Journal Francais D Ophtalmologie最新文献

{"title":"Rare pediatric coexistence of combined hamartoma of the retina and retinal pigment epithelium and Coats' disease: Clinical course, imaging, and management.","authors":"B Azarkan, R El Hachimi, Z Hilali, L Sbai, S Benchekroun, A Amazouzi, N Boutimzine, L O Cherkaoui","doi":"10.1016/j.jfo.2026.104963","DOIUrl":"https://doi.org/10.1016/j.jfo.2026.104963","url":null,"abstract":"<p><strong>Purpose: </strong>To report a rare pediatric case of juxtapapillary combined hamartoma of the retina and retinal pigment epithelium (CHRRPE) with superimposed peripheral Coats lesions, highlighting multimodal imaging and stepwise management.</p><p><strong>Methods: </strong>A 10-year-old boy with CHRRPE and peripheral Coats lesions was managed with targeted laser photocoagulation, followed by intravitreal anti-VEGF injection for persistent exudation. Multimodal imaging, including OCT, OCTA, and fluorescein angiography, guided diagnosis and treatment.</p><p><strong>Results: </strong>Two-year follow-up demonstrated stable retinal lesions, preserved visual function, and absence of vitreoretinal traction or neovascular glaucoma. Multimodal imaging allowed differentiation of overlapping lesions and guided selective intervention.</p><p><strong>Conclusion: </strong>This case illustrates the importance of individualized, stepwise management in complex pediatric retinal disorders and the critical role of multimodal imaging in guiding treatment.</p>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"49 8","pages":"104963"},"PeriodicalIF":1.0,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890963","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}

{"title":"[Streptococcus-A preseptal necrotizing fasciitis: A series of 10 cases and management recommendations].","authors":"G Naux, N Ben Miloud, M Penven, B Menardais, V Cattoir, F Mouriaux","doi":"10.1016/j.jfo.2026.104965","DOIUrl":"https://doi.org/10.1016/j.jfo.2026.104965","url":null,"abstract":"<p><strong>Introduction: </strong>We observed a marked increase in cases of preseptal necrotizing fasciitis over the course of a single year. While only one case had been recorded between 2016 and 2021, nine additional cases were managed between 2022 and 2023 at Rennes University Hospital.</p><p><strong>Materials and methods: </strong>We conducted a retrospective study including all cases of preseptal necrotizing fasciitis managed at our institution between 2016 and 2024. Clinical, microbiological, surgical, and outcomes data were analyzed. A review of the literature was also performed to propose an appropriate management strategy for these infections.</p><p><strong>Results: </strong>Since 2016, ten cases were identified. All were caused by virulent strains of Streptococcus pyogenes (group A Streptococcus), with genotypes emm1, emm1.3, and emm82. The mean patient age was 41 years, and most patients had few or no risk factors. The marked increase in incidence observed in 2023 appears to correlate with the post-pandemic resurgence of invasive streptococcal infections. Fifty percent of patients initially treated with incision and drainage with packing required repeat surgery within 24hours due to clinical deterioration. Following dermal debridement, upper eyelid retraction threatening corneal integrity was observed by the end of the second week in all cases, necessitating management with full-thickness skin grafting.</p><p><strong>Discussion: </strong>Recent epidemiological changes suggest that any case of preseptal necrotizing fasciitis should be considered a potential invasive group A Streptococcus infection. This warrants modifications in clinical practice, including empirical antibiotic therapy with clindamycin, patient contact isolation, case investigation, and antibiotic prophylaxis for close contacts. The conservative debridement technique described in this article achieved infection control in 100% of cases while limiting surgical morbidity. Healing by secondary intention may be considered in rare cases where the dermis is preserved. Reconstruction with full-thickness skin grafting combined with temporary tarsorrhaphy on postoperative day 15 appears to provide the best functional and aesthetic outcomes while minimizing corneal complications.</p><p><strong>Conclusion: </strong>This series highlights a recent shift in the epidemiology of preseptal necrotizing fasciitis, supporting the consideration of any new case as a potentially invasive and transmissible group A Streptococcus infection with significant public health implications. This situation calls for adaptation of clinical practices.</p>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"49 8","pages":"104965"},"PeriodicalIF":1.0,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890808","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}

{"title":"[Localized eyelid amyloidosis: A rare cause of recurrent ptosis].","authors":"M Saadaoui, A Devlieger, N A P Tran","doi":"10.1016/j.jfo.2026.104967","DOIUrl":"https://doi.org/10.1016/j.jfo.2026.104967","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"49 8","pages":"104967"},"PeriodicalIF":1.0,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887315","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}

