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Stolowy N, Comet A, Fardeau C, Beylerian M, Mabhiza O, Matonti F, Denis D. Choroidal hypoperfusion and diffuse retinal occlusive arteritis associated with varicella-zoster virus: A case report. J Fr Ophtalmol 2023; 46:e121-e125. [PMID: 36775732 DOI: 10.1016/j.jfo.2022.09.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Accepted: 09/22/2022] [Indexed: 02/12/2023]
Affiliation(s)
- N Stolowy
- Service d'ophtalmologie, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille, France.
| | - A Comet
- Service d'ophtalmologie, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille, France
| | - C Fardeau
- Service d'ophtalmologie, Hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France
| | - M Beylerian
- Service d'ophtalmologie, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille, France
| | - O Mabhiza
- Centre hospitalier de Salon de Provence: hôpital public, 207, avenue Julien-Fabre, 13300 Salon-de-Provence, France
| | - F Matonti
- Centre Monticelli-Paradis, 433 bis, rue Paradis, 13008 Marseille, France; Université Aix-Marseille, CNRS, INT, Institut de Neurosciences de la Timone, Marseille, France
| | - D Denis
- Service d'ophtalmologie, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille, France
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2
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Bastelica P, Labetoulle M, Noel N, Barreau E, Matonti F, Jourde Chiche N, Rousseau A, Benichou J. [Retinal involvement in hypocomplementemic urticarial vasculitis (McDuffie syndrome): Report of two cases]. J Fr Ophtalmol 2021; 44:e587-e590. [PMID: 34452765 DOI: 10.1016/j.jfo.2021.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 01/16/2021] [Accepted: 02/01/2021] [Indexed: 11/29/2022]
Affiliation(s)
- P Bastelica
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France
| | - M Labetoulle
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France; Department of Immunology of viral and auto-immune disease (IMVA DSV, iMETI, IDMIT), UMR1184, CEA, 18, route du Panorama, 92260 Fontenay-aux-Roses, France
| | - N Noel
- Department of Immunology of viral and auto-immune disease (IMVA DSV, iMETI, IDMIT), UMR1184, CEA, 18, route du Panorama, 92260 Fontenay-aux-Roses, France; Service d'immunologie clinique, hôpital Bicêtre, université Paris-Sud, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France
| | - E Barreau
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France
| | - F Matonti
- Centre Monticelli Paradis, 433bis rue Paradis, 13008 Marseille, France; Université Aix-Marseille, CNRS, INT, Institut de neurosciences de la Timone, 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France
| | - N Jourde Chiche
- Université Aix-Marseille, C2VN, Inserm, INRA ; centre de néphrologie et transplantation rénale, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France
| | - A Rousseau
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France; Department of Immunology of viral and auto-immune disease (IMVA DSV, iMETI, IDMIT), UMR1184, CEA, 18, route du Panorama, 92260 Fontenay-aux-Roses, France
| | - J Benichou
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France.
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3
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Couturier A, Kodjikian L, Baillif S, Conart JB, Dot C, Delyfer MN, Matonti F, Caillaux V, Bousquet E, Robinet A, Massé H, Uzzan J, Mrejen S, Semoun O. [Treatment of exudative age-related macular degeneration: Consensus of French experts for first-line treatment selection and the importance of long-term risk/benefit ratio]. J Fr Ophtalmol 2021; 44:937-946. [PMID: 34147276 DOI: 10.1016/j.jfo.2021.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 01/28/2021] [Indexed: 11/27/2022]
Abstract
Choosing a first-line treatment to optimize long-term outcomes is a major challenge for treating patients with neovascular age-related macular degeneration (AMD). The development of several new molecules makes it critical to identify the relevant factors to consider so as to provide an optimal risk-benefit ratio when initiating a treatment in naïve patients with neovascular AMD. This paper proposes a consensus established with the Delphi method (which includes a gradation in a consensus based on an analysis of the convergence rate of answers) to provide criteria that guide the ophthalmologist's decision for treatment initiation and follow-up in neovascular AMD patients. Fourteen questions were submitted to 93 French retina experts. Thirteen (93%) of the questions reached a consensus (≥50% of answers consensual). The criteria recommended to take into account were both efficacy and onset of action of the molecules, their safety, and the ability to decrease injection frequency. The primary criterion of expected efficacy of a molecule is a combination of the gain in visual acuity and resorption of retinal fluid. With regard to safety, experts recommend tighter follow-up for molecules currently in development, and at every scheduled visit, patients should be screened to identify early any potential adverse effects such as intraocular inflammation, retinal vasculitis or vascular occlusion. Experts also emphasize the importance of the packaging of the biological, with a preference toward prefilled syringes. Injection frequency is a key factor, and the authors recommended aiming for a maximal injection interval of 12 to 16 weeks. The stability of that maximum interval is also an important factor to consider in treatment selection.
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Affiliation(s)
- A Couturier
- Université de Paris, service d'ophtalmologie, assistance publique hôpitaux de Paris, hôpital Lariboisière, Paris, France
| | - L Kodjikian
- Service d'ophtalmologie, hôpital universitaire Croix-Rousse, hospices Civils de Lyon, université Lyon I, Lyon, France; CNRS UMR 5510 Mateis, Villeurbanne, France
| | - S Baillif
- Service d'ophtalmologie, hôpital universitaire Pasteur 2, université Côte d'Azur, Nice, France
| | - J-B Conart
- Service d'ophtalmologie, CHRU Nancy, Vandoeuvre-lès-Nancy, France; Institut de la Vision, Inserm, UMR_S 968, CNRS, Sorbonne Université, Paris, France
| | - C Dot
- Service d'ophtalmologie, hôpital d'instruction des Armées Desgenettes, 69003 Lyon, France; École du Val de Grâce, Paris, France
| | - M-N Delyfer
- Service d'ophtalmologie, centre hospitalier universitaire de Bordeaux, université de Bordeaux, Inserm, Bordeaux population health research centre, team LEHA, UMR 1219, 33000 Bordeaux, France
| | - F Matonti
- Centre Monticelli Paradis, Aix Marseille Univ, CNRS, INT, Inst Neurosci Timone, 433, bis rue Paradis, 13008 Marseille, France
| | - V Caillaux
- Centre explore vision Paris, Rueil Malmaison, France; Service d'ophtalmologie, assistance publique hôpitaux de Paris, hôpital Lariboisière, Paris, France
| | - E Bousquet
- OphtalmoPôle de Paris, hôpital Cochin, assistance publique hôpitaux de Paris, université de Paris, Paris, France
| | - A Robinet
- Centre ophtalmologique ophtasiam, clinique Pasteur-Lanrose, Brest, France
| | - H Massé
- Service d'ophtalmologie, centre hospitalier universitaire de Nantes, Nantes, France
| | - J Uzzan
- Clinique Mathilde, Rouen, France
| | - S Mrejen
- Centre d'Imagerie et de Laser, Paris, France
| | - O Semoun
- Service d'ophtalmologie, centre hospitalier intercommunal de Créteil, université Paris Est Créteil, 40, avenue de Verdun, 94000 Créteil, France; Centre ophtalmologique du Panthéon, Paris, France.
