Journal Francais D Ophtalmologie最新文献_第5页

Incidence and risk factors for retinal detachment following implantation with a multifocal or EDOF IOL: A 15-year follow-up 多焦点或EDOF人工晶状体植入术后视网膜脱离的发生率和危险因素：15年随访

IF 1.1 4区医学

Journal Francais D Ophtalmologie Pub Date : 2025-08-27 DOI: 10.1016/j.jfo.2025.104625

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)>25mm 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>25mm 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)>25mm 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}

引用次数: 0

Corneal intrastromal silicone injection in severe corneal decompensation as a last resort for pain management: A case series 角膜基质内硅胶注射在严重角膜失代偿中作为疼痛管理的最后手段：一个病例系列

IF 1.1 4区医学

Journal Francais D Ophtalmologie Pub Date : 2025-08-27 DOI: 10.1016/j.jfo.2025.104626

M. Rizk , J. Bijon , D. Gatinel , C. Panthier

{"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}

引用次数: 0

Comparative study of safety and efficacy of closed dacryointubation vs. bicanalicular intubation in the treatment of upper tear duct obstruction in adult patients 闭式泪管插管与双管插管治疗成人上泪管阻塞的安全性和有效性比较研究

IF 1.1 4区医学

Journal Francais D Ophtalmologie Pub Date : 2025-08-27 DOI: 10.1016/j.jfo.2025.104624

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}

引用次数: 0

Trends and advances in ChatGPT applications in ophthalmology ChatGPT在眼科应用的趋势与进展

IF 1.1 4区医学

Journal Francais D Ophtalmologie Pub Date : 2025-08-27 DOI: 10.1016/j.jfo.2025.104622

H. Zheng, H. Dong, H. Zhao

{"title":"Trends and advances in ChatGPT applications in ophthalmology","authors":"H. Zheng, H. Dong, H. Zhao","doi":"10.1016/j.jfo.2025.104622","DOIUrl":"10.1016/j.jfo.2025.104622","url":null,"abstract":"<div><div>The use of ChatGPT (Chat Generative Pre-trained Transformer), an advanced artificial intelligence chatbot, demonstrates significant potential in the field of ophthalmology, particularly in disease diagnosis and patient education. Developed by OpenAI as a state-of-the-art large language model (LLM), ChatGPT generates coherent and contextually relevant text in response to user queries. While traditional diagnosis and treatment approaches in ophthalmology often require considerable time and the expertise of highly trained professionals, the integration of ChatGPT can streamline and optimize diagnostic and treatment processes while enhancing patient awareness and engagement regarding their conditions. Despite its emerging promise in facilitating disease diagnosis, risk prevention, and management within the field, further research is essential to validate the safety and efficacy of ChatGPT. This detailed review evaluates recent advances in ChatGPT applications in ophthalmology, emphasizing its roles in assisted diagnosis, risk prevention, and patient education, while exploring the future prospects and potential challenges involved.</div></div><div><div>L’utilisation de ChatGPT (Chat Generative Pre-trained Transformer), un chatbot avancé d’intelligence artificielle, montre un potentiel significatif dans le domaine de l’ophtalmologie, notamment dans le diagnostic des maladies et l’éducation des patients. Développé par OpenAI en tant que modèle de langage de grande envergure (LLM) de pointe, ChatGPT génère un texte cohérent et pertinent dans son contexte en réponse aux questions des utilisateurs. Tandis que les approches traditionnelles de diagnostic et de traitement en ophtalmologie nécessitent souvent beaucoup de temps et l’expertise de professionnels hautement formés, l’intégration de ChatGPT peut rationaliser et optimiser ces processus tout en améliorant la sensibilisation et l’engagement des patients. Malgré ses promesses émergentes pour faciliter le diagnostic des maladies, la prévention des risques et leur prise en charge dans ce domaine, des recherches supplémentaires sont essentielles pour valider la sécurité et l’efficacité de ChatGPT. Cette revue approfondie examine les avancées récentes dans les applications de ChatGPT en ophtalmologie, en mettant l’accent sur ses rôles dans le diagnostic assisté, la prévention des risques et l’éducation des patients, tout en explorant les perspectives et les défis potentiels associés.</div></div>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104622"},"PeriodicalIF":1.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904223","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}