{"title":"Encircling band without retinopexy in Sub-Saharan African patients with primary retinal detachment, unvisualized breaks, and no posterior vitreous detachment.","authors":"J Toma, S El-Khoury, L Uwemeye, D Ngabo, E Nziyomaze, T Tuyisabe, A B Sallam, M A Mikhail","doi":"10.1016/j.jfo.2026.104957","DOIUrl":"https://doi.org/10.1016/j.jfo.2026.104957","url":null,"abstract":"<p><strong>Purpose: </strong>To report anatomical success rates and functional outcomes of 360-degree scleral buckling without retinopexy for cases of primary rhegmatogenous retinal detachment in Sub-Saharan African patients with undetectable retinal breaks and no posterior vitreous detachment.</p><p><strong>Design: </strong>This is a retrospective, consecutive, interventional case series.</p><p><strong>Methods: </strong>Surgery consisted of placing a narrow encircling band with 4 scleral belt loops 16mm posterior to the limbus. The band was then tightened, aiming for a 10-mm shortening of the buckle.</p><p><strong>Results: </strong>A total of 19 eyes of 18 patients were included. The mean age at presentation was 40.2±19.8 years (range: 8-70). The mean follow-up was 17.3±8.8 months. Seventy-five percent of eyes were phakic, 15% were pseudophakic, and 10% were aphakic. At 2 months, 79% of eyes had full anatomical re-attachment with one surgery. Four eyes had persistent retinal detachment following surgery and underwent pars plana vitrectomy and silicone oil tamponade. After repeated surgery, the final re-attachment rate, excluding cases with silicone oil in situ, rose to 84%. Mean postoperative vision improved from 1.9±0.3 logMAR to 0.9±0.4 logMAR. Complications were mainly related to subretinal fluid drainage, consisting of one case with vitreous hemorrhage and another with subretinal hemorrhage.</p><p><strong>Conclusion: </strong>Primary encircling band surgery is a feasible option with an acceptable single-operation success rate for primary retinal detachment with undetectable breaks and no posterior vitreous detachment when primary vitrectomy surgery is expected to be difficult.</p>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"49 8","pages":"104957"},"PeriodicalIF":1.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880370","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}

{"title":"Pigment epithelium detachment without pigment epithelium: Longitudinal evolution over 12 years in a CRSC.","authors":"M El Barkani, H Benmoussa, C Khodriss, M El Bahloul, E Bousquet","doi":"10.1016/j.jfo.2026.104964","DOIUrl":"https://doi.org/10.1016/j.jfo.2026.104964","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"49 8","pages":"104964"},"PeriodicalIF":1.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880284","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}

{"title":"Acute idiopathic maculopathy. Report of five cases.","authors":"J L Sánchez-Vicente, J V Guijarro-Ambel, M Portillo-Martínez, E Cosano-Palma, E M Gámez-Jiménez, P Rodríguez-Varillas, A González-Acosta, B Gonzalez Jáuregui-López, M E Mantrana-Bermejo, A Moruno-Rodríguez, F López-Herrero","doi":"10.1016/j.jfo.2026.104970","DOIUrl":"https://doi.org/10.1016/j.jfo.2026.104970","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the clinical features, multimodal imaging findings, and follow-up of five patients with acute idiopathic maculopathy.</p><p><strong>Methods: </strong>This was a retrospective study including five patients diagnosed with acute idiopathic maculopathy. Clinical variables assessed included age, sex, presenting symptoms, ophthalmological examination of both eyes including visual acuity, funduscopic findings and diagnostic tests (optical coherence tomography, optical coherence tomography angiography, autofluorescence and fluorescein angiography). Treatment received and disease course were also documented.</p><p><strong>Results: </strong>Five patients were included in the study (three male and two female) with a mean age of 37.2 years (range, 13-57years). All patients presented with a sudden decrease in visual acuity. The most characteristic funduscopic finding was a yellowish-gray macular lesion; small satellite lesions were observed in all patients, and fellow eye involvement was observed in three patients. SD-OCT demonstrated disruption of the outer retinal layers; FAF showed variable autofluorescence, hypo- and/or hyperautofluorescence; OCT-A revealed reduced choriocapillaris flow signal in the early stages with subsequent recovery; and FAF demonstrated initial hypofluorescence followed by irregular hyperfluorescence over time.</p><p><strong>Conclusions: </strong>Acute idiopathic maculopathy is an entity with a favorable prognosis, characterized by partial recovery of affected structures. Initially described as a unilateral disease, there are bilateral and multifocal forms that should be considered.</p>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"49 8","pages":"104970"},"PeriodicalIF":1.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880330","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}