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4
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Matonti F, Conrath J, Devin F, Morin BR, Morel C. [Intraoperative photo of fluocinolone acetonide and dexamethasone implants]. J Fr Ophtalmol 2021; 44:1100-1101. [PMID: 34016475 DOI: 10.1016/j.jfo.2020.11.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Revised: 11/02/2020] [Accepted: 11/05/2020] [Indexed: 11/25/2022]
Affiliation(s)
- F Matonti
- Centre Monticelli Paradis, 433bis, rue Paradis, 13008 Marseille, France; Université Aix-Marseille, CNRS, INT, Institut de Neurosciences de la Timone, Marseille, France.
| | - J Conrath
- Centre Monticelli Paradis, 433bis, rue Paradis, 13008 Marseille, France
| | - F Devin
- Centre Monticelli Paradis, 433bis, rue Paradis, 13008 Marseille, France
| | - B R Morin
- Centre Monticelli Paradis, 433bis, rue Paradis, 13008 Marseille, France
| | - C Morel
- Centre Monticelli Paradis, 433bis, rue Paradis, 13008 Marseille, France
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Bénichou J, Belahda A, Denis D, Matonti F. [Diabetic maculopathy with circinate exudates and retinitis pigmentosa]. J Fr Ophtalmol 2021; 44:e347-e350. [PMID: 33610398 DOI: 10.1016/j.jfo.2020.09.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 08/25/2020] [Accepted: 09/21/2020] [Indexed: 10/22/2022]
Affiliation(s)
- J Bénichou
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, 78, rue du Général-Leclerc, 94270 Le-Kremlin-Bicêtre, France.
| | - A Belahda
- Service d'ophtalmologie pédiatrique, hôpital Necker-Enfants malades, 149, rue de Sèvres, 75015 Paris, France
| | - D Denis
- Service d'ophtalmologie, CHU de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - F Matonti
- Centre Monticelli Paradis, 433bis, rue Paradis, 13008 Marseille, France; CNRS, INT, institut neuroscience Timone, Aix-Marseille université, Marseille, France
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Stolowy N, Zanin E, Comet A, Jurquet AL, Benso C, Matonti F, Retornaz K, Kaplanski G, Denis D. [Immunosuppressive therapy in severe or chronic pediatric uveitis: Review of the literature]. J Fr Ophtalmol 2021; 44:252-258. [PMID: 33423814 DOI: 10.1016/j.jfo.2020.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 08/17/2020] [Accepted: 08/24/2020] [Indexed: 11/19/2022]
Abstract
Immunosuppressants are prescribed for pediatric uveitis in cases of severe involvement affecting the prognosis for vision or life, in cases of recurrent or chronic uveitis to achieve corticosteroid sparing, or in cases of corticosteroid resistance. Immunosuppressants used in children include antimetabolites (methotrexate, mycophenolate mofetil, azathioprine), cyclosporine, tacrolimus, and biologics, including infliximab, adalimumab, anakinra, canakinumab, and tocilizumab. The mechanisms of action and indications of the various immunosuppressants are described in this review.
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Affiliation(s)
- N Stolowy
- Service d'ophtalmologie, hôpital Nord, Marseille, France.
| | - E Zanin
- Service d'ophtalmologie, hôpital Nord, Marseille, France.
| | - A Comet
- Service d'ophtalmologie, hôpital Nord, Marseille, France.
| | - A-L Jurquet
- Service de pédiatrie, hôpital Nord, Marseille, France.
| | - C Benso
- Service d'ophtalmologie, hôpital Nord, Marseille, France.
| | - F Matonti
- Centre Monticelli Paradis d'Ophtalmologie, Marseille, France.
| | - K Retornaz
- Service de pédiatrie, hôpital Nord, Marseille, France.
| | - G Kaplanski
- Service de médecine interne, hôpital de la Conception, Marseille, France.
| | - D Denis
- Service d'ophtalmologie, hôpital Nord, Marseille, France.
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Baillif S, Creuzot-Garcher C, Dot C, Kodjikian L, Matonti F, Mrejen S, Nghiem-Buffet S, Semoun O, Tadayoni R. [Treat-and-extend anti-angiogenic protocol in clinical practice for patients with exudative age-related macular degeneration: Consensus of French experts]. J Fr Ophtalmol 2020; 44:1-12. [PMID: 33168221 DOI: 10.1016/j.jfo.2020.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 03/09/2020] [Accepted: 03/12/2020] [Indexed: 10/23/2022]
Abstract
Optimizing treatment regimens for anti-angiogenic drugs is now a major issue in the management of patients with exudative AMD. The evolution of these approaches has led retinologists to favor so-called proactive administration regimens, such as Treat-and-Extend (T&E), which make it possible to anticipate recurrence and to plan intravitreal injections of anti-angiogenic drugs in advance. Nevertheless, a real need to standardize the application of this regimen has been identified. This article proposes a consensus based on the Delphi methodology, which might provide a guide for ophthalmologists to manage patients with exudative AMD using the T&E protocol. While some aspects remain debated to date, this article provides elements to guide the implementation of T&E. The experts recommend that a loading dose of 3 monthly injections should be administered before starting T&E. They also recommend adjusting the reinjection intervals by±2 weeks in a standardized fashion. The intervals are then decreased in the presence of anatomical and/or functional deterioration, maintained when the interval of recurrence is identified, and increased when anatomical and/or functional improvement is observed. A maximum interval between 3 and 4 months is recommended by the experts, with maintenance of the maximum interval for 1 year before considering a possible exit from the T&E protocol. In the event of a significant decrease in visual acuity related to the disease along with significant anatomical degradation, it is recommended to restart monthly injections. In the case of bilateral disease, when synchronized timing of injections for both eyes is desired, the experts recommend using the shorter of the two intervals.
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Affiliation(s)
- S Baillif
- Département d'ophtalmologie, hôpital universitaire Pasteur 2, Université Nice Sophia, Consultations 1er étage secteur C, 30 avenue de la voie romaine, 06000 Nice, France.
| | | | - C Dot
- Service d'ophtalmologie, hôpital d'Instruction des Armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France; École du Val de Grâce, Paris, France
| | - L Kodjikian
- Département d'ophtalmologie, hôpital Universitaire Croix-Rousse, Hospices Civils de Lyon, université Lyon I, 69004 Lyon, France; CNRS UMR 5510 Mateis, 69621 Villeurbanne, France
| | - F Matonti
- Centre Monticelli Paradis, Aix Marseille Univ, CNRS, INT, institut des Neurosciences de la Timone, Marseille, France
| | - S Mrejen
- Centre d'imagerie et de laser, Paris, France
| | | | - O Semoun
- Centre hospitalier Intercommunal de Créteil, Créteil, France
| | - R Tadayoni
- Département ophtalmologie, hôpital lariboisière, AP-HP, université Paris 7 - Sorbonne Paris Cité, Paris, France
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Donnadieu B, Comet A, Gascon P, Ramtohul P, Callet M, Denis D, Matonti F. Scleral fixated intraocular lens by a modified technique: Methods and results. J Fr Ophtalmol 2020; 43:312-318. [PMID: 32115270 DOI: 10.1016/j.jfo.2019.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Revised: 08/02/2019] [Accepted: 08/20/2019] [Indexed: 11/16/2022]
Abstract
PURPOSE A certain number of conditions can result in compromised anterior and/or posterior capsular integrity. Several surgical options have been employed for repositioning dislocated intraocular lenses in the absence of adequate capsular support. The purpose of this study is to assess the functional outcomes and complication profile of a modified surgical technique for replacing dislocated intraocular lenses. MATERIAL AND METHODS All patients who had undergone the modified surgical procedure for dislocated intraocular lenses between 2012 and 2017 were retrospectively reviewed for visual outcomes and complications. Patient demographic characteristics, pre- and postoperative visual acuity, surgical indications, refractive outcomes, intraocular pressure and postoperative complications were recorded and analysed at baseline and at six months, which was the conclusion of the study. We also present our modified surgical technique. RESULTS Sixty-eight eyes of sixty-eight patients (74% male) were included. Mean age at surgery was 58 years (range 4-89 years). Mean best-corrected visual acuity increased significantly from 0.80 (SD±0.2) LogMar to 0.40 (SD±0.1) LogMar (P<0.005). Median astigmatic error at the conclusion of follow-up remained stable. There were no intraoperative complications and a low postoperative complication rate (10.2%), mainly related to the surgical context. CONCLUSION Sutureless intrascleral fixation of dislocated intraocular lenses is an option in case of deficient capsular support. Visual outcomes and complication rates are comparable to other case series.
