{"title":"Ophthalmic artery occlusion following a branch retinal artery occlusion in a patient with carotid stenosis","authors":"D. Zhu , K. Patel , M. Bouaziz , R. Lieberman","doi":"10.1016/j.jfo.2025.104557","DOIUrl":"10.1016/j.jfo.2025.104557","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 7","pages":"Article 104557"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132321","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. Ben Addou Idrissi, M. Karrat, H. Moutei, A. Bennis, F. Chraibi, M. Abdellaoui, I. Benatiya Andaloussi
{"title":"When the mind shadows the vision: A case of solar retinopathy in a patient with psychosis","authors":"S. Ben Addou Idrissi, M. Karrat, H. Moutei, A. Bennis, F. Chraibi, M. Abdellaoui, I. Benatiya Andaloussi","doi":"10.1016/j.jfo.2025.104619","DOIUrl":"10.1016/j.jfo.2025.104619","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104619"},"PeriodicalIF":1.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144913909","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}
A.-A. Benyoussef , M. Coquelet , P. Saliou , B. Cochener
{"title":"Incidence and risk factors for retinal detachment following implantation with a multifocal or EDOF IOL: A 15-year follow-up","authors":"A.-A. Benyoussef , M. Coquelet , P. Saliou , B. Cochener","doi":"10.1016/j.jfo.2025.104625","DOIUrl":"10.1016/j.jfo.2025.104625","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the incidence and risk factors for retinal detachment following multifocal IOL implantation, and to assess its management.</div></div><div><h3>Setting</h3><div>Ophthalmology Department, Morvan Hospital, University Hospital of Brest, France.</div></div><div><h3>Design</h3><div>Retrospective cohort.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed eyes that had undergone refractive cataract surgery (multifocal or EDOF IOL) from January 2006 to July 2023 at Brest University Hospital. An analytical study was carried out to identify factors influencing the occurrence of retinal detachment (RD). Hazard ratios were calculated using the Cox model.</div></div><div><h3>Results</h3><div>Of the 1682 eyes followed for 6 to 207 months, 26 RDs occurred, i.e., 1.55%. The<!--> <!--><<!--> <!-->55-year-old population with an axial length (AL)<!--> <!-->><!--> <!-->25<!--> <!-->mm was at greater risk of RD, with HRs of 5.13 (95% CI, 1.07–24.52) and 6.05 (95% CI, 1.36–27.61) respectively. Similarly, posterior capsular rupture increased the risk, with a HR of 9.96 (95% CI, 3.70–26.82). No explantation was required after the retinal detachment surgery.</div></div><div><h3>Conclusion</h3><div>Cataract surgery has now become refractive surgery, with the goal of spectacle independence. We show that eyes of young, highly myopic, presbyopic patients are exposed to a greater risk of retinal detachment, and we identify two considerations that should be included in patient selection: axial length<!--> <!-->><!--> <!-->25<!--> <!-->mm and age<!--> <!--><<!--> <!-->55 years.</div></div><div><h3>Objectif</h3><div>Déterminer l’incidence et les facteurs de risque de décollement de rétine après l’implantation de lentilles multifocales et évaluer leur prise en charge.</div></div><div><h3>Lieu</h3><div>Service d’ophtalmologie, hôpital Morvan, centre hospitalier universitaire (CHU) de Brest, France.</div></div><div><h3>Conception</h3><div>Cohorte rétrospective.</div></div><div><h3>Méthodes</h3><div>Nous avons suivi de manière rétrospective les yeux ayant subi une chirurgie de la cataracte réfractive (implant LIO multifocal ou EDOF) entre janvier 2006 et juillet 2023 au CHU de Brest. Une étude analytique a été réalisée pour identifier les facteurs influençant la survenue d’un décollement de rétine (DR). Les ratios de risque (HR) ont été calculés à l’aide du modèle de Cox.</div></div><div><h3>Résultats</h3><div>Parmi les 1682 yeux suivis sur une période de 5 à 207 mois, 26 décollements de rétine (DR) ont été observés, soit une incidence de 1,55 %. La population âgée de moins de 55 ans et présentant une longueur axiale (LA)<!--> <!-->><!--> <!-->25<!--> <!-->mm était exposée à un risque accru de DR, avec un HR de 5,13 (IC 95 %, 1,07–24,52) et de 6,05 (IC 95 %, 1,36–27,61), respectivement. De même, la rupture capsulaire postérieure augmentait le risque de DR, avec un HR de 9,96 (IC 95 %, 3,70–26,82). Aucune explantation","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104625"},"PeriodicalIF":1.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904317","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":"Corneal intrastromal silicone injection in severe corneal decompensation as a last resort for pain management: A case series","authors":"M. Rizk , J. Bijon , D. Gatinel , C. Panthier","doi":"10.1016/j.jfo.2025.104626","DOIUrl":"10.1016/j.jfo.2025.104626","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe a surgical approach to treating painful bullous keratopathy using an intracorneal silicone bubble in patients with poor visual potential.</div></div><div><h3>Methods</h3><div>Two eyes of two patients with painful bullous keratopathy are presented in this paper. The surgical technique consists of two steps. First, a corneal stromal pocket is created using the femtosecond laser. Then, an intrastromal bubble of heavy silicone is injected into this corneal pocket. The pocket is then tightly sutured with a nylon suture. Care must be taken to inject an adequate size silicone bubble that is big enough to relieve the epithelial edema and pain while sparing enough corneal tissue to allow proper corneal nutrition and prevent corneal ischemia.</div></div><div><h3>Results</h3><div>The intrastromal corneal silicone bubble was successful in stopping the hydration of the cornea around the silicone bubble thus relieving the ocular pain in both patients. Pain control and the intrastromal silicone bubble remain stable with up to one year of follow-up.