Journal Francais D Ophtalmologie最新文献

{"title":"Rhegmatogenous retinal detachment: Is visual acuity enough? A deeper dive into patients’ vision-related quality of life","authors":"S.C. Hayat, Y.C. Yilmaz, G. Cayhan, S.A. Ozal","doi":"10.1016/j.jfo.2025.104614","DOIUrl":"10.1016/j.jfo.2025.104614","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate vision-related quality of life (VRQOL) in patients who underwent pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD) and to explore the relationship between VRQOL outcomes and various clinical and demographic factors.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, patients with anatomic success 12<!--> <!-->months after PPV for RRD were evaluated. The Turkish version of the National Eye Institute Visual Function Questionnaire-39 (NEI-VFQ-39) was administered to evaluate VRQOL. Patient demographics, preoperative findings, surgical details, and postoperative outcomes, including best-corrected visual acuity (BCVA) and retinal displacement, were analyzed. Fundus autofluorescence imaging was performed at 12<!--> <!-->months to detect retinal displacement.</div></div><div><h3>Results</h3><div>A total of 110 patients (median age: 58<!--> <!-->years) were included. Patients without retinal displacement had the highest VRQOL composite and subscale scores, while superior retinal displacement was linked to significantly lower scores. Patients who underwent combined surgery and those who were pseudophakic postoperatively had better VRQOL scores. Postoperative BCVA was significantly correlated with subscales such as general health, general vision, ocular pain, vision-specific dependency, and driving scores. However, no correlation was found between preoperative or final BCVA and the composite score.</div></div><div><h3>Conclusions</h3><div>The lack of correlation between VRQOL composite score and BCVA suggests that focusing solely on BCVA may not fully capture the patient's visual experience. VRQOL is significantly impacted by retinal displacement, with superior displacement associated with the lowest scores. Patient positioning, surgical techniques, and postoperative follow-up should emphasize minimizing retinal displacement to improve long-term visual outcomes and quality of life.</div></div><div><h3>Introduction</h3><div>Évaluer la qualité de vie liée à la vision (QVLV) chez les patients ayant subi une vitrectomie par la pars plana (VPP) pour décollement de rétine rhégmatogène (RRD) et explorer la relation entre les résultats de la QVLV et divers facteurs cliniques et démographiques.</div></div><div><h3>Méthodes</h3><div>Dans cette étude transversale, les patients ayant un succès anatomique à 12 mois après une VPP pour un RRD ont été évalués. La version turque du National Eye Institute Visual Function Questionnaire-39 (NEI-VFQ-39) a été administrée pour évaluer la QVLV. Les données démographiques des patients, les résultats préopératoires, les détails chirurgicaux et les résultats postopératoires, y compris l’acuité visuelle corrigée optimale et le déplacement rétinien, ont été analysés. Une imagerie en autofluorescence du fond d’œil a été réalisée à 12 mois pour détecter le déplacement rétinien.</div></div><div><h3>Résultats</h3><div>Un total de 110 patients (âge médian : 58<!-","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 7","pages":"Article 104614"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766530","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":"A novel biomarker in first-degree relatives of patients with Alzheimer's disease: Macular pigment optical density","authors":"H. Altinkaynak,&nbsp;O. Sayin","doi":"10.1016/j.jfo.2025.104617","DOIUrl":"10.1016/j.jfo.2025.104617","url":null,"abstract":"<div><h3>Purpose</h3><div>The goal of this study was to evaluate the level of macular pigment optical density (MPOD) in asymptomatic cognitively healthy first-degree relatives of patients with sporadic Alzheimer's disease (AD).</div></div><div><h3>Methods</h3><div>One-hundred four subjects who were asymptomatic cognitively healthy first-degree relatives of patients with sporadic AD (study group) and 80 healthy individuals (control group) were enrolled in the study. MPOD measurements of both groups were obtained with the MPSII device (MPSII V, Elektron Eye Technology, Cambridge, UK).</div></div><div><h3>Results</h3><div>The mean MPOD was 0.46<!--> <!-->±<!--> <!-->0.10 in the study group and 0.64<!--> <!-->±<!--> <!-->0.14 in the control group. MPOD values were found to be statistically significant when compared between the two groups (<em>P</em> <!-->=<!--> <!-->0.028).</div></div><div><h3>Conclusion</h3><div>MPOD may be a new noninvasive biomarker for early diagnosis, monitoring, and screening of the disease before the onset of clinical symptoms in individuals at high genetic risk of developing AD.