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Affiliation(s)
- B Donnadieu
- Assistance Publique-Hôpitaux de Marseille, centre hospitalier universitaire NORD, chemin des Bourrely, 13015 Marseille, France.
| | - A Comet
- Assistance Publique-Hôpitaux de Marseille, centre hospitalier universitaire NORD, chemin des Bourrely, 13015 Marseille, France
| | - P Gascon
- Assistance Publique-Hôpitaux de Marseille, centre hospitalier universitaire NORD, chemin des Bourrely, 13015 Marseille, France; Institut de neurosciences de la Timone, CNRS, Aix-Marseille Université, UMR 7289, Campus Santé Timone, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - P Ramtohul
- Assistance Publique-Hôpitaux de Marseille, centre hospitalier universitaire NORD, chemin des Bourrely, 13015 Marseille, France
| | - M Callet
- Assistance Publique-Hôpitaux de Marseille, centre hospitalier universitaire NORD, chemin des Bourrely, 13015 Marseille, France
| | - D Denis
- Assistance Publique-Hôpitaux de Marseille, centre hospitalier universitaire NORD, chemin des Bourrely, 13015 Marseille, France
| | - F Matonti
- Institut de neurosciences de la Timone, CNRS, Aix-Marseille Université, UMR 7289, Campus Santé Timone, 27, boulevard Jean-Moulin, 13005 Marseille, France; Centre Paradis-Monticelli, Marseille, France
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9
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Denis D, Hugo J, Beylerian M, Ramtohul P, Aziz A, Matonti F, Lebranchu P. [Congenital abnormalities of the optic disc]. J Fr Ophtalmol 2019; 42:778-789. [PMID: 30935696 DOI: 10.1016/j.jfo.2018.09.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 09/03/2018] [Accepted: 09/10/2018] [Indexed: 10/27/2022]
Abstract
Congenital abnormalities of the optic disc are not uncommon in clinical practice and should be recognized. Size abnormalities of the optic disc include optic disc aplasia, hypoplasia, megalopapilla, and optic disc cupping in prematurity. Among congenital excavations of the optic disc head, morning glory disc anomaly and optic disc pit can be complicated by serous retinal detachment; the papillorenal disc is an association of bilateral optic disc cupping and renal hypoplasia which should be ruled out; optic disc coloboma is caused by an abnormal closure of the embryonic fissure and can be complicated by choroidal neovascularization and retinal detachment. Other abnormalities that will be discussed are congenital tilted disc syndrome, duplicity of the optic disc head, congenital pigmentation of the optic disc head and myelinated retinal nerve fibers. All of these abnormalities can be associated with syndromes and neurological diseases, as well as other potentially blinding ophthalmological defects which can be secondarily complicated by amblyopia, strabismus and nystagmus. Thus, they should be recognized in order to plan for appropriate follow-up.
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Affiliation(s)
- D Denis
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France.
| | - J Hugo
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - M Beylerian
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - P Ramtohul
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - A Aziz
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - P Lebranchu
- Hôtel-Dieu, 1 place Alexis-Ricordeau, 44000 Nantes, France
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10
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Beylerian M, Sampo M, Gascon P, Stolowy N, Matonti F, Denis D, Hugo J. Multimodal imaging including adaptive optics: A case of a candida chorioretinitis progressing to endogenous endophthalmitis. J Fr Ophtalmol 2019; 42:e127-e129. [PMID: 30824310 DOI: 10.1016/j.jfo.2018.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2018] [Revised: 06/05/2018] [Accepted: 06/11/2018] [Indexed: 11/16/2022]
Affiliation(s)
- M Beylerian
- Department of ophthalmology, CHU Nord, 13915 Marseille, France.
| | - M Sampo
- Department of ophthalmology, CHU La Timone, 13005 Marseille, France
| | - P Gascon
- Department of ophthalmology, CHU Nord, 13915 Marseille, France
| | - N Stolowy
- Department of ophthalmology, CHU Nord, 13915 Marseille, France
| | - F Matonti
- Department of ophthalmology, CHU Nord, 13915 Marseille, France
| | - D Denis
- Department of ophthalmology, CHU Nord, 13915 Marseille, France
| | - J Hugo
- Department of ophthalmology, CHU La Timone, 13005 Marseille, France
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11
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Sampo M, Nadeau S, Denis D, Matonti F. [Subconjunctival Ozurdex ® injection in branch retinal vein occlusion]. J Fr Ophtalmol 2018; 42:89-91. [PMID: 30594421 DOI: 10.1016/j.jfo.2018.03.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2018] [Accepted: 03/22/2018] [Indexed: 10/27/2022]
Affiliation(s)
- M Sampo
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France.
| | - S Nadeau
- Service d'ophtalmologie, hôpital Nord, AP-HM, chemin des Bourrely, 13915 Marseille cedex 20, France
| | - D Denis
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France; Service d'ophtalmologie, hôpital Nord, AP-HM, chemin des Bourrely, 13915 Marseille cedex 20, France
| | - F Matonti
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France; Service d'ophtalmologie, hôpital Nord, AP-HM, chemin des Bourrely, 13915 Marseille cedex 20, France
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12
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Beylerian M, Donnadieu B, Beylerian M, Gascon P, Matonti F, Denis D. [Atypical choroidal osteoma: Case report]. J Fr Ophtalmol 2018; 41:e307-e310. [PMID: 30139540 DOI: 10.1016/j.jfo.2017.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Revised: 12/08/2017] [Accepted: 12/22/2017] [Indexed: 10/28/2022]
Affiliation(s)
- M Beylerian
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France.
| | - B Donnadieu
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France
| | - M Beylerian
- Service d'ophtalmologie, CHU Gui-de-Chauliac, 80, avenue Augustin-Fliche, 34000 Montpellier, France
| | - P Gascon
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France
| | - D Denis
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France
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13
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Gonzalvez M, Darrason G, Donnadieu B, Matonti F, Denis D. [Purtscher-like syndrome following placement of biliary prosthesis]. J Fr Ophtalmol 2018; 41:e193-e195. [PMID: 29784238 DOI: 10.1016/j.jfo.2017.06.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2017] [Revised: 06/21/2017] [Accepted: 06/23/2017] [Indexed: 11/18/2022]
Affiliation(s)
- M Gonzalvez
- Aix-Marseille Université, 13284 Marseille, France; AP-HM, hôpital Nord, pôle Organe des sens, 13915 Marseille cedex 20, France.
