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Ngo LC, Nahon-Estève S, Maschi C, Martel A, Lassalle S, Tieulie N, Baillif S. Clinical features, diagnosis, treatment, and course of ocular sarcoidosis with or without uveitis: A retrospective, comparative study. J Fr Ophtalmol 2024; 47:104153. [PMID: 38696861 DOI: 10.1016/j.jfo.2024.104153] [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: 07/21/2023] [Revised: 10/26/2023] [Accepted: 12/12/2023] [Indexed: 05/04/2024]
Abstract
OBJECTIVE To evaluate and compare characteristics, diagnosis, treatment, visual prognosis, and course between ocular sarcoidosis with or without uveitis in a population in Southern France. METHODS We retrospectively analyzed data from patients with ocular sarcoidosis in a tertiary eye care center in Nice from January 2003 to December 2021. The inclusion criterion was biopsy-proven ocular sarcoidosis according to IWOS criteria as the first clinical manifestation of sarcoidosis. RESULTS A total of 25 patients were included. Twenty patients had uveitis (70% panuveitis, 20% intermediate uveitis, and 10% anterior uveitis) and five patients had non-uveitic ocular sarcoidosis (one patient with dacryoadenitis, one patient with orbital granuloma, two patients with palpebral granuloma, and one patient with episcleritis). Only the cases with uveitis had bilateral involvement (85% of cases). There was no significant difference in ethnicity, biopsy diagnosis, systemic manifestations, or treatment between the two groups. Final visual outcomes remained good for both groups, with 96% of patients with BCVA>20/50, with no significant difference. Patients with non-uveitic sarcoidosis experienced less recurrence on treatment (P=0.042) and more remission (P=0.038) than patients with uveitis. Eighty percent of patients with uveitis had at least three suggestive clinical intraocular signs meeting IWOS criteria. CONCLUSION In this population in Southern France, uveitis was the most common presentation of ocular sarcoidosis. The type of ocular sarcoidosis does not appear to be correlated with the type of systemic manifestations, use of systemic therapy, or visual prognosis, but patients with non-uveitic ocular sarcoidosis appear to have a better course with fewer recurrences on treatment and more remission than patients with uveitic ocular sarcoidosis.
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Affiliation(s)
- L C Ngo
- Service d'ophtalmologie, université Côte-d'Azur, centre hospitalier universitaire de Nice, Nice, France
| | - S Nahon-Estève
- Service d'ophtalmologie, université Côte-d'Azur, centre hospitalier universitaire de Nice, Nice, France; Laboratoire d'anatomopathologie, FHU OncoAge, BB-0033-00025, université Côte-d'Azur, centre hospitalier universitaire de Nice, Nice, France.
| | - C Maschi
- Service d'ophtalmologie, université Côte-d'Azur, centre hospitalier universitaire de Nice, Nice, France
| | - A Martel
- Service d'ophtalmologie, université Côte-d'Azur, centre hospitalier universitaire de Nice, Nice, France; Laboratoire d'anatomopathologie, FHU OncoAge, BB-0033-00025, université Côte-d'Azur, centre hospitalier universitaire de Nice, Nice, France
| | - S Lassalle
- Laboratoire d'anatomopathologie, FHU OncoAge, BB-0033-00025, université Côte-d'Azur, centre hospitalier universitaire de Nice, Nice, France
| | - N Tieulie
- Service d'ophtalmologie, université Côte-d'Azur, centre hospitalier universitaire de Nice, Nice, France
| | - S Baillif
- Service d'ophtalmologie, université Côte-d'Azur, centre hospitalier universitaire de Nice, Nice, France
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Verdier B, Lassalle S, Razlog E, Martel A, Nahon-Estève S. Choroidal metastasis of a thymic carcinoma. J Fr Ophtalmol 2023:S0181-5512(23)00271-1. [PMID: 37419722 DOI: 10.1016/j.jfo.2023.03.005] [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: 02/19/2023] [Accepted: 03/01/2023] [Indexed: 07/09/2023]
Affiliation(s)
- B Verdier
- Service d'ophtalmologie, université Côte d'Azur, hôpital Pasteur, CHU de Nice, 30, voie Romaine, 06000 Nice, France
| | - S Lassalle
- Laboratoire de pathologie clinique et expérimentale, université Côte d'Azur, hôpital Pasteur, CHU de Nice, 30, voie Romaine, 06000 Nice, France
| | - E Razlog
- Service d'ophtalmologie, université Reims - Champagne-Ardenne, CHU Robert-Debré de Reims, rue du Général Koenig, 51100 Reims, France
| | - A Martel
- Service d'ophtalmologie, université Côte d'Azur, hôpital Pasteur, CHU de Nice, 30, voie Romaine, 06000 Nice, France
| | - S Nahon-Estève
- Service d'ophtalmologie, université Côte d'Azur, hôpital Pasteur, CHU de Nice, 30, voie Romaine, 06000 Nice, France.