引用次数: 0

Surgical management of primary congenital glaucoma in relation to disease severity: A 5-year follow-up at a tertiary referral center in southern Turkey 先天性青光眼的手术治疗与疾病严重程度的关系：土耳其南部三级转诊中心的5年随访

IF 1.1 4区医学

Journal Francais D Ophtalmologie Pub Date : 2025-08-26 DOI: 10.1016/j.jfo.2025.104623

K. Gul Olke , E. Erdem , I.I. Harbiyeli , S.P. Yucel , M. Yagmur

{"title":"Surgical management of primary congenital glaucoma in relation to disease severity: A 5-year follow-up at a tertiary referral center in southern Turkey","authors":"K. Gul Olke , E. Erdem , I.I. Harbiyeli , S.P. Yucel , M. Yagmur","doi":"10.1016/j.jfo.2025.104623","DOIUrl":"10.1016/j.jfo.2025.104623","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the efficacy of various surgical procedures as a function of the severity of primary congenital glaucoma (PCG) and compare 5-year follow-up results for the following three surgical techniques: combined trabeculectomy–trabeculotomy (CTT), trabeculectomy, and trabeculotomy.</div></div><div><h3>Materials and methods</h3><div>A retrospective analysis of the medical records of all PCG patients who underwent trabeculotomy, trabeculectomy, or CTT between 2013 and 2021 was performed at a tertiary eye center in Turkey. The surgical success of all three surgical techniques in lowering intraocular pressure (IOP) in the postoperative period was evaluated (1 month, 6 months, 1 year, 2 years, 3 years, 5 years). Despite topical medication, the surgical procedure was considered unsuccessful if the eye required additional surgery or had an IOP above 21mmHg.</div></div><div><h3>Results</h3><div>CTT was performed in 26 (37.7%) eyes, trabeculectomy in 20 (29%) eyes, and trabeculotomy in 23 (33.3%) eyes. There was a statistically significant decrease in IOP between the CTT and trabeculotomy groups at 6 months (<em>P</em>  =0.008), and CTT and trabeculotomy groups at 3 and 5 years (0.063, <em>P</em>  =0.016 and <em>P</em>   <!-->mmHg.</div></div><div><h3>Résultats</h3><div>La CTT a été appliquée à 26 (37,7 %) y","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104623"},"PeriodicalIF":1.1,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902413","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}

引用次数: 0

Very short-term efficacy of selective laser trabeculoplasty in primary open-angle glaucoma 选择性激光小梁成形术治疗原发性开角型青光眼的短期疗效

IF 1.1 4区医学

Journal Francais D Ophtalmologie Pub Date : 2025-08-26 DOI: 10.1016/j.jfo.2025.104621