</div></div><div><h3>Objectif</h3><div>L’objectif de cette étude était d’évaluer le niveau de densité optique du pigment maculaire (MPOD) chez des parents au premier degré asymptomatiques et en bonne santé cognitive des patients atteints de la maladie d’Alzheimer (MA) sporadique.</div></div><div><h3>Méthodes</h3><div>Cent quatre sujets ayant des parents au premier degré asymptomatiques et en bonne santé cognitive de patients atteints de MA sporadique (groupe d’étude) et quatre-vingts individus en bonne santé (groupe témoin) ont été inclus dans l’étude. Les mesures de MPOD des deux groupes ont été obtenues avec l’appareil MPSII (MPSII V, Elektron Eye Technology, Cambridge, Royaume-Uni).</div></div><div><h3>Résultats</h3><div>La MPOD moyenne était de 0,46<!--> <!-->±<!--> <!-->0,10 dans le groupe d’étude et de 0,64<!--> <!-->±<!--> <!-->0,14 dans le groupe témoin. Les valeurs de MPOD se sont avérées statistiquement significatives lorsqu’elles ont été comparées entre les deux groupes (<em>p</em> <!-->=<!--> <!-->0,028).</div></div><div><h3>Conclusion</h3><div>La MPOD pourrait être un nouveau biomarqueur non invasif pour le diagnostic précoce, la surveillance et le dépistage de la maladie avant l’apparition des symptômes cliniques chez les individus présentant un risque génétique élevé de développer la MA.</div></div>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 7","pages":"Article 104617"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766826","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":"From theory to practice: An identical surgical technique for tarsal ectropion and involutional entropion","authors":"P. Imbert","doi":"10.1016/j.jfo.2025.104612","DOIUrl":"10.1016/j.jfo.2025.104612","url":null,"abstract":"<div><div>Two newly described clinical-anatomical entities form the basis of a common pathogenetic theory for tarsal ectropion and involutional entropion: an isolated dehiscence of the posterior bundle of the lower lid retractors for tarsal ectropion and this plus dehiscence of the anterior bundle for involutional entropion. Based on this unifying algorithm, we propose identical surgical management of these two forms of lid malposition; the surgical goal in both cases is to correct the altered position of the retractors as a priority. Moreover, the local anesthetic, surgical instruments and sutures are the same, as is the conjunctival approach. The surgical reinsertion of the retractors specific to each of the two types of malposition, combined with a lateral canthoplasty if necessary, and the post-operative course are all the same. Operating on a tarsal ectropion or an involutional entropion in the same way has the advantage of simplifying surgical management, making it easier to learn the technique and optimising operating room time and logistics.</div></div><div><div>La théorie pathogénique commune de l’ectropion tarsal et de l’entropion involutif décrit deux nouvelles entités anatomo-cliniques : une altération isolée du faisceau postérieur des rétracteurs pour l’ectropion tarsal et une altération du faisceau postérieur des rétracteurs associée à celle du faisceau antérieur pour l’entropion involutif. À partir de cet algorithme uniciste, il est proposé une prise en charge chirurgicale identique de ces deux malpositions : l’indication chirurgicale vise dans les deux cas à corriger les rétracteurs altérés en priorité, l’anesthésie locale est identique, le matériel chirurgical et les sutures sont les mêmes, la technique avec voie d’abord conjonctivale est identique, réalisant la réinsertion chirurgicale des rétracteurs propre à chacune des deux malpositions, une canthoplastie latérale est associée si besoin, enfin les suites opératoires sont communes. Opérer de la même façon un ectropion tarsal ou un entropion involutif a pour avantage de simplifier la prise en charge chirurgicale, de faciliter l’apprentissage de la technique, enfin d’optimiser la gestion du temps et du bloc opératoire.</div></div>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 8","pages":"Article 104612"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773205","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":"Acquired Immune Deficiency Syndrome (AIDS) discovered during a routine ophthalmology consultation.","authors":"P Esculier, B Brousseau, J-B Ducloyer","doi":"10.1016/j.jfo.2025.104596","DOIUrl":"https://doi.org/10.1016/j.jfo.2025.104596","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760151","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":"Anesthesia in retinal surgery: A national survey","authors":"J. Leroux ,&nbsp;R. Deransy ,&nbsp;O. Lebreton ,&nbsp;H. Masse ,&nbsp;M. Clement ,&nbsp;A. Poinas ,&nbsp;C. Lejus-Bourdeau ,&nbsp;P. Lebranchu ,&nbsp;G. Le Meur ,&nbsp;M. Weber ,&nbsp;J.