurologiques. Dans cette publication, nous proposons une synthèse des principales anomalies oculomotrices observées dans les maladies neurodégénératives les plus fréquentes.</div></div><div><div>Eye movement analysis plays an important role in neurology. Oculomotor abnormalities are sensitive markers of brain dysfunction and provide insight into the neural networks involved in motor and cognitive control. Clinical and instrumental assessment of oculomotor function therefore represents a useful tool for the evaluation of neurological diseases. In this article, we provide a synthesis of the main oculomotor abnormalities observed in the most common neurodegenerative diseases.</div></div>","PeriodicalId":101131,"journal":{"name":"Revue Francophone d'Orthoptie","volume":"19 3","pages":"Pages 137-142"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148806699","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}