B. Katre , Ö. Altıntaş , E. Emre , Z. Şık Sarman , A. Cengiz , M. Kasap , D.K. Yıldız , M. Toprak , B. Yılmaz Tuğan
{"title":"Safety and efficacy of quercetin as an alternative to riboflavin in collagen cross-linking treatment","authors":"B. Katre , Ö. Altıntaş , E. Emre , Z. Şık Sarman , A. Cengiz , M. Kasap , D.K. Yıldız , M. Toprak , B. Yılmaz Tuğan","doi":"10.1016/j.jfo.2025.104667","DOIUrl":"10.1016/j.jfo.2025.104667","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the safety and efficacy of quercetin as an alternative to riboflavin in collagen cross-linking (CXL) treatment.</div></div><div><h3>Methods</h3><div>Australia-New Zealand rabbits (<em>n<!--> </em>=<!--> <!-->60) were divided into four groups: a control group (C group; no UVA exposure), a Tween 20 buffer group (T group; UVA irradiated), a riboflavin group (R group; UVA irradiated with riboflavin), and a quercetin group (Q group; UVA irradiated with quercetin). The corneal tissues were analyzed histologically and biomechanically on days 7 and 42 post-treatment.</div></div><div><h3>Results</h3><div>The biomechanical tests demonstrated a 50% increase in Young's modulus and a 21% increase in tensile strength in the R group compared to controls (<em>P</em> <!--><<!--> <!-->0.05), confirming significant corneal stiffening. In contrast, the Q group showed an 18% increase in Young's modulus, but this was not statistically significant compared to controls (<em>P</em> <!-->><!--> <!-->0.05). Histological analysis revealed no inflammation, corneal edema, or endothelial damage in any group. Keratocyte apoptosis was detected in the anterior stroma of the R and Q groups at day 7, with repopulation occurring by day 42.</div></div><div><h3>Conclusion</h3><div>While quercetin demonstrated some biomechanical effects; its impact on corneal stiffening was significantly lower than that of riboflavin, indicating its inefficacy as a photo-induced cross-linking agent.</div></div><div><h3>Objectif</h3><div>Évaluer l’innocuité et l’efficacité de la quercétine comme alternative à la riboflavine dans le traitement de réticulation du collagène (CXL).</div></div><div><h3>Méthodes</h3><div>Des lapins d’Australie-Nouvelle-Zélande (<em>n<!--> </em>=<!--> <!-->60) ont été divisés en quatre groupes<!--> <!-->: un groupe témoin (groupe<!--> <!-->C; pas d’exposition aux UVA), un groupe tampon Tween 20 (groupe<!--> <!-->T<!--> <!-->; irradié aux UVA), un groupe riboflavine (groupe<!--> <!-->R<!--> <!-->; irradié aux UVA avec de la riboflavine) et un groupe quercétine (groupe<!--> <!-->Q<!--> <!-->; irradié aux UVA avec de la quercétine). Les tissus cornéens ont été analysés histologiquement et biomécaniquement aux jours 7 et 42 après le traitement.</div></div><div><h3>Résultats</h3><div>Les tests biomécaniques ont démontré une augmentation de 50 % du module de Young et une augmentation de 21 % de la résistance à la traction dans le groupe R par rapport aux témoins (<em>p</em> <!-->><!--> <!-->0,05), confirmant un raidissement cornéen significatif. En revanche, le groupe Q a montré une augmentation de 18 % du module de Young, mais celle-ci n’était pas statistiquement significative par rapport aux témoins (<em>p</em> <!-->><!--> <!-->0,05). L’analyse histologique n’a révélé aucune inflammation, œdème cornéen ou atteinte endothéliale dans aucun groupe. Une apoptose des kératocytes a été détectée dans le stroma antérieur des groupes<!--> <","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 9","pages":"Article 104667"},"PeriodicalIF":1.1,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358809","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}
C. Demiot , C. De Sousa , A. Labrunie , A. Danigo , D. Authier , J.M. Delavaud , P.Y. Robert , M. Rocher
{"title":"Descriptive analysis of the knowledge amongst French patients about neovascular age-related macular degeneration as a function of social vulnerability, health literacy and date of diagnosis","authors":"C. Demiot , C. De Sousa , A. Labrunie , A. Danigo , D. Authier , J.M. Delavaud , P.Y. Robert , M. Rocher","doi":"10.1016/j.jfo.2025.104666","DOIUrl":"10.1016/j.jfo.2025.104666","url":null,"abstract":"<div><div>Patient education (PE) programs for patients with neovascular age-related macular degeneration (nAMD) are essential to reduce the disease's impact on quality of life. To establish a PE program for nAMD, a descriptive quantitative study was conducted to (i) describe the population and their knowledge concerning nAMD, (ii) classify patients according to their knowledge of disease, and (iii) their social vulnerability, health literacy and the duration since diagnosis. Socio-demographic data of 100 nAMD patients (70 women and 30 men, 80<!