A. Zahaf , M. Zribi , S. Sioud , H. Lajmi , W. Hmaied , B. Ben Achour

{"title":"Very short-term efficacy of selective laser trabeculoplasty in primary open-angle glaucoma","authors":"A. Zahaf , M. Zribi , S. Sioud , H. Lajmi , W. Hmaied , B. Ben Achour","doi":"10.1016/j.jfo.2025.104621","DOIUrl":"10.1016/j.jfo.2025.104621","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary open-angle glaucoma (POAG) is the second leading cause of blindness worldwide. Despite the efficacy of glaucoma eye drops, their use is not without risks. Selective laser trabeculoplasty (SLT) is a promising therapeutic option. The goal of our study was to investigate the effect of SLT in the very short-term (seven days) on intraocular pressure (IOP).</div></div><div><h3>Methods</h3><div>This was an interventional, prospective study including glaucoma patients with an IOP higher than their target IOP and/or an Ocular Surface Disease Index score>33 and/or a tear film breakup time≤5seconds. We performed SLT with 100 spots on the pigmented trabecular meshwork over 360°. Patients were monitored after one week and two months to quantify changes in intraocular pressure. A reduction≥20% in IOP from the initial level was considered a good response on the seventh day post-SLT and deemed a therapeutic success at two months post-SLT.</div></div><div><h3>Results</h3><div>In a sample of 40 eyes of 21 patients, the mean decrease in IOP on the seventh day post-SLT was 20.26±21.4%. A good response was achieved in 22 eyes. Male sex and an initial IOP≥16.5mmHg were associated with a good response on the seventh day (both <em>P</em>  =0.017).</div></div><div><h3>Conclusion</h3><div>SLT shows a hypotensive effect within just seven days of treatment, consolidating its role as a primary therapy for POAG management.</div></div><div><h3>Introduction</h3><div>Le glaucome primitif à angle ouvert (GPAO) est la deuxième cause de cécité dans le monde. Malgré l’efficacité des collyres antiglaucomateux, leur utilisation n’est pas dénuée de risques. La trabéculoplastie sélective au laser Nd-YAG (SLT) est une option thérapeutique prometteuse. Le but de notre étude était d’étudier l’effet de la SLT à très court terme (sept jours) sur la pression intraoculaire (PIO).</div></div><div><h3>Méthodes</h3><div>Il s’agit d’une étude interventionnelle et prospective incluant les patients glaucomateux avec une PIO supérieure à la PIO cible et/ou un score « Ocular Surface Disease Index » (OSDI)>33 et/ou un temps de rupture du film lacrymal inférieur ou égale à 5 secondes. On a réalisé une SLT avec 100 impacts sur le trabéculum pigmenté sur 360°. Les patients ont été suivis à une semaine et à deux mois pour quantifier les variations de la tension oculaire. Une diminution de la PIO≥20 % par rapport au niveau initial a été considérée comme une bonne réponse au septième jour post-SLT et comme un succès thérapeutique à deux mois post-SLT.</div></div><div><h3>Résultats</h3><div>Dans un échantillon de 40 yeux d","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104621"},"PeriodicalIF":1.1,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902412","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}

引用次数: 0

La sécheresse oculaire chez les transporteurs urbains par mototaxi de la ville de Douala : une maladie professionnelle non négligeable 杜阿拉城市摩托车出租车司机的眼睛干涩：不可忽视的职业病

IF 1.1 4区医学

Journal Francais D Ophtalmologie Pub Date : 2025-08-22 DOI: 10.1016/j.jfo.2025.104620

J.A.d.J. Ndongo , S.R. Ebana Mvogo , V.A. Dohvoma , H. Aboubakar , B. Kamga , P.J. Nyouma , C. Ebana Mvogo

{"title":"La sécheresse oculaire chez les transporteurs urbains par mototaxi de la ville de Douala : une maladie professionnelle non négligeable","authors":"J.A.d.J. Ndongo , S.R. Ebana Mvogo , V.A. Dohvoma , H. Aboubakar , B. Kamga , P.J. Nyouma , C. Ebana Mvogo","doi":"10.1016/j.jfo.2025.104620","DOIUrl":"10.1016/j.jfo.2025.104620","url":null,"abstract":"<div><h3>Introduction</h3><div>La sécheresse oculaire est une maladie multifactorielle de la surface oculaire où les facteurs environnementaux jouent un rôle important. Le but de ce travail était d’étudier les caractéristiques épidémiologiques et cliniques de la sécheresse oculaire chez les professionnels du transport urbain par mototaxi dans la ville de Douala.</div></div><div><h3>Patients et méthodes</h3><div>Il s’agissait d’une étude prospective transversale et analytique des chauffeurs professionnels du transport par motocycle à titre onéreux dans la ville Douala. La sécheresse oculaire était définie par une imprégnation de la bandelette de test de Schirmer<15mm après 5min et un score de l’<em>Ocular Surface Disease Index</em> (OSDI)>12. Les variables étudiées étaient démographiques et cliniques. Nous avons utilisé les tests de Chi-deux et de Fisher exacte comme tests d’association des variables qualitatives avec une significativité définie pour <em>p</em>    =0,00) et sévère chez 6,5 % (IC 95 [0,03 ; 0,11], <em>p</em>        <0.05.</div></div><div><h3>Results</h3><div>The study population included 200 patients (400 eyes), and the mean age was 32.31±8.59 years (95 CI [32.11–33.50]). DED was present in 33.5% of subjects 95 CI [0.27; 0","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104620"},"PeriodicalIF":1.1,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889648","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}

