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Beretta F, Sacconi R, Bandello F, Querques G. Large choroidal cavern development in a patient with geographic atrophy. J Fr Ophtalmol 2024; 47:104208. [PMID: 38703487 DOI: 10.1016/j.jfo.2024.104208] [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: 02/22/2024] [Accepted: 03/21/2024] [Indexed: 05/06/2024]
Affiliation(s)
- F Beretta
- Division of head and neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132 Milan, Italy; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy
| | - R Sacconi
- Division of head and neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132 Milan, Italy; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy
| | - F Bandello
- Division of head and neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132 Milan, Italy; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy
| | - G Querques
- Division of head and neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132 Milan, Italy; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
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2
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Ribarich N, Sacconi R, Servillo A, Querques G. Regarding "Altered Blood Flow in the Ophthalmic and Internal Carotid Arteries in Patients with Age-Related Macular Degeneration Measured Using Noncontrast MR Angiography at 7T". AJNR Am J Neuroradiol 2022; 43:E60-E61. [PMID: 36423953 DOI: 10.3174/ajnr.a7479] [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] [Indexed: 11/25/2022]
Affiliation(s)
- N Ribarich
- School of MedicineVita-Salute San Raffaele UniversityMilan, Italy
| | - R Sacconi
- School of MedicineVita-Salute San Raffaele UniversityMilan, ItalyDepartment of OphthalmologyOspedale San RaffaeleMilan, Italy
| | - A Servillo
- School of MedicineVita-Salute San Raffaele UniversityMilan, Italy
| | - G Querques
- School of MedicineVita-Salute San Raffaele UniversityMilan, ItalyDepartment of OphthalmologyOspedale San RaffaeleMilan, Italy
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3
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Parravano M, Eandi CM, Figus M, Lupidi M, Menchini F, Nicolo' M, Parisi V, Toto L, Viola F, Vujosevic S, Querques G. Effects of circadian rhythm disruption on retinal physiopathology: Considerations from a consensus of experts. Eur J Ophthalmol 2022; 32:2489-2493. [PMID: 35656746 PMCID: PMC9373193 DOI: 10.1177/11206721221106149] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The circadian rhythms originate within the organism and synchronize with cyclic
fluctuations in the external environment. It has been demonstrated that part of the human
genome is under control of the circadian clock and that a synchronizer that helps to
maintain daily rhythms is Melatonin, a neuro-hormone primarily synthesized by the pineal
gland during the night. The chronic disruption of circadian rhythm has been linked to many
conditions such as obesity, metabolic syndrome, type 2 diabetes, cancer, and
neurodegenerative diseases. Studies in the mice showed that the disruption of the retinal
circadian rhythm increases the decline during the aging of photoreceptors, accelerating
age-related disruption of cone cell structure, function, and viability and that the
melatonin receptor deletion seems to influence the health of retinal cells, speeding up
their aging. In conclusion, preserving the circadian rhythms could be to add to the
prevention and treatment of age-related degenerative retinal diseases, and although
additional studies are needed, melatonin could be a valid support to favor this
“chronoprotection action”.
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Affiliation(s)
| | - C M Eandi
- Department of Surgical Sciences, University of Torino, Torino, Italy.,Fondation Asile des Aveugles, Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland.,Macula Onlus Foundation, Genoa, Italy
| | - M Figus
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, 9310University of Pisa, Pisa, Italy
| | - M Lupidi
- Macula Onlus Foundation, Genoa, Italy.,Eye Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy
| | - F Menchini
- Department of Medicine-Ophthalmology, University of Udine, Udine, Italy
| | - M Nicolo'
- Macula Onlus Foundation, Genoa, Italy.,Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), 9302University of Genoa, Genoa, Italy.,IRCCS Ospedale Policlinico San Martino, University Eye Clinic of Genoa, Genoa, Italy
| | - V Parisi
- 61870IRCCS-Fondazione Bietti, Rome, Italy
| | - L Toto
- Ophthalmic Clinic, Department of Medicine and Science of Ageing, University "G. 9301d'Annunzio" of Chieti-Pescara, Chieti, Italy
| | - F Viola
- Foundation IRCCS Cà Grande Ospedale Maggiore Policlinico, 9304University of Milan, Milan, Italy
| | - S Vujosevic
- Department of Biomedical, Surgical and Dental Sciences University of Milan, Milan, Italy.,Eye Clinic, IRCCS MultiMedica, Milan, Italy
| | - G Querques
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy
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4
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Troumani Y, Miere A, Capuano V, Cartry G, Querques G, Souied EH. [Black sunburst in sickle cell retinopathy]. J Fr Ophtalmol 2021; 44:1308-1309. [PMID: 34452763 DOI: 10.1016/j.jfo.2020.08.021] [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: 05/28/2020] [Revised: 08/11/2020] [Accepted: 08/24/2020] [Indexed: 12/01/2022]
Affiliation(s)
- Y Troumani
- Service d'ophtalmologie, centre hospitalier de Perpignan, 20, avenue du Languedoc, 66000 Perpignan, France; Service d'ophtalmologie, hôpital intercommunal de Créteil, université Paris Est-Créteil, 40, avenue de Verdun, 94000 Créteil, France.