--> <!-->±<!--> <!-->7 years of age) were collected and compared with data on their social vulnerability (simplified EPICES score) and health knowledge (health literacy questionnaire). Patients were classified into three groups according to their knowledge, evaluated with questionnaires including the themes of pathology, information retrieval, treatment, risk factors and self-monitoring. A subgroup analysis of these knowledge profiles was assessed according to social vulnerability, health literacy and duration since diagnosis. False beliefs and lack of knowledge about nAMD were noted in almost 50% of patients. Only 15 patients were familiar with the Amsler grid. Three groups of patients were identified according to their knowledge of disease. No link was found between knowledge levels and health literacy. Patients who did not understand their disease were the most vulnerable, searched for less information, and had the most recent diagnosis. There is a significant need to improve the knowledge of nAMD patients. Social vulnerability, duration since diagnosis and heterogeneity in patient knowledge must be considered when establishing a PE program.</div></div><div><div>Afin d’établir un programme d’éducation thérapeutique du patient (ETP) adapté aux patients atteints de dégénérescence maculaire liée à l’âge néovasculaire (nDMLA), une recherche quantitative descriptive a été menée pour (i) décrire la population et ses connaissances sur la nDMLA, (ii) établir des profils de patients en fonction de leurs connaissances, et (iii) selon leur vulnérabilité sociale, leur littératie en santé et la date du diagnostic. Les données sociodémographiques sur la nDMLA, la vulnérabilité sociale et les compétences en santé ont été relevées chez 100 patients. L’évaluation des connaissances a été réalisée à l’aide d’un hétéro-questionnaire sur les thèmes : pathologie, recherche d’informations, traitements, facteurs de risque et autosurveillance. L’établissement des profils de patients selon leurs connaissances s’est fait à partir d’une analyse des correspondances multiples suivie d’une classification ascendante hiérarchique. Une analyse descriptive des profils en sous-groupe a été réalisée en fonction de la vulnérabilité sociale, des compétences en santé et de la date du diagnostic. De fausses croyances et un manque de connaissance ont été relevés chez près de la moitié des patients. Seuls 15 patients connaissaient la grille d’Ams","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 9","pages":"Article 104666"},"PeriodicalIF":1.1,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358808","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":"Application of telemedicine in emergency ophthalmology – A scoping review","authors":"R. Woś , D. Sys","doi":"10.1016/j.jfo.2025.104669","DOIUrl":"10.1016/j.jfo.2025.104669","url":null,"abstract":"<div><div>This scoping review addresses the rising demand for efficient emergency eye care by exploring telemedicine applications in ophthalmology. It aims to uncover benefits, challenges, and implications, contributing to evidence-based guidelines for integrating telemedicine into emergency ophthalmology practice. Following the PRISMA-ScR framework, this review utilizes customized search strategies on PubMed, ScienceDirect, and the Cochrane Library. Eligibility criteria focus on articles related to “Telemedicine Applications in Emergency Ophthalmology” published in English between 2015 and 2023, with thematic analysis ensuring a comprehensive synthesis of information. The synthesis reveals a surge in telemedicine use, notably video consultations, improving timely and efficient emergency eye care. Optometrists and ophthalmologists play pivotal roles beyond referrals, enhancing accessibility in underserved regions. Teleophthalmology proves promising for emergency eye care, offering improved accessibility and effectiveness. Despite clinical benefits, understanding complete efficacy and addressing challenges such as privacy concerns are crucial for optimal integration.