| | - G Darrason
- Aix-Marseille Université, 13284 Marseille, France; AP-HM, hôpital Nord, pôle Organe des sens, 13915 Marseille cedex 20, France
| | - B Donnadieu
- Aix-Marseille Université, 13284 Marseille, France; AP-HM, hôpital Nord, pôle Organe des sens, 13915 Marseille cedex 20, France
| | - F Matonti
- Aix-Marseille Université, 13284 Marseille, France; AP-HM, hôpital Nord, pôle Organe des sens, 13915 Marseille cedex 20, France
| | - D Denis
- Aix-Marseille Université, 13284 Marseille, France; AP-HM, hôpital Nord, pôle Organe des sens, 13915 Marseille cedex 20, France
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14
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Levy N, Aziz A, Comet A, Matonti F, Denis D. [Persistence of Cloquet's canal: Multimodal imaging]. J Fr Ophtalmol 2018; 41:192-193. [PMID: 29398143 DOI: 10.1016/j.jfo.2017.05.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 05/14/2017] [Accepted: 05/19/2017] [Indexed: 10/18/2022]
Affiliation(s)
- N Levy
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France.
| | - A Aziz
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France
| | - A Comet
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France; Institut de neurosciences de la Timone (UMR7289), Aix-Marseille Université et CNRS, 13005 Marseille, France
| | - D Denis
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France
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15
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Fakhoury O, Conrath J, Donnadieu B, Warrak R, Matonti F. Treatment of cystoid macular edema in homozygous twins with glutathione synthetase deficiency and retinal dystrophy. J Fr Ophtalmol 2018; 41:116-121. [DOI: 10.1016/j.jfo.2017.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Revised: 07/26/2017] [Accepted: 08/21/2017] [Indexed: 11/28/2022]
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16
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Sampo M, Ho Wang Yin G, Chardavoine M, Galland F, Matonti F, Hoffart L. [Simultaneous bilateral retinal detachment with macular demarcation line: A case-report]. J Fr Ophtalmol 2018; 41:98-99. [PMID: 29310951 DOI: 10.1016/j.jfo.2017.04.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2017] [Accepted: 04/03/2017] [Indexed: 11/15/2022]
Affiliation(s)
- M Sampo
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France.
| | - G Ho Wang Yin
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France
| | - M Chardavoine
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France
| | - F Galland
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France; Service d'ophtalmologie, hôpital Nord, AP-HM, chemin des Bourrely, 13915 Marseille cedex 20, France
| | - L Hoffart
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France
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17
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Beylerian M, Gascon P, Beylerian H, Matonti F, Denis D. [Embryotoxon in Axenfeld-Rieger syndrome in an infant]. J Fr Ophtalmol 2017; 41:100-101. [PMID: 29241980 DOI: 10.1016/j.jfo.2017.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2017] [Accepted: 08/17/2017] [Indexed: 11/26/2022]
Affiliation(s)
- M Beylerian
- Service d'ophtalmologie, CHU Hôpital Nord, chemin des Bourrely, 13015 Marseille, France.
| | - P Gascon
- Service d'ophtalmologie, CHU Hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - H Beylerian
- Service d'ophtalmologie, CHU Gui-de-Chauliac, Montpellier, France
| | - F Matonti
- Service d'ophtalmologie, CHU Hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - D Denis
- Service d'ophtalmologie, CHU Hôpital Nord, chemin des Bourrely, 13015 Marseille, France
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18
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Varenne F, Mahieu L, Gascon P, Matonti F, Soler V. [Surgical management of serous macular detachment associated with tilted disc syndrome]. J Fr Ophtalmol 2017; 40:e381-e384. [PMID: 29079335 DOI: 10.1016/j.jfo.2016.07.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2016] [Revised: 07/28/2016] [Accepted: 07/31/2016] [Indexed: 11/17/2022]
Affiliation(s)
- F Varenne
- Retina Unit, Ophthalmology Department, hôpital Pierre-Paul-Riquet, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France
| | - L Mahieu
- Retina Unit, Ophthalmology Department, hôpital Pierre-Paul-Riquet, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France
| | - P Gascon
- Hôpital Nord, chemin des Bourrely, 13915 Marseille, France
| | - F Matonti
- Hôpital Nord, chemin des Bourrely, 13915 Marseille, France
| | - V Soler
- Retina Unit, Ophthalmology Department, hôpital Pierre-Paul-Riquet, CHU de Toulouse, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France; Unité différenciation épithéliale et autoimmunité rhumatoïde, UMR 1056 Inserm, CHU Purpan, place du Dr-Baylac, 31059 Toulouse cedex, France.
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19
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Bénichou J, Soler V, Denis D, Matonti F. [Inefficacy of aflibercept in the treatment of idiopathic macular telangiectasia type 2 without neovascularization]. J Fr Ophtalmol 2017; 40:547-551. [PMID: 28803666 DOI: 10.1016/j.jfo.2016.05.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Revised: 05/03/2016] [Accepted: 05/27/2016] [Indexed: 11/19/2022]
Abstract
Idiopathic macular telangectasia type 2 is a rare disease consisting primarily of bilateral macular capillary telangiectasia, alterations of the ellipsoid zone and intraretinal cysts that may appear as cystoid macular edema in the absence of neovascularization. Our goal was to study the efficacy of aflibercept in the treatment of these cysts. Thus, we performed a series of three intravitreal injections of aflibercept in the right eye of a woman with a typical presentation of macular telangectasia type 2 complicated by cystoid macular edema without neovascularization. These injections did not significantly improve the anatomical or functional results. Other studies investigating the efficacy of other anti-VEGF in this disease led mainly to a decrease in macular thickness on OCT after injection, without any functional improvement. The anti-VEGFs therefore appear to be of little value in treating MacTel 2 intraretinal cysts without neovascularization.
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Affiliation(s)
- J Bénichou
- Service d'ophtalmologie, hôpital Nord, chemin des Bourrely, 13015 Marseille, France.
| | - V Soler
- Service d'ophtalmologie, hôpital Pierre-Paul-Riquet, allée Jean-Dausset, 31300 Toulouse, France
| | - D Denis
- Service d'ophtalmologie, hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, hôpital Nord, chemin des Bourrely, 13015 Marseille, France
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20
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Beylerian M, Stolowy N, Donnadieu B, Matonti F, Denis D. Staphylome antérieur congénital : à propos d’un cas. J Fr Ophtalmol 2017; 40:e245-e246. [DOI: 10.1016/j.jfo.2016.11.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Revised: 10/06/2016] [Accepted: 11/02/2016] [Indexed: 10/19/2022]
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21
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Sauvan L, Sampo M, Stolowy N, Matonti F, Hoffart L. [Retinal astrocytic hamartomas]. J Fr Ophtalmol 2017; 40:442-443. [PMID: 28478017 DOI: 10.1016/j.jfo.2016.11.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Accepted: 11/07/2016] [Indexed: 10/19/2022]
Affiliation(s)
- L Sauvan
- Service d'ophtalmologie, hôpital Nord, AP-HM, chemin des Bourrely, 13015 Marseille, France; Aix-Marseille université, 58, boulevard Charles-Livon, 13007 Marseille, France.