| | - A Miere
- Service d'ophtalmologie, hôpital intercommunal de Créteil, université Paris Est-Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - V Capuano
- Service d'ophtalmologie, hôpital intercommunal de Créteil, université Paris Est-Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - G Cartry
- Service d'ophtalmologie, centre hospitalier de Perpignan, 20, avenue du Languedoc, 66000 Perpignan, France
| | - G Querques
- Service d'ophtalmologie, hôpital intercommunal de Créteil, université Paris Est-Créteil, 40, avenue de Verdun, 94000 Créteil, France; Department of ophthalmology, university Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italie
| | - E H Souied
- Service d'ophtalmologie, hôpital intercommunal de Créteil, université Paris Est-Créteil, 40, avenue de Verdun, 94000 Créteil, France
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5
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Parravano M, Ziccardi L, Borrelli E, Costanzo E, Frontoni S, Picconi F, Parisi V, Sacconi R, Di Renzo A, Varano M, Querques G. Outer retina dysfunction and choriocapillaris impairment in type 1 diabetes. Sci Rep 2021; 11:15183. [PMID: 34312425 PMCID: PMC8313686 DOI: 10.1038/s41598-021-94580-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Accepted: 06/28/2021] [Indexed: 12/15/2022] Open
Abstract
To study the outer retina morpho-functional characteristics and the choriocapillaris (CC) features in type 1 diabetic (T1D) patients, with and without signs of diabetic retinopathy (NPDR and NoDR). Twenty-five NPDR and 18 NoDR eyes were imaged by Optical Coherence Tomography Angiography. Ellipsoid zone (EZ) “normalized” reflectivity and CC perfusion density parameters, as flow deficits number (FDn), flow deficit average area (FDa) and flow deficit percentage (FD%), were analysed. Multifocal electroretinogram (mfERG) response amplitude densities (RADs) were measured. Mean EZ “normalized” reflectivity, CC FDn and FD% values, were similar (p > 0.05) in both groups, FDa was significant greater (p > 0.05) in NPDR compared with NoDR eyes. MfERG-RADs were similar in both groups. NPDR eyes showed a significant (p < 0.05) linear correlation between RADs and both, CC FDa and FD%. The EZ “normalized” reflectivity was negatively correlated with CC FD% in NoDR eyes. In NPDR T1D eyes a significant relationship between abnormal outer retina functional responses and CC impairment was observed, while in NoDR eyes the photoreceptor reflectivity was correlated to CC abnormalities. The outer retina dysfunction in NPDR correlated to CC drop-out let hypothesize that the outer retinal elements are functionally impaired in proportion to the CC vascular supply deficit.
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Affiliation(s)
| | | | - E Borrelli
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Via Olgettina, 60, Milan, Italy
| | | | - S Frontoni
- Unit of Endocrinology, Diabetes and Metabolism, S. Giovanni Calibita Fatebenefratelli Hospital, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
| | - F Picconi
- Unit of Endocrinology, Diabetes and Metabolism, S. Giovanni Calibita Fatebenefratelli Hospital, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
| | - V Parisi
- IRCCS - Fondazione Bietti, Rome, Italy
| | - R Sacconi
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Via Olgettina, 60, Milan, Italy
| | | | - M Varano
- IRCCS - Fondazione Bietti, Rome, Italy
| | - G Querques
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Via Olgettina, 60, Milan, Italy.