</div></div><div><div>Cette revue de portée examine la demande croissante de soins ophtalmologiques d’urgence efficaces en explorant les applications de la télémédecine en ophtalmologie. Elle vise à identifier les avantages, les défis et les implications, contribuant ainsi à l’élaboration de recommandations fondées sur des preuves pour l’intégration de la télémédecine dans la pratique ophtalmologique d’urgence. Conformément au cadre PRISMA-ScR, cette revue applique des stratégies de recherche personnalisées sur PubMed, Science Direct et la Cochrane Library. Les critères d’éligibilité portent sur les articles en anglais publiés entre 2015 et 2023 traitants des « applications de la télémédecine en ophtalmologie d’urgence », avec une analyse thématique garantissant une synthèse complète des informations. Les résultats mettent en évidence une adoption croissante de la télémédecine, notamment des consultations vidéo, qui améliorent la rapidité et l’efficacité des soins d’urgence en ophtalmologie. Les optométristes et les ophtalmologistes jouent un rôle essentiel au-delà des simples orientations, contribuant à améliorer l’accessibilité, en particulier, dans les régions mal desservies. La téléophtalmologie apparaît comme une approche prometteuse pour les soins ophtalmologiques d’urgence, offrant une meilleure accessibilité et une efficacité accrue. Cependant, malgré ses bénéfices cliniques, une évaluation plus approfondie de son efficacité et la prise en compte de défis tels que les préoccupations liées à la confidentialité, sont essentielles pour une intégration optimale.</div></div>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 9","pages":"Article 104669"},"PeriodicalIF":1.1,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358810","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":"Visual performance of a non-diffractive extended depth of focus intraocular lens","authors":"F.-X. Crahay","doi":"10.1016/j.jfo.2025.104651","DOIUrl":"10.1016/j.jfo.2025.104651","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the monocular and binocular visual performance of a new non-diffractive extended depth of focus (EDoF) intraocular lens (IOL).</div></div><div><h3>Methods</h3><div>In this prospective, non-randomized, single-arm, single-center, open-label study, the eyes of consecutive patients who received bilateral implantation of a non-diffractive EDoF IOL (Acrysof IQ Vivity, Alcon Laboratories) were evaluated. Monocular and binocular best corrected and uncorrected distance, intermediate, and near visual acuity (VA), as well as monocular defocus curve and contrast sensitivity, were assessed.</div></div><div><h3>Results</h3><div>Seventy-six eyes of 38 patients were included. The mean subjective spherical equivalent was −0.13. Binocular distance-corrected VA was −0.16 LogMAR at 6 meters, 0.12 LogMAR at 66 centimeters, and 0.35 LogMAR at 40 centimeters. Monocular distance-corrected VA was −0.10 LogMAR, 0.20 LogMAR, and 0.45 LogMAR at the same respective distances. Uncorrected VA at distance, intermediate, and near were −0.08 LogMAR, 0.14 LogMAR, and 0.33 LogMAR for binocular vision, and 0.00 LogMAR, 0.20 LogMAR, and 0.43 LogMAR for monocular vision. The monocular defocus curve was below 0.08 LogMAR up to −1.5 D defocus and below 0.25 LogMAR up to −2.0 D defocus. Average monocular contrast sensitivity peaked at 3.00 cycles/degree at 0.92 log units, decreasing at higher spatial frequencies. Most patients reported no visual disturbances post-implantation; 8% reported ghosting, and 5% reported glare.</div></div><div><h3>Conclusion</h3><div>This non-diffractive extended depth of focus intraocular lens provides good visual acuity and quality at far and intermediate distances, functional near vision, and high spectacle-independent outcomes with minimal visual disturbances.</div></div><div><h3>Objectif de l’étude</h3><div>L’étude visait à évaluer les performances visuelles monoculaires et binoculaires d’une nouvelle lentille intraoculaire (LIO) non diffractive à profondeur de champ étendue (EDoF).</div></div><div><h3>Méthodes</h3><div>Dans cette étude prospective, non randomisée, monocentrique et ouverte, les yeux de patients consécutifs ayant reçu une implantation bilatérale d’une LIO EDoF non diffractive (<em>Acrysof IQ Vivity, Alcon Laboratories</em>) ont été évalués. L’acuité visuelle (AV) monoculaire et binoculaire, corrigée et non corrigée, de loin, à distance intermédiaire et de près, ainsi que la courbe de défocalisation monoculaire et la sensibilité aux contrastes ont été évaluées.