| | - M Sampo
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France; Aix-Marseille université, 58, boulevard Charles-Livon, 13007 Marseille, France
| | - N Stolowy
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France; Aix-Marseille université, 58, boulevard Charles-Livon, 13007 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, hôpital Nord, AP-HM, chemin des Bourrely, 13015 Marseille, France; Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France; Aix-Marseille université, 58, boulevard Charles-Livon, 13007 Marseille, France
| | - L Hoffart
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France; Aix-Marseille université, 58, boulevard Charles-Livon, 13007 Marseille, France
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22
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Comet A, Donnadieu B, Courjaret JC, Gascon P, Denis D, Matonti F. [Brimonidine and acute anterior granulomatous uveitis: A case report and literature review]. J Fr Ophtalmol 2017; 40:e127-e129. [PMID: 28336279 DOI: 10.1016/j.jfo.2016.01.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2015] [Revised: 01/06/2016] [Accepted: 01/15/2016] [Indexed: 11/18/2022]
Affiliation(s)
- A Comet
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France.
| | - B Donnadieu
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France
| | - J-C Courjaret
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France
| | - P Gascon
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France
| | - D Denis
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France; CNRS, institut de neurosciences de la Timone (UMR7289), Aix-Marseille université, 13005 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, CHU Nord, chemin des Bourrely, 13015 Marseille, France; CNRS, institut de neurosciences de la Timone (UMR7289), Aix-Marseille université, 13005 Marseille, France
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23
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Stolowy N, Comet A, Denis D, Matonti F. [Retinal arteriovenous malformation]. J Fr Ophtalmol 2017; 40:146-147. [PMID: 28087081 DOI: 10.1016/j.jfo.2016.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2016] [Revised: 09/13/2016] [Accepted: 10/05/2016] [Indexed: 10/20/2022]
Affiliation(s)
- N Stolowy
- CHU-Hôpital Nord, université d'Aix-Marseille, chemin des Bourrely 13015 Marseille, France.
| | - A Comet
- CHU-Hôpital Nord, université d'Aix-Marseille, chemin des Bourrely 13015 Marseille, France
| | - D Denis
- CHU-Hôpital Nord, université d'Aix-Marseille, chemin des Bourrely 13015 Marseille, France
| | - F Matonti
- CHU-Hôpital Nord, université d'Aix-Marseille, chemin des Bourrely 13015 Marseille, France
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24
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Benouaich X, Mahieu L, Matonti F, Soler V. Persistence of foveal capillary plexi in a case of fovea plana evident on OCT angiography. J Fr Ophtalmol 2016; 40:4-7. [PMID: 27989421 DOI: 10.1016/j.jfo.2016.10.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2016] [Revised: 08/10/2016] [Accepted: 10/18/2016] [Indexed: 11/30/2022]
Abstract
We report the case of a 12-year-old boy with fovea plana discovered on a systematic work-up. His best-corrected visual acuity was limited to 20/25 in both eyes. Anterior segment examination showed no evidence of iris transillumination or aniridia. Macular OCT revealed persistence of the inner nuclear layers in the foveolar area and an absence of foveal pits, suggesting a diagnosis of fovea plana. Fluorescein angiography revealed that the foveal avascular zone (FAZ) was absent. OCT angiography revealed persistence of the superficial and deep capillary plexi. Our case confirms that OCT angiography affords additional insights into macular exploration and the diagnosis of fovea plana by revealing absence of the foveal pit associated with persistence of both superficial and deep capillary plexi in the foveal area.
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Affiliation(s)
- X Benouaich
- Ophthalmology Department, l'Union Private Hospital, 31240 Saint-Jean, France
| | - L Mahieu
- Ophthalmology Department, l'Union Private Hospital, 31240 Saint-Jean, France; Unité de rétine, Ophthalmology Department, hôpital Pierre-Paul-Riquet, Toulouse University Hospital, place Baylac, 31059 Toulouse, France
| | - F Matonti
- Ophthamology Department, hôpital Nord, chemin des Bourrely, 13915 Marseille, France
| | - V Soler
- Unité de rétine, Ophthalmology Department, hôpital Pierre-Paul-Riquet, Toulouse University Hospital, place Baylac, 31059 Toulouse, France; UDEAR, UMR 5165 CNRS, 1056 Inserm, université de Toulouse, hôpital Purpan, 40031, place du Dr-Baylac TSA, 31059 Toulouse, France.
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25
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Sampo M, Soler V, Gascon P, Ho Wang Yin G, Hoffart L, Denis D, Matonti F. Traitement par éplérénone dans la choriorétinite séreuse centrale chronique. J Fr Ophtalmol 2016; 39:535-42. [DOI: 10.1016/j.jfo.2016.01.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2015] [Revised: 01/18/2016] [Accepted: 01/25/2016] [Indexed: 10/21/2022]
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26
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Lajoie J, Renouvin A, Mahieu L, Tolou C, Suarez C, Ouardani S, Hamid S, Cassagne M, Pagot-Mathis V, Matonti F, Soler V. Blanc périveinulaire isolé : quand un œdème blanc du pôle postérieur d’origine vasculaire ne rime pas avec oblitération artérielle rétinienne. J Fr Ophtalmol 2016; 39:31-9. [DOI: 10.1016/j.jfo.2015.09.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2015] [Revised: 08/09/2015] [Accepted: 09/07/2015] [Indexed: 11/24/2022]
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27
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Tolou C, Mahieu L, Martin-Blondel G, Ollé P, Matonti F, Hamid S, Benouaich X, Debard A, Cassagne M, Soler V. Posterior segment involvement in cat-scratch disease: A case series. J Fr Ophtalmol 2015; 38:974-82. [DOI: 10.1016/j.jfo.2015.07.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2015] [Revised: 07/20/2015] [Accepted: 07/24/2015] [Indexed: 11/28/2022]
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28
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Donnadieu B, Amouyal F, Comet A, Gascon P, Courjaret JC, Denis D, Matonti F. [Retinal arterial macroaneurysms with intraretinal exudates]. J Fr Ophtalmol 2015; 39:107-8. [PMID: 26614262 DOI: 10.1016/j.jfo.2015.02.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2014] [Revised: 02/13/2015] [Accepted: 02/20/2015] [Indexed: 11/25/2022]
Affiliation(s)
- B Donnadieu
- Service d'ophtalmologie, centre hospitalier universitaire Nord, chemin des Bourrelys, 13015 Marseille, France.