引用次数: 0

Candle on the cake appearance in retinal artery macroaneurysm 视网膜大动脉瘤内的蜡烛饼状外观

IF 1.1 4区医学

Journal Francais D Ophtalmologie Pub Date : 2025-08-16 DOI: 10.1016/j.jfo.2025.104618

R. Kaur, S. Rai, H. Bhattal, N. Kaur

引用次数: 0

Utilisation du smartphone pour l’examen du fond d’œil : une expérience auprès d’étudiants de deuxième cycle d’études médicales 用智能手机做眼部检查：医学研究生的实验

IF 1.1 4区医学

Journal Francais D Ophtalmologie Pub Date : 2025-08-05 DOI: 10.1016/j.jfo.2025.104613

F. Navarro, J. Khallouk, S. Blot, Y. Guellab, T.H.C. Tran

{"title":"Utilisation du smartphone pour l’examen du fond d’œil : une expérience auprès d’étudiants de deuxième cycle d’études médicales","authors":"F. Navarro, J. Khallouk, S. Blot, Y. Guellab, T.H.C. Tran","doi":"10.1016/j.jfo.2025.104613","DOIUrl":"10.1016/j.jfo.2025.104613","url":null,"abstract":"<div><h3>Objectif</h3><div>Évaluer les performances d’étudiants de deuxième cycle des études médicales dans la réalisation d’une photographie du fond d’œil à l’aide d’un smartphone.</div></div><div><h3>Matériel et méthodes</h3><div>Au début de leur stage hospitalier, les étudiants ont reçu un enseignement dirigé portant sur la technique de l’ophtalmoscopie indirecte au smartphone, d’abord théorique puis procédural, avec un atelier de simulation sur un œil artificiel conçu à des fins pédagogiques. La technique impliquait un alignement manuel, sans support stable, de l’axe de la caméra du smartphone avec celui d’une lentille convergente de 20 dioptries. Ils devaient ensuite chacun examiner dix patients en consultation et obtenir une photographie du fond d’œil. Des questionnaires d’évaluation ont été complétés par les étudiants, les encadrants et les patients afin d’évaluer la performance de la technique d’examen.</div></div><div><h3>Résultats</h3><div>Entre septembre 2022 et avril 2023, 27 étudiants en médecine, stagiaires dans le service d’ophtalmologie du centre universitaire, ont participé à l’étude. Au terme d’un cycle d’entraînement de dix examens du fond d’œil, leur sentiment d’efficacité personnelle a significativement progressé, passant de 10,39/20 à 15,48/20, soit un facteur de 1,5 (<em>p</em>  <0,001). La qualité des clichés et la durée d’examen se sont améliorées avec le nombre d’essais. À partir du neuvième fond d’œil, 80 % des clichés étaient exempts d’artéfacts.</div></div><div><h3>Conclusion</h3><div>Notre étude a montré que les étudiants étaient capables d’apprendre la technique de l’ophtalmoscopie indirecte au smartphone, d’abord en simulation, puis en pratique clinique, et d’améliorer significativement leurs performances, atteignant une qualité satisfaisante après dix essais.</div></div><div><h3>Purpose</h3><div>To evaluate the performance of medical students in learning funduscopy using smartphones.</div></div><div><h3>Methods</h3><div>Participants were medical students who were divided into small groups and taught the technique of smartphone funduscopy, first theoretically and then procedurally, with a simulation workshop on a model eye. The technique involved freehand alignment of the smartphone camera axes with a 20 diopter double aspheric lens. They then had to examine 10 patients in a retina clinic and obtain fundus photographs. Evaluation questionnaires were completed by students, supervisors and patients to obtain data on the performance of the examination technique. We aimed to investigate the effects of training on students’ self-rated technical skills.</div></div><div><h3>Results</h3><div>Between September 2022 and April 2023, 27 medical students completing their ophthalmology rotation ","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104613"},"PeriodicalIF":1.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773207","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}