</div></div><div><h3>Résultats</h3><div>Soixante-seize yeux de 38 patients ont été inclus. L’équivalent sphérique subjectif moyen était de −0,13. L’AV corrigée de la distance binoculaire était de −0,16 LogMAR à 6 mètres, de 0,12 LogMAR à 66 centimètres et de 0,35 LogMAR à 40 centimètres. L’AV monoculaire corrigée de la distance était de −0,10 LogMAR, 0,20 LogMAR et 0,45 LogMAR aux mêmes distances. L’AV non corrigée à distance, à di","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 9","pages":"Article 104651"},"PeriodicalIF":1.1,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145359519","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}
S. del-Pozo-Lérida , J. Boldú-Roig , L. Miguel-Escuder , A. Moll-Udina , M. Sánchez-Valera , M. Morató , M. Hereu , V. Llorenç , A. Adán
{"title":"Clinical utility of ultra-widefield indocyanine green angiography in posterior uveitis","authors":"S. del-Pozo-Lérida , J. Boldú-Roig , L. Miguel-Escuder , A. Moll-Udina , M. Sánchez-Valera , M. Morató , M. Hereu , V. Llorenç , A. Adán","doi":"10.1016/j.jfo.2025.104664","DOIUrl":"10.1016/j.jfo.2025.104664","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe the ultrawide-field indocyanine green angiography (UWF-ICGA) findings in a cohort of patients with uveitis and analyze the potential advantages of ultrawide-field angiography.</div></div><div><h3>Methods</h3><div>An observational, retrospective, single-center study was conducted. All patients with posterior uveitis or panuveitis who underwent UWF-ICGA at Hospital Clínic de Barcelona (Spain) were included. Images were reviewed by three different ophthalmologists and graded based on the Tugal-Tukun score, with particular attention to peripheral findings.</div></div><div><h3>Results</h3><div>Forty patients (79 eyes) were included. The mean age was 52 years; twenty-nine were female (72.5%). The most frequent uveitis etiology was birdshot chorioretinopathy. Peripheral findings were found in 25 patients (62.5%). The most frequent finding was hypofluorescent dark dots (40 eyes, 50.6%) followed by early stromal vessel hyperfluorescence (32 eyes, 40.5%). Tugal-Tutkun scoring was between 0 and 3 in 20 patients (50%), corresponding to the clinical activity of the uveitis at that time. Two patients showed subclinical lesions in the fellow eye on UWF-ICGA that were not apparent on funduscopic examination. Immunosuppressive treatment was initiated based on the ICGA findings in these patients. In seven patients (17.5%), UWF-ICGA directly influenced the diagnosis and therapeutic management.</div></div><div><h3>Conclusion</h3><div>Ultra-wide field systems allow detection of peripheral lesions that could go unnoticed with conventional imaging systems. In our cohort, clinical uveitis activity generally correlated with the Tugal-Tutkun angiographic score. UWF-ICGA is a useful tool for the diagnosis and follow-up of uveitis. It can be useful for making therapeutic decisions in some patients.</div></div><div><h3>Objectif</h3><div>Décrire les observations de l’angiographie au vert d’indocyanine ultra-grand champ (UWF-ICGA) dans une cohorte de patients atteints d’uvéite et analyser les avantages potentiels du champ ultra-large.</div></div><div><h3>Méthodes</h3><div>Une étude observationnelle, rétrospective et monocentrique a été réalisée. Tous les patients atteints d’uvéite postérieure ou de panuvéite ayant subi une UWF-ICGA à l’Hôpital Clinique de Barcelone (Espagne) ont été inclus. Les images ont été examinées par trois ophtalmologistes différents et notées selon le score de Tugal-Tutkun, en portant une attention particulière aux observations périphériques.</div></div><div><h3>Résultats</h3><div>Quarante patients (79 yeux) ont été inclus. L’âge moyen était de 52 ans, vingt-neuf patients étaient des femmes (72,5 %). L’étiologie de l’uvéite la plus fréquente était la choriorétinopathie Birdshot. Des observations périphériques ont été relevées chez 25 patients (62,5 %). L’observation la plus fréquente était celle de points sombres hypofluorescents (40 yeux, 50,6 %), suivie par une hyperfluorescence vasculaire stromale précoce (32 yeu","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 9","pages":"Article 104664"},"PeriodicalIF":1.1,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145359520","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}