-B. Ducloyer ,&nbsp;CFSR Research Net","doi":"10.1016/j.jfo.2025.104581","DOIUrl":"10.1016/j.jfo.2025.104581","url":null,"abstract":"<div><h3>Introduction</h3><div>Local-regional anesthesia (LRA) techniques used for vitreoretinal surgery include peribulbar (PBA) and sub-Tenon's anesthesia (STA). Despite their increasing use over general anesthesia, there are no clear recommendations on their indications and contraindications. Furthermore, French practices in this field have not been evaluated. The objectives of this survey were to describe current French anesthesia practices for vitreoretinal surgery and to identify professionals’ needs.</div></div><div><h3>Methods</h3><div>A 23-question questionnaire was sent to French-speaking retinal surgeons via the Club Francophone des Spécialistes de la Rétine (CFSR). Questions focused on the type of anesthesia used according to the surgical indication, the LRA methods used, and surgeons’ needs.</div></div><div><h3>Results</h3><div>The questionnaire was completed by 114 surgeons. PBA and general anesthesia were most frequently used for vitrectomy and scleral buckling, respectively. Private-sector surgeons and surgeons with<!--> <!-->&gt;<!--> <!-->10 years of experience used PBA more frequently than public-sector surgeons and surgeons with<!--> <!-->&lt;<!--> <!-->5 years of experience. When LRA was used, PBA was clearly preferred to STA. The techniques used and the contraindications to PBA were very heterogeneous. Hypnosis was hardly ever used, even as a complement to another modality. Most surgeons needed guidelines, and a study comparing PBA and STA seemed necessary.</div></div><div><h3>Conclusion</h3><div>This French survey revealed a wide range of practices. The latest data on anesthesia techniques and contraindications in the literature are presented. Further studies are needed, in particular studies comparing PBA and STA, assessing if severe myopia could be a contraindication to PBA, studies on the relevance of ultrasound guidance, and studies on hypnosis and its possible benefits during vitreoretinal surgery.</div></div><div><h3>Introduction</h3><div>Les anesthésies locorégionales (ALR) utilisées en chirurgie vitréo-rétinienne sont représentées par l’anesthésie péribulbaire (APB) et l’anesthésie sous-ténonienne (AST). Malgré leur utilisation croissante par rapport à l’anesthésie générale, il n’existe pas de recommandations claires sur leurs indications et contre-indications. De plus, les pratiques françaises dans ce domaine n’ont jamais été évaluées. Les objectifs de cette enquête étaient de décrire les pratiques françaises actuelles d’anesthésie en chirurgie vitréo-rétinienne et d’identifier les besoins des professionnels.</div></div><div><h3>Méthodes</h3><div>Un questionnaire de 23 questions a été adressé aux chirurgiens rétinologues francophones par l’intermédiaire du Club francophone des spécialistes de la rétine (CFSR). Les questions portaient sur le type d’anesthésie utilisé en fonction de l’indication chirurgicale, les méthodes d’ALR utilisées et les besoins des chirurgiens.</div></div><div><h3>Résultats</h3><div>Au total,","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 7","pages":"Article 104581"},"PeriodicalIF":1.1,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724688","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":"Interface keratitis after anterior lamellar keratoplasty.","authors":"A Ceylan, S Güler, B Kepez Yıldız","doi":"10.1016/j.jfo.2025.104608","DOIUrl":"https://doi.org/10.1016/j.jfo.2025.104608","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753413","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":"Kidney-shaped maculopathy in Stargardt disease","authors":"J.-R. Liou ,&nbsp;W.-T. Yen ,&nbsp;H.-T. Lin","doi":"10.1016/j.jfo.2025.104593","DOIUrl":"10.1016/j.jfo.2025.104593","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 7","pages":"Article 104593"},"PeriodicalIF":1.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721615","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":"[Botryomycoma of the lid].","authors":"Y Hidan, M Chnaoui, M R Bentouhami, A Mchachi, L Benhmidoune, R Rachid, L Badre","doi":"10.1016/j.jfo.2025.104610","DOIUrl":"https://doi.org/10.1016/j.jfo.2025.104610","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742160","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":"End-of-life quality and oncology drug-induced ocular toxicity","authors":"Z. Doclot,&nbsp;L. Levecq","doi":"10.1016/j.jfo.2025.104592","DOIUrl":"10.1016/j.jfo.2025.104592","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 7","pages":"Article 104592"},"PeriodicalIF":1.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144715759","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":"[Main technical obstacle to DMEK in dogs].","authors":"P-F Isard, M Mentek, T Dulaurent, C Perrache, Z He, P Gain, G Thuret","doi":"10.1016/j.jfo.2025.104607","DOIUrl":"https://doi.org/10.1016/j.jfo.2025.104607","url":null,"abstract":"","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742161","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}