引用次数: 0

Assessment of optic nerve head microvascular changes with OCT angiography in diabetic patients without diabetic retinopathy 无糖尿病视网膜病变的糖尿病患者视神经头微血管病变的OCT血管造影评价

IF 1.1 4区医学

Journal Francais D Ophtalmologie Pub Date : 2025-08-05 DOI: 10.1016/j.jfo.2025.104615

A. Zahaf , I. Jlassi , H. Lajmi , M. Zribi , W. Hmaied , B. Ben Achour

{"title":"Assessment of optic nerve head microvascular changes with OCT angiography in diabetic patients without diabetic retinopathy","authors":"A. Zahaf , I. Jlassi , H. Lajmi , M. Zribi , W. Hmaied , B. Ben Achour","doi":"10.1016/j.jfo.2025.104615","DOIUrl":"10.1016/j.jfo.2025.104615","url":null,"abstract":"<div><h3>Introduction</h3><div>Diabetic retinopathy (DR) is a leading cause of blindness worldwide. Optical coherence tomography angiography (OCTA) is a recently developed technology that enables visualization of retinal and optic nerve head microvasculature. Our goal is to compare optic disc and peripapillary vessel density using OCT-A in diabetic patients without diabetic retinopathy (WDR) and healthy controls and to investigate correlations between microvascular changes and diabetes-related risk factors.</div></div><div><h3>Methods</h3><div>This cross-sectional study enrolled participants aged 45–65 years, including patients with type 2 diabetes and healthy controls. Participants were categorized into two categories: diabetic subjects without DR (WDR) and non-diabetic subjects (ND). Exclusion criteria included patients with comorbid conditions affecting retinal or optic disc microcirculation. Participants underwent a full ophthalmologic examination, optical coherence tomography (OCT), and OCT-A. The optic disc and peripapillary microvascular density, retinal nerve fiber layer (RNFL) thickness, and various vascular metrics were quantified. Statistical analysis included Pearson and Spearman correlations and univariate and multivariate logistic regression.</div></div><div><h3>Results</h3><div>A total of 102 eyes of 60 diabetic patients and 74 eyes of 40 controls were analyzed. There were no significant demographic differences between the groups (<em>P</em>      <0.001). Peripapillary vessel density (PPVD) was also significantly lower in the WDR group (51.69±3.00) compared to the ND group (53.03±2.80; <em>P</em>  =0.132). Significant negative correlations were observed between RNFL thickness and both age (<em>P</em>  =0.039). In contrast, no significant correlations were identified between PPVD and age, diabetes duration, HbA1c levels, or dyslipidemia.</div></div><div><h3>Conclusion</h3><div>OCT-A identified a reduction in optic nerve head vascular density in diabetic subjects without DR compared to healthy controls, highlighting the presence of early microvascular changes in diabetic patients before the onset of DR. Additional research is warranted to elucidate the utility of OCT-A in the early detection and monitoring of DR.</div></div><div><h3>Introduction</h3><div>La rétinopathie diabétique (RD) est l’une des principales causes de cécité dans le monde. La tomographie par cohérence optique angiographique (OCT-A) est une technologie récemment développée permettant de v","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104615"},"PeriodicalIF":1.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773206","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}

引用次数: 0