M Caminal-Caramés, J Crespí Vilimelis, J I Vela Segarra, A Saladrigas Pernias, S Conversa
{"title":"Sutureless scleral fixation of intraocular lenses in microspherophakia: The Yamane technique.","authors":"M Caminal-Caramés, J Crespí Vilimelis, J I Vela Segarra, A Saladrigas Pernias, S Conversa","doi":"10.1016/j.jfo.2025.104668","DOIUrl":"https://doi.org/10.1016/j.jfo.2025.104668","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145354765","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":"[One-year follow-up of an anterior corneal stromal reaction after SLT for exfoliative glaucoma].","authors":"B Richard, C Shan, T Gaboriau, S Simonpoli","doi":"10.1016/j.jfo.2025.104654","DOIUrl":"https://doi.org/10.1016/j.jfo.2025.104654","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145312852","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}
W. Walha , M. Sehli , I. Kaibi , W. Ayedi , M. Belguith , S. Ben Amor , A. Trigui
{"title":"Plaies oculaires pénétrantes de l’enfant : profil clinique et impact psychosocial dans le sud tunisien","authors":"W. Walha , M. Sehli , I. Kaibi , W. Ayedi , M. Belguith , S. Ben Amor , A. Trigui","doi":"10.1016/j.jfo.2025.104665","DOIUrl":"10.1016/j.jfo.2025.104665","url":null,"abstract":"<div><h3>Introduction</h3><div>Les plaies oculaires pénétrantes chez l’enfant posent un problème de santé publique par leur fréquence, gravité et impact psychosocial. Cette étude décrit le profil clinique et psychosocial de ces traumatismes chez des enfants du sud tunisien et identifie les facteurs de mauvais pronostic.</div></div><div><h3>Patients et méthodes</h3><div>Nous avons réalisé une étude rétrospective sur 86 enfants hospitalisés pour une plaie oculaire pénétrante au CHU Habib Bourguiba de Sfax (janvier 2015–décembre 2021). Les données démographiques, cliniques et les modalités de traitement ont été recueillies, ainsi que l’impact sur la qualité de vie via deux échelles psychométriques.</div></div><div><h3>Résultats</h3><div>Nos patients, âgés en moyenne de 7,21 ans, présentent un sexe ratio de 2,44. Les traumatismes, toujours unilatéraux (57 % OD), surviennent souvent en été et le week-end. La cornée est atteinte dans 91,9 % des cas, avec une taille de plaie moyenne de 6,24<!--> <!-->mm. L’hernie de l’iris et la cataracte traumatique sont les lésions associées les plus fréquentes. Les patients ont été opérés en urgence, avec un délai moyen de 15<!--> <!-->heures. Lors du suivi, 40,7 % des patients présentaient une amblyopie profonde, définie par une acuité visuelle finale (AVF) ≤<!--> <!-->1/10, seuil retenu pour caractériser un mauvais pronostic fonctionnel. Les facteurs de mauvais pronostic incluent l’acuité visuelle initiale (AVI) faible ≤<!--> <!-->1/10, l’atteinte de l’axe visuel, la taille<!--> <!-->><!--> <!-->5<!--> <!-->mm, l’athalamie, l’hyphéma, la cataracte traumatique, l’atteinte du segment postérieur et le recours à des interventions chirurgicales supplémentaires. L’impact psychosocial, notamment émotionnel, était significatif, plus important que l’impact physique. 14,5 % des patients avaient un état de stress post-traumatique grave nécessitant un suivi pédopsychiatrique.</div></div><div><h3>Conclusion</h3><div>Une prise en charge multidisciplinaire est nécessaire pour ces enfants. Cependant, la prévention reste le pilier le plus important de lutte contre ces incidents.</div></div><div><h3>Introduction</h3><div>Penetrating ocular injuries in children are a public health issue due to their frequency, severity, and psychosocial impact. This study describes the clinical and psychosocial profile of such injuries in children from southern Tunisia and identifies poor prognostic factors.</div></div><div><h3>Patients and methods</h3><div>We conducted a retrospective study of 86 children hospitalized for penetrating ocular injuries at Habib Bourguiba University Hospital in Sfax from January 2015 to December 2021. Demographic, clinical, and treatment data were collected, as well as impact on quality of life as measured using two validated psychometric scales.</div></div><div><h3>Results</h3><div>The mean age of the patients was 7.21 years, with a male-to-female ratio of 2.44. All injuries were unilateral, with 57% affecting the r","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 9","pages":"Article 104665"},"PeriodicalIF":1.1,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308122","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}