{"title":"[Safety and efficacy of gonioscopy-assisted transluminal trabeculotomy (GATT) - A single-center retrospective study].","authors":"M Sfaxi, J-C Quintyn, J Munschi, J Legeai, A Miguel","doi":"10.1016/j.jfo.2026.104968","DOIUrl":"https://doi.org/10.1016/j.jfo.2026.104968","url":null,"abstract":"<p><p>Glaucoma is a major cause of irreversible blindness worldwide. Many glaucoma patients will require surgical intervention during their lifetime, and traditional surgery carries risks and a significant failure rate. Transluminal trabeculotomy assisted by gonioscopy (GATT) is a minimally invasive glaucoma surgery aimed at reducing complication rates while lowering intraocular pressure. GATT is indicated for the treatment of primary and secondary open-angle glaucoma in adults and children. It is particularly suitable for cases involving secondary trabecular meshwork alterations, such as uveitic glaucoma, pseudoexfoliative glaucoma, and pigmentary glaucoma, among others. We describe a literature review and a retrospective case series of 37 eyes that underwent GATT. Mean preoperative IOP was approximately 20mmHg, decreasing significantly to 14.6mmHg at 6 months and to approximately 15mmHg at 12 months postoperatively. Surgical success, defined as a ≥ 20% reduction in intraocular pressure compared with the preoperative value, without severe complications or the need for secondary glaucoma surgery, was 99.83% at 6 months and 94.81% at 12 months. These results confirm the effectiveness of GATT in routine clinical practice, with a favorable safety profile and preservation of the conjunctiva for potential future surgical interventions, in agreement with previously published studies reporting success rates ranging from 46% at 18 months to 89% at 2 years, and approximately 75% at 3 years.</p>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"49 8","pages":"104968"},"PeriodicalIF":1.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880362","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}

{"title":"[Adult gonococcal keratoconjunctivitis: Report of two cases].","authors":"L J V Eriga, A H Y Yonli, P Biyie-Bi Ngoghe, E Mve Mengome, A D Abayi Mouinga","doi":"10.1016/j.jfo.2026.104969","DOIUrl":"https://doi.org/10.1016/j.jfo.2026.104969","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"49 8","pages":"104969"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148874071","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}

{"title":"[Unexpected complication following deep lateral orbital decompression with a diamond burr].","authors":"Y Jean-Baptiste, A Martel","doi":"10.1016/j.jfo.2026.104966","DOIUrl":"https://doi.org/10.1016/j.jfo.2026.104966","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"49 8","pages":"104966"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148874089","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}

{"title":"Outcomes of 3-mm lacrimal balloon dilation in post-DCR common canalicular mucosal stenosis: A minimally invasive recovery approach.","authors":"M Callet, L Stork, P V Jacomet","doi":"10.1016/j.jfo.2026.104962","DOIUrl":"https://doi.org/10.1016/j.jfo.2026.104962","url":null,"abstract":"<p><strong>Purpose: </strong>Failure of external dacryocystorhinostomy (DCR) may result from proximal mucosal stenosis involving the common canaliculus. This study describes a 3mm lacrimal balloon dilation technique for this indication and evaluates outcomes.</p><p><strong>Methods: </strong>This retrospective study included 21 patients with persistent epiphora after external DCR. All cases showed common canalicular mucosal stenosis on dacryo-CT and a well-positioned osteotomy. A 3mm single use lacrimal balloon was advanced through the canaliculus and inflated twice for 90seconds at 10 to 12 pounds per square inch (PSI) under direct or endoscopic visualization. All patients underwent silicone intubation with a monocanalicular or bicanalicular stent for two months. Functional success was defined as resolution of epiphora and a positive nasopharyngeal irrigation test.</p><p><strong>Results: </strong>Functional success was achieved in 16 of 21 patients (76%). Complications included four lacrimal punctal lacerations and one canalicular obstruction. No difference in complication rates was observed between stent types. Endoscopic visualization confirmed balloon positioning and effective dilation of the mucosal ostium.</p><p><strong>Conclusion: </strong>Three-millimeter lacrimal balloon dilation is a reproducible, minimally invasive option for isolated mucosal stenosis of the common canaliculus after failed external DCR. It may be considered an intermediate option before revision of the DCR when the osteotomy is anatomically adequate.</p>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"49 8","pages":"104962"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148874099","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}