| | - F Amouyal
- Service d'ophtalmologie, centre hospitalier universitaire Nord, chemin des Bourrelys, 13015 Marseille, France
| | - A Comet
- Service d'ophtalmologie, centre hospitalier universitaire Nord, chemin des Bourrelys, 13015 Marseille, France
| | - P Gascon
- Service d'ophtalmologie, centre hospitalier universitaire Nord, chemin des Bourrelys, 13015 Marseille, France
| | - J-C Courjaret
- Service d'ophtalmologie, centre hospitalier universitaire Nord, chemin des Bourrelys, 13015 Marseille, France
| | - D Denis
- Service d'ophtalmologie, centre hospitalier universitaire Nord, chemin des Bourrelys, 13015 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, centre hospitalier universitaire Nord, chemin des Bourrelys, 13015 Marseille, France
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29
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Donnadieu B, Gascon P, Amouyal F, Aziz A, Matonti F, Denis D. Cataracte congénitale unilatérale associée à une persistance du canal de Cloquet. J Fr Ophtalmol 2015; 38:895. [DOI: 10.1016/j.jfo.2015.01.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2014] [Accepted: 01/15/2015] [Indexed: 11/16/2022]
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Aziz A, Fakhoury O, Matonti F, Pieri E, Denis D. [Epidemiology and clinical characteristics of primary congenital glaucoma]. J Fr Ophtalmol 2015; 38:960-6. [PMID: 26522891 DOI: 10.1016/j.jfo.2015.04.018] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Revised: 04/16/2015] [Accepted: 04/17/2015] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Primary congenital glaucoma (PCG) is a rare and sight threatening condition. Few large epidemiological studies are available in the literature concerning this condition. The purpose of the study was to evaluate the epidemiological and clinical characteristics of children affected by PCG. PATIENTS AND METHOD Children affected by PCG, from 1 day to 3 years old at the time of diagnosis were retrospectively included between 1999 and 2014. The analysis concerned the pregnancy, family history, initial referral, clinical presentation with description of the classic findings in this condition, mean age at first consultation, duration of follow-up and presence of a delay in treatment, defined as a delay of over one month from the appearance of clinical signs until diagnosis. Two groups were defined according to age at appearance of the clinical signs: "early" group prior to 2 months old and "late" group beyond 2 months up until 3 years old. RESULTS One hundred and forty-one eyes of 71 children were included, with 49.3% girls (n=35 children) and 50.7% boys (n=36 children) for a male:female ratio of 1.02. The "early" group included 50 children i.e. 70.3% of the population; the "late" group 21 children or 29.7% of the population. A first-degree family history of congenital glaucoma existed in 28% of cases (n=19). The average age at first consultation was 13.1 months for the entire population, and the mean duration of follow-up was 56.6 months. Involvement was bilateral in 99.3% of cases (n=70 children) and the most frequent clinical sign was buphthalmos in 64.5% of eyes (n=91 eyes). Treatment was delayed in 35.3% of cases (n=25 children). DISCUSSION AND CONCLUSION This study is of particular relevance because it was performed over a long period and on a large population, considering the rare prevalence of the pathology, and has found epidemiological and clinical data comparable with those available in the literature for similar populations.
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Affiliation(s)
- A Aziz
- Service d'ophtalmologie, CHU Nord, Chemin des Bourrely, 13015 Marseille, France.
| | - O Fakhoury
- Service d'ophtalmologie, CHU Nord, Chemin des Bourrely, 13015 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, CHU Nord, Chemin des Bourrely, 13015 Marseille, France; Institut de neurosciences de la Timone (UMR7289), Aix-Marseille université, CNRS, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - E Pieri
- Service d'ophtalmologie, CHU Nord, Chemin des Bourrely, 13015 Marseille, France
| | - D Denis
- Service d'ophtalmologie, CHU Nord, Chemin des Bourrely, 13015 Marseille, France
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31
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Sauvan L, Aziz A, Matonti F, Denis D. [Ocular fundus of a newborn with Leber's congenital amaurosis resulting from a mutation of the NMNAT1 gene]. J Fr Ophtalmol 2015; 38:778-9. [PMID: 26350250 DOI: 10.1016/j.jfo.2015.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2015] [Revised: 02/10/2015] [Accepted: 02/12/2015] [Indexed: 10/23/2022]
Affiliation(s)
- L Sauvan
- Service d'ophtalmologie, CHU-hôpital Nord, université d'Aix-Marseille, chemin des Bourrely, 13915 Marseille, France.
| | - A Aziz
- Service d'ophtalmologie, CHU-hôpital Nord, université d'Aix-Marseille, chemin des Bourrely, 13915 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, CHU-hôpital Nord, université d'Aix-Marseille, chemin des Bourrely, 13915 Marseille, France
| | - D Denis
- Service d'ophtalmologie, CHU-hôpital Nord, université d'Aix-Marseille, chemin des Bourrely, 13915 Marseille, France
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Sampo M, Hoffart L, Ho Wang Yin G, Denis D, Matonti F. [Acute multifocal placoid pigment epitheliopathy and sarcoidosis, an association not to be missed]. J Fr Ophtalmol 2015; 38:e117-9. [PMID: 25913655 DOI: 10.1016/j.jfo.2014.06.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2014] [Revised: 05/27/2014] [Accepted: 06/04/2014] [Indexed: 10/23/2022]
Affiliation(s)
- M Sampo
- Service d'ophtalmologie, hôpital Nord, chemin de Bourrely, 13915 Marseille cedex 20, France.
| | - L Hoffart
- Service d'ophtalmologie, hôpital de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - G Ho Wang Yin
- Service d'ophtalmologie, hôpital de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - D Denis
- Service d'ophtalmologie, hôpital Nord, chemin de Bourrely, 13915 Marseille cedex 20, France
| | - F Matonti
- Service d'ophtalmologie, hôpital Nord, chemin de Bourrely, 13915 Marseille cedex 20, France
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Matonti F, Roux S, Denis D, Picaud S, Chavane F. [Blindness and visual rehabilitation]. J Fr Ophtalmol 2015; 38:93-102. [PMID: 25595628 DOI: 10.1016/j.jfo.2014.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2014] [Revised: 06/23/2014] [Accepted: 06/30/2014] [Indexed: 10/24/2022]
Abstract
Blindness and visual impairment are a major public health problem all over the world and in all societies. A large amount of basic science and clinical research aims to rehabilitate patients and help them become more independent. Various methods are explored from cell and molecular therapy to prosthetic interfaces. We review the various treatment alternatives, describing their results and their limitations.
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Affiliation(s)
- F Matonti
- Service d'ophtalmologie, hôpital Nord, chemin de Bourrely, 13915 Marseille cedex 20, France; Équipe InViBe, institut de neurosciences de la Timone, UMR 7289 CNRS, Aix-Marseille université, 13402 Marseille cedex 20, France.
| | - S Roux
- Équipe InViBe, institut de neurosciences de la Timone, UMR 7289 CNRS, Aix-Marseille université, 13402 Marseille cedex 20, France
| | - D Denis
- Service d'ophtalmologie, hôpital Nord, chemin de Bourrely, 13915 Marseille cedex 20, France; Équipe InViBe, institut de neurosciences de la Timone, UMR 7289 CNRS, Aix-Marseille université, 13402 Marseille cedex 20, France
| | - S Picaud
- Inserm, U968, CNRS, UMR 7210, institut de la vision, UPMC université Paris 06, 75012 Paris, France
| | - F Chavane
- Équipe InViBe, institut de neurosciences de la Timone, UMR 7289 CNRS, Aix-Marseille université, 13402 Marseille cedex 20, France
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Amouyal F, Courjaret JC, Denis D, Matonti F. Colobome maculaire de Sorsby : fond d’œil et OCT spectral-domain. J Fr Ophtalmol 2014; 37:754. [DOI: 10.1016/j.jfo.2014.03.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Accepted: 03/26/2014] [Indexed: 10/24/2022]
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Ho Wang Yin G, Nadeau S, Sampo M, Guyot L, Denis D, Matonti F. [Spontaneous thrombosis of an orbital varix after snorkeling]. J Fr Ophtalmol 2014; 37:e129-31. [PMID: 25260420 DOI: 10.1016/j.jfo.2014.01.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2013] [Revised: 01/12/2014] [Accepted: 01/13/2014] [Indexed: 11/30/2022]
Affiliation(s)
- G Ho Wang Yin
- Service d'ophtalmologie, hôpital nord, chemin de Bourrely, 13915 Marseille cedex 20, France.