</div></div><div><h3>Conclusions</h3><div>Intrastromal injection of a silicone bubble is a safe technique that can reduce corneal edema and relieve ocular pain in bullous keratopathy.</div></div><div><h3>Objectif</h3><div>Décrire une approche chirurgicale pour le traitement de la kératopathie bulleuse douloureuse en utilisant une bulle de silicone intracornéenne chez des patients ayant un faible potentiel visuel.</div></div><div><h3>Méthodes</h3><div>Deux yeux de deux patients atteints de kératopathie bulleuse douloureuse sont décrits dans ce papier. La technique chirurgicale présentée se déroule en deux étapes. Tout d’abord, une poche stromale cornéenne est créée à l’aide d’un laser femtoseconde. Ensuite, une bulle de silicone lourde est injectée à l’intérieur de cette poche cornéenne. La poche est ensuite suturée à l’aide d’un fil de nylon. Il est essentiel d’injecter une bulle de silicone d’une taille appropriée, suffisamment grande afin de soulager l’œdème épithélial et la douleur, tout en préservant suffisamment de tissu cornéen pour assurer une nutrition adéquate de la cornée et prévenir l’ischémie cornéenne.</div></div><div><h3>Résultats</h3><div>L’injection intrastromale de la bulle de silicone a permis d’arrêter l’hydratation de la cornée autour des bulles épithéliales, réduisant ainsi la douleur oculaire chez nos deux patients. La gestion de la douleur et la stabilité de la bulle de silicone intracornéenne ont été maintenues jusqu’à un an de suivi.</div></div><div><h3>Conclusion</h3><div>L’injection intrastromale d’une bulle de silicone est une technique permettant de réduire l’œdème cornéen et de soulager la douleur oculaire dans la kératopathie bulleuse.</div></div>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104626"},"PeriodicalIF":1.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904316","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}
B. Campos-Casas, J.L. Tovilla-Canales, O. Olvera-Morales, L. Garnica-Hayashi, J.M. Schiappapietra-Gerez, E. Castillo, Á. Nava-Castañeda
{"title":"Comparative study of safety and efficacy of closed dacryointubation vs. bicanalicular intubation in the treatment of upper tear duct obstruction in adult patients","authors":"B. Campos-Casas, J.L. Tovilla-Canales, O. Olvera-Morales, L. Garnica-Hayashi, J.M. Schiappapietra-Gerez, E. Castillo, Á. Nava-Castañeda","doi":"10.1016/j.jfo.2025.104624","DOIUrl":"10.1016/j.jfo.2025.104624","url":null,"abstract":"<div><h3>Purpose</h3><div>Upper lacrimal duct obstruction (ULDO) is defined as obstruction or stenosis at the level of the lacrimal puncta, lacrimal canaliculi and/or common canaliculus. Among the alternatives available for its treatment are the placements of lacrimal point plugs, closed dacryointubation with Crawford tube (CDI), conjunctivodacryocystorhinostomy (CJDCR) and bicanalicular intubation (BI). In this study, we compared patency, tearing symptomatology, and postoperative complications between bicanalicular intubation with the autostable bicanaliculus intubation set II (ABI) device and standard treatment (CDI) for the treatment of patients with ULDO.</div></div><div><h3>Methods</h3><div>Thirty-one patients<!--> <!-->><!--> <!-->18 years old with stenosis or obstruction of the ULD system and epiphora<!--> <!-->><!--> <!-->2 points on the Munk scale, with no previous surgery, were included and randomized using the balanced block technique to receive treatment with CDI (group 1) or ABI (group 2). Patients with ocular surface changes, congenital anomalies or previous trauma were also excluded. The patency of the tear duct with irrigation was verified at the end of the study as either present or absent. Symptoms were evaluated according to the Munk scale before the procedure and at the first, third and fourth postprocedural months. Complications of each procedure were analyzed. Descriptive statistics, chi-square test for nominal variables, Mann-Whitney U test for intergroup comparison of CDI vs. ABI, Wilcoxon test for intragroup comparison (before and after) and Friedman test were performed. Statistical analysis was performed using GraphPad Prism statistical software (version 8.0.2), and statistical significance was set at <em>P</em> <!--><<!--> <!-->0.05.</div></div><div><h3>Outcomes</h3><div>Thirty-one eyes of 31 patients were included in the study. Seventeen eyes (58%) were included in the CDI group (group 1), and 14 eyes (42%) were included in the ABI group (group 2). At the conclusion of the study, both groups showed 80% patency on the tear duct irrigation test. Both groups showed significant improvement in tearing symptoms measured using the Munk scale after the surgical procedure throughout the study, and at the fourth month, we found no statistically significant difference between the two groups. Epistaxis occurred in 70% of the cases in group I, and spontaneous extrusion of the auto-stable implant occurred in 35% of the cases in group 2.</div></div><div><h3>Conclusion</h3><div>The present study demonstrates that ABI shows similar results with respect to symptomatic improvement of tearing and tear duct patency compared to CDI in patients with ULDO and, at the same time, presents fewer complications. Because it is a minimally invasive technique, the present study shows that it may be a good option for the treatment of ULDO.</div></div><div><div>L’obstruction de la voie lacrymale haute (OVLA) est définie comme l’obstruction ou ","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104624"},"PeriodicalIF":1.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902295","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}