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Martel A, Nahon-Estève S, Almairac F, Baillif S. Ultrasonic orbital tumor debulking… with a phaco tip! Does it work? J Fr Ophtalmol 2023; 46:430-432. [PMID: 36863902 DOI: 10.1016/j.jfo.2022.08.015] [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: 07/16/2022] [Revised: 08/15/2022] [Accepted: 08/26/2022] [Indexed: 03/04/2023]
Affiliation(s)
- A Martel
- Service d'ophtalmologie, CHU de Nice, université Côte d'Azur, hôpital Pasteur, 30, voie Romaine, 06000 Nice, France; Laboratoire de pathologie clinique et expérimentale (LPCE), CHU de Nice, université Côte d'Azur, hôpital Pasteur, 30, voie Romaine, 06000 Nice, France.
| | - S Nahon-Estève
- Service d'ophtalmologie, CHU de Nice, université Côte d'Azur, hôpital Pasteur, 30, voie Romaine, 06000 Nice, France; Centre méditerranéen de médecine moléculaire (C3M), équipe 1, Inserm U1065, Nice, France
| | - F Almairac
- Service de neurochirurgie, CHU de Nice, université Côte d'Azur, hôpital Pasteur, 30, voie Romaine, 06000 Nice, France
| | - S Baillif
- Service d'ophtalmologie, CHU de Nice, université Côte d'Azur, hôpital Pasteur, 30, voie Romaine, 06000 Nice, France
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Martel A, Chiabo J, Ngo LC, Nahon-Estève S, Baillif S. Pseudo-enophthalmos and Coats' disease: Is there a relationship? J Fr Ophtalmol 2021; 44:1630-1632. [PMID: 34364693 DOI: 10.1016/j.jfo.2021.03.015] [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: 02/13/2021] [Revised: 03/08/2021] [Accepted: 03/11/2021] [Indexed: 11/20/2022]
Affiliation(s)
- A Martel
- Service d'ophtalmologie, hôpital Pasteur 2, CHU de Nice, université Côte-d'Azur, 30, voie Romaine, 06000 Nice, France.
| | - J Chiabo
- Service d'ophtalmologie, hôpital Pasteur 2, CHU de Nice, université Côte-d'Azur, 30, voie Romaine, 06000 Nice, France
| | - L-C Ngo
- Service d'ophtalmologie, hôpital Pasteur 2, CHU de Nice, université Côte-d'Azur, 30, voie Romaine, 06000 Nice, France
| | - S Nahon-Estève
- Service d'ophtalmologie, hôpital Pasteur 2, CHU de Nice, université Côte-d'Azur, 30, voie Romaine, 06000 Nice, France
| | - S Baillif
- Service d'ophtalmologie, hôpital Pasteur 2, CHU de Nice, université Côte-d'Azur, 30, voie Romaine, 06000 Nice, France
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Martel A, Nahon-Estève S, Lagier J, Baillif S. Thermal imaging findings in exenterated sockets. J Fr Ophtalmol 2021; 44:1112-1114. [PMID: 33888326 DOI: 10.1016/j.jfo.2020.11.021] [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: 10/31/2020] [Accepted: 11/17/2020] [Indexed: 11/30/2022]
Affiliation(s)
- A Martel
- Service d'ophtalmologie, hôpital Pasteur 2, CHU de Nice, université Cote d'Azur, 30, voie Romaine, 06000 Nice, France.
| | - S Nahon-Estève
- Service d'ophtalmologie, hôpital Pasteur 2, CHU de Nice, université Cote d'Azur, 30, voie Romaine, 06000 Nice, France
| | - J Lagier
- Service d'ophtalmologie, hôpital Pasteur 2, CHU de Nice, université Cote d'Azur, 30, voie Romaine, 06000 Nice, France
| | - S Baillif
- Service d'ophtalmologie, hôpital Pasteur 2, CHU de Nice, université Cote d'Azur, 30, voie Romaine, 06000 Nice, France
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Martel A, Nahon-Estève S, Appert Flory A, Lassalle S, Leonardo S, Tieulié N, Caujolle JP. Ligneous conjunctivitis masquerading as a large, recurrent conjunctival tumor. J Fr Ophtalmol 2020; 44:451-453. [PMID: 33288307 DOI: 10.1016/j.jfo.2020.04.052] [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: 04/10/2020] [Accepted: 04/27/2020] [Indexed: 10/22/2022]
Affiliation(s)
- A Martel
- Service d'ophtalmologie, CHU de Pasteur, 30, voie Romaine, 06000 Nice, France.
| | - S Nahon-Estève
- Service d'ophtalmologie, CHU de Pasteur, 30, voie Romaine, 06000 Nice, France
| | - A Appert Flory
- Service d'hématologie, CHU de Pasteur, 30, voie Romaine, 06000 Nice, France
| | - S Lassalle
- Laboratoire de pathologie clinique et expérimentale, CHU de Pasteur, 30, voie Romaine, 06000 Nice, France
| | - S Leonardo
- Pôle pharmacie-stérilisation, CHU de Pasteur, 30, voie Romaine, 06000 Nice, France
| | - N Tieulié
- Service de rhumatologie, CHU de Pasteur, 30, voie Romaine, 06000 Nice, France
| | - J-P Caujolle
- Service d'ophtalmologie, CHU de Pasteur, 30, voie Romaine, 06000 Nice, France
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Martel A, Nahon-Estève S, Baillif S, Février E, Alketbi M. Versatility of the epidermis, dermis fat graft for reconstructing complex orbital gunshot traumas. J Fr Ophtalmol 2020; 44:e69-e71. [PMID: 33288304 DOI: 10.1016/j.jfo.2020.05.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 05/26/2020] [Indexed: 11/18/2022]
Affiliation(s)
- A Martel
- Service d'ophtalmologie, centre hospitalier universitaire Pasteur, 30, voie Romaine, 06000 Nice, France; Université Côte d'Azur, Nice, France.
| | - S Nahon-Estève
- Service d'ophtalmologie, centre hospitalier universitaire Pasteur, 30, voie Romaine, 06000 Nice, France
| | - S Baillif
- Service d'ophtalmologie, centre hospitalier universitaire Pasteur, 30, voie Romaine, 06000 Nice, France; Université Côte d'Azur, Nice, France
| | - E Février
- Service d'ophtalmologie, centre hospitalier universitaire Pasteur, 30, voie Romaine, 06000 Nice, France
| | - M Alketbi
- Service d'ophtalmologie, centre hospitalier universitaire Pasteur, 30, voie Romaine, 06000 Nice, France
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