| | - S Nadeau
- Service d'ophtalmologie, hôpital nord, chemin de Bourrely, 13915 Marseille cedex 20, France
| | - M Sampo
- Service d'ophtalmologie, hôpital nord, chemin de Bourrely, 13915 Marseille cedex 20, France
| | - L Guyot
- Service de chirurgie maxillo-faciale, hôpital nord, chemin de Bourrely, 13915 Marseille cedex 20, France
| | - D Denis
- Service d'ophtalmologie, hôpital nord, chemin de Bourrely, 13915 Marseille cedex 20, France
| | - F Matonti
- Service d'ophtalmologie, hôpital nord, chemin de Bourrely, 13915 Marseille cedex 20, France; Équipe InViBe, institut de neurosciences de la Timone, 27, boulevard Jean-Moulin, 13385 Marseille, France
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Amouyal F, Benso C, Denis D, Matonti F. [Atypical appearance of toxoplasma retinochoroiditis]. J Fr Ophtalmol 2014; 37:660-1. [PMID: 25193473 DOI: 10.1016/j.jfo.2014.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Accepted: 03/26/2014] [Indexed: 11/28/2022]
Affiliation(s)
- F Amouyal
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, chemin des Bourrely, 13915 Marseille, France.
| | - C Benso
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, chemin des Bourrely, 13915 Marseille, France
| | - D Denis
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, chemin des Bourrely, 13915 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, chemin des Bourrely, 13915 Marseille, France
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Donnadieu B, Matonti F, Fakhoury O, Nadeau S, Zanin E, Denis D. Atteinte ophtalmologique de la maladie de Morquio : à propos de 2 cas. J Fr Ophtalmol 2014; 37:e97-9. [DOI: 10.1016/j.jfo.2013.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2013] [Revised: 10/22/2013] [Accepted: 11/20/2013] [Indexed: 11/17/2022]
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Guigou S, Hajjar C, Parrat E, Merite P, Pommier S, Matonti F, Prost-Magnin O, Meyer F. Étude rétrospective du traitement par Ozurdex® dans l’œdème maculaire diabétique : MOZART study. J Fr Ophtalmol 2014; 37:480-5. [DOI: 10.1016/j.jfo.2014.03.001] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Revised: 03/19/2014] [Accepted: 03/24/2014] [Indexed: 02/08/2023]
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Sarlegna F, Matonti F, Lefumat H, Cole J, Miall C, Vercher J. Inferences on the role of proprioception for perception and action by studying deafferented patients. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Courjaret JC, Denis D, Rojat-Habib MC, Barlési F, Matonti F. [Ocular hypertension secondary to iridocorneal angle metastasis of an anaplastic bronchial carcinoma]. J Fr Ophtalmol 2014; 37:e61-3. [PMID: 24657216 DOI: 10.1016/j.jfo.2013.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2013] [Revised: 09/09/2013] [Accepted: 09/12/2013] [Indexed: 11/29/2022]
Affiliation(s)
- J-C Courjaret
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, 265, chemin de Bourrely, 13915 Marseille, France.
| | - D Denis
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, 265, chemin de Bourrely, 13915 Marseille, France
| | - M-C Rojat-Habib
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Timone, 264, rue Saint-Pierre, 13005 Marseille, France
| | - F Barlési
- Service d'oncologie médicale et innovations, CHU hôpital Nord, 265, chemin de Bourrely, 13915 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, 265, chemin de Bourrely, 13915 Marseille, France
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Matonti F, Meyer F, Rouhette H, Guigou S, Dumas S, Parrat E, Mérité PY, Pommier S. [Anatomical and functional prognosis of secondary retinal detachments after sutureless macular surgery]. J Fr Ophtalmol 2013; 37:58-63. [PMID: 24210934 DOI: 10.1016/j.jfo.2013.05.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2012] [Revised: 04/28/2013] [Accepted: 05/27/2013] [Indexed: 10/26/2022]
Abstract
PURPOSE To evaluate the incidence, characteristics and risk factors for rhegmatogenous complications of transconjunctival sutureless 23-gauge vitrectomy (TSV) in macular surgery. The results were correlated with those reported in the literature. METHODS Multicentric retrospective study of a cohort of patients undergoing macular surgery by 23-gauge TSV between January 2009 and June 2010. RESULTS Four hundred and seventy-four patients divided into: epiretinal membrane (MEM) (n=279), vitreomacular traction (n=65) and idiopathic macular hole n=130. Forty-three percent of patients were pseudophakic. Posterior vitreous detachment (PVD) was absent in 60% of cases and was therefore systematically performed intraoperatively. It was seen that 1.7% of patients developed retinal tears and 2.7% retinal detachment with a higher incidence in the vitreomacular traction (VMT) group and the group in which the PVD was performed intraoperatively. Rhegmatogenous lesions were localized mainly in the inferior retina in the macular hole group. DISCUSSION Results are consistent with the TSV literature. Their location does not appear to be related to the sclerotomies or handedness as in 20-gauge surgery, probably due to sclerotomy trocars. Localization of rhegmatogenous lesions in the inferior retina in macular hole surgery suggests a role of gas in this subgroup. In addition to instrument-retinal touch, the performance of a surgical PVD represents a major independent risk factor for retinal detachment (RD). CONCLUSION Even with limited macular surgery, it is essential to check the retinal periphery for 360 degrees, especially for VMT and intraoperative PVD, and especially inferiorly in the case of gas tamponnade.
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Affiliation(s)
- F Matonti
- Service d'ophtalmologie, université Aix-Marseille, hôpital Nord, chemin de Bourrely, 13915 Marseille cedex 20, France; Équipe InViBe, institut de neurosciences de la Timone, Aix-Marseille université, 27, boulevard Jean-Moulin, 13385 Marseille, France.
| | - F Meyer
- Centre d'ophtalmologie, 44, avenue Maréchal-de-Lattre-de-Tassigny, 13090 Aix-en-Provence, France
| | - H Rouhette
- Clinique Espérance, 122, avenue Dr-Maurice-Donat, 06250 Mougins, France
| | - S Guigou
- Service d'ophtalmologie, hôpital Henri-Duffaut, 305, rue Raoul-Follereau, 84902 Avignon, France
| | - S Dumas
- Centre d'ophtalmologie, 20, rue Ballon, 59000 Lille, France
| | - E Parrat
- Centre d'ophtalmologie, 44, rue Henry-Becquerel-Jarry, immeuble SCI Futur, 97122 Baie-Mahault, Guadeloupe
| | - P-Y Mérité
- Centre d'ophtalmologie, 44, avenue Maréchal-de-Lattre-de-Tassigny, 13090 Aix-en-Provence, France
| | - S Pommier
- Centre d'ophtalmologie, 1 bis, quartier Lices-Berthelot, 84800 Isle-sur-la-Sorgue, France
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Courjaret JC, Denis D, Hoffart L, Matonti F. [Angiographic appearance of optociliary shunt after central retinal vein occlusion]. J Fr Ophtalmol 2013; 37:85-6. [PMID: 24099699 DOI: 10.1016/j.jfo.2013.05.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2013] [Revised: 04/29/2013] [Accepted: 05/18/2013] [Indexed: 11/16/2022]
Affiliation(s)
- J-C Courjaret
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, 265, chemin des Bourrely, 13015 Marseille cedex 20, France.
| | - D Denis
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, 265, chemin des Bourrely, 13015 Marseille cedex 20, France
| | - L Hoffart
- Service d'ophtalmologie, université d'Aix-Marseille, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France
| | - F Matonti
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, 265, chemin des Bourrely, 13015 Marseille cedex 20, France
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Matonti F, Donnadieu V, Courjaret J, Maues De Paula A, Roux S, Denis D. Décompensation d’un glaucome par syndrome de Schwartz. J Fr Ophtalmol 2013; 36:e155-7. [DOI: 10.1016/j.jfo.2013.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2012] [Revised: 01/10/2013] [Accepted: 01/15/2013] [Indexed: 10/26/2022]
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Courjaret JC, Denis D, Hoffart L, Matonti F. [Optic nerve head drusen complicated by serous retinal detachment overlying choroidal neovasculation]. J Fr Ophtalmol 2013; 36:718-20. [PMID: 23932585 DOI: 10.1016/j.jfo.2013.03.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2013] [Revised: 03/08/2013] [Accepted: 03/11/2013] [Indexed: 11/28/2022]
Affiliation(s)
- J-C Courjaret
- Service d'ophtalmologie, université d'Aix-Marseille, CHU hôpital Nord, chemin des Bourrelly, 13915 Marseille cedex 20, France.
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Matonti F, Amouyal F, Hoffart L, Denis D. [Intracystic spherical exudate upon rapid regression of macular edema]. J Fr Ophtalmol 2013; 36:554-5. [PMID: 23731793 DOI: 10.1016/j.jfo.2012.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2012] [Revised: 11/14/2012] [Accepted: 11/23/2012] [Indexed: 11/19/2022]
Affiliation(s)
- F Matonti
- Service d'ophtalmologie, hôpital Nord, AP-HM, chemin de Bourrely, 13915 Marseille cedex 20, France.
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Matonti F, Courjaret JC, Nadeau S, Denis D. Comment on ‘Vitreomacular traction syndrome: a comparison of treatment with intravitreal plasmin enzyme vs spontaneous vitreous separation without treatment’. Eye (Lond) 2013; 27:777-8. [DOI: 10.1038/eye.2013.62] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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Matonti F, Donadieu V, Hoffart L, Dornadin A, Nadeau S, Roux S, Denis D. [Early treatment with Nd:YAG laser for Valsalva retinopathy: results of five cases and literature review]. J Fr Ophtalmol 2013; 36:604-9. [PMID: 23618730 DOI: 10.1016/j.jfo.2013.01.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2012] [Revised: 12/03/2012] [Accepted: 01/07/2013] [Indexed: 10/26/2022]
Abstract
INTRODUCTION According to the literature, the treatment of retinopathy of Valsalva (VR) by laser is recommended when the macular hemorrhage has not regressed after 3 weeks. PATIENTS AND METHODS We report five cases of VR treated early (≤ 24 hours) by Nd:YAG laser membranotomy (LM). Clinical examination was performed before and after LM (D1, D7, M1, M3 and M6). Optical coherence tomography (OCT) analysis was performed to determine the precise location of the macular hemorrhage. RESULTS Good visual recovery was obtained early by LM with a stable outcome at 6 months. The hemorrhage was located under the internal limiting membrane (ILM) and posterior hyaloid in two patients and only under the ILM in three patients. DISCUSSION The literature review and our study confirm the good functional results for patients treated by LM for VR. Furthermore, very few side effects are reported with this type of treatment compared with the natural course of the disease, which may certainly regress spontaneously, but carries a risk of secondary preretinal fibrosis. However, to obtain optimal efficacy, the treatment should be carried out as soon as possible, in order to avoid clotting of the hematoma, preventing any subsequent evacuation by laser. CONCLUSION LM for VR is an effective, safe and inexpensive technique compared to the surgical management of these patients presenting with a persistant premacular hematoma after a period of observation.
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Affiliation(s)
- F Matonti
- Service d'ophtalmologie, hôpital Nord, chemin de Bourrely, 13915 Marseille cedex 20, France; Équipe InViBe, institut de neurosciences de la Timone, 27, boulevard Jean-Moulin, 13385 Marseille, France.
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Abstract
INTRODUCTION Congenital ocular colobomas are the result of a failure in closure of the embryonal fissure. We present a prospective study (2007-2011) in which we report brain MRI findings in children with ocular coloboma. PATIENTS AND METHODS Thirty-five children (54 eyes) were included; 15 boys, 20 girls with a median age of 24.0 months (1.0-96.0) at first presentation. Within 2 to 3 months following complete ophthalmologic examination, brain MRI was performed. RESULTS Colobomas were bilateral in 19 cases and unilateral in 16 cases. Eleven different types of coloboma were identified. Of 54 eyes, 74% demonstrated optic nerve coloboma, of which 28 were severe. Of 35 MRI's performed, abnormalities were present in 86%: gyration abnormalities (n=21), lateral ventricular dilatation (n=17), dilatation of the Virchow-Robin and subarachnoid spaces (n=14), signal abnormalities and brain stem malformations (n=14), white matter signal abnormalities (n=11), corpus callosum abnormalities (n=10). Most of these abnormalities were related. Gyration abnormalities were the most frequent. There was no significant association between the severity of the coloboma and the abnormalities found (P=1.0). Likewise, there was no significant association of gyration abnormalities with the severity of coloboma in children (P=1.0). DISCUSSION AND CONCLUSION This study shows, for the first time, the existence of frequent cerebral abnormalities on MRI in children with ocular coloboma. The most common abnormality being gyration abnormalities, in 60% of cases.
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Affiliation(s)
- D Denis
- Service d'ophtalmologie, hôpital Nord, chemin des Bourrely, 13915 Marseille cedex 20, France.
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Affiliation(s)
- F Matonti
- Service d'ophtalmologie, hôpital Nord, chemin de Bourrely, 13915 Marseille cedex 20, France.
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Matonti F, Conrath J. [Angioid streaks]. J Fr Ophtalmol 2012; 35:838-45. [PMID: 23046745 DOI: 10.1016/j.jfo.2012.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2012] [Accepted: 05/10/2012] [Indexed: 10/27/2022]
Abstract
Angioid streaks represent breaks in Bruch's membrane, appearing as dark or reddish radial streaks eminating from the optic disc. Usually asymptomatic, these streaks may develop neovascularisation and lead to a maculopathy with marked loss of vision. Some associations with systemic disease are classically described, especially pseudoxanthoma elasticum. This condition may involve cardiovascular complications. A mutation has been found in the ABCC6 gene, which encodes for a membrane transport protein involved in the synthesis of the extracellular matrix. Imaging allows for visualization of the extent of the streaks, and autofluorescence is particularly informative. Spectral domain OCT may also demonstrate early breaks in Bruch's membrane. Neovascular complications, previously responsible for inevitable visual impairment at some point after their occurrence, are now managed by intravitreal injections of anti-VEGFs with clear efficacity. The ophthalmologist must be aware of this condition, in order to guide the patient towards a systemic work-up if necessary, and also to insure quick and targeted treatment in the case of neovascular complications.
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Affiliation(s)
- F Matonti
- Service d'ophtalmologie, hôpital Nord, chemin des Bourrelys, 13015 Marseille, France
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