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6
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Tahiri Joutei Hassani R, Querques G, Liang H, Souied E, Baudouin C. Occurence of bilateral keratoconus and basal laminar drusen: A chance association or a true relationship? J Fr Ophtalmol 2019; 42:e479-e481. [PMID: 31272700 DOI: 10.1016/j.jfo.2019.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Revised: 01/27/2019] [Accepted: 02/08/2019] [Indexed: 10/26/2022]
Affiliation(s)
- R Tahiri Joutei Hassani
- Department of Ambulatory Surgery, Granville Hospital, Granville, 50400, France; Ophthalmology Practice "Le Visiologiste", Granville, 50400, France.
| | - G Querques
- Department of Ophthalmology, Creteil Eye Clinic, University Paris-Est-Creteil, Creteil, 94000, France
| | - H Liang
- Department of Ophthalmology III, Quinze-Vingts National Ophthalmology Hospital, Paris, 75012, France; Center of Clinical Investigations 503, Quinze-Vingts National Ophthalmology Hospital, Paris, 75012, France
| | - E Souied
- Department of Ophthalmology, Creteil Eye Clinic, University Paris-Est-Creteil, Creteil, 94000, France
| | - C Baudouin
- Department of Ophthalmology III, Quinze-Vingts National Ophthalmology Hospital, Paris, 75012, France; Center of Clinical Investigations 503, Quinze-Vingts National Ophthalmology Hospital, Paris, 75012, France; Ambroise-Paré Hospital, Versailles St Quentin en Yvelines University, AP-HP, Boulogne-Billancourt, 92100, France; Inserm UMRS 968, Vision Institute, University Pierre-et-Marie-Curie, Paris, 75012, France
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Pezzotta G, Pecorelli A, Querques G, Biancardi S, Morzenti C, Sironi S. MRI characteristics of adductor longus lesions in professional football players and prognostic factors for return to play. Eur J Radiol 2018; 108:52-58. [DOI: 10.1016/j.ejrad.2018.09.018] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Revised: 09/10/2018] [Accepted: 09/15/2018] [Indexed: 10/28/2022]
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8
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Capuano V, Oliverio L, Amoroso F, Srour M, Souied EH, Querques G. Appearance of macular edema during pregnancy due to retinal arteriovenous malformation. J Fr Ophtalmol 2018; 41:e383-e385. [PMID: 30172380 DOI: 10.1016/j.jfo.2017.11.038] [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: 10/26/2017] [Accepted: 11/16/2017] [Indexed: 11/25/2022]
Affiliation(s)
- V Capuano
- Department of ophthalmology, centre hospitalier intercommunal de Créteil University Paris Est, 40, avenue de Verdun, 94000 Créteil, France
| | - L Oliverio
- Department of ophthalmology, centre hospitalier intercommunal de Créteil University Paris Est, 40, avenue de Verdun, 94000 Créteil, France
| | - F Amoroso
- Department of ophthalmology, centre hospitalier intercommunal de Créteil University Paris Est, 40, avenue de Verdun, 94000 Créteil, France
| | - M Srour
- Department of ophthalmology, centre hospitalier intercommunal de Créteil University Paris Est, 40, avenue de Verdun, 94000 Créteil, France
| | - E H Souied
- Department of ophthalmology, centre hospitalier intercommunal de Créteil University Paris Est, 40, avenue de Verdun, 94000 Créteil, France
| | - G Querques
- Department of ophthalmology, centre hospitalier intercommunal de Créteil University Paris Est, 40, avenue de Verdun, 94000 Créteil, France; Department of ophthalmology, IRCCS Ospedale San Raffaele, university Vita-Salute, Milan, Italy.
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9
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Vukcaj S, Perugini G, Muni R, Iannacone E, Takanen S, Piccoli F, Filippone F, Maffioletti L, Kalli M, Feltre L, Ghirardelli P, Querques G, Roscigno M, Da Pozzo L, Sironi S, Cazzaniga L. EP-1602: MPMRI planning in salvage radiotherapy of biochemical recurrence after radical prostatectomy. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31911-x] [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: 11/17/2022]
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10
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Sayag D, Binaghi M, Souied E, Querques G, Galacteros F, Coscas G, Soubrane G. Retinal Photocoagulation for Proliferative Sickle Cell Retinopathy: A Prospective Clinical Trial with New Sea Fan Classification. Eur J Ophthalmol 2018; 18:248-54. [DOI: 10.1177/112067210801800213] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Purpose To compare the clinical outcome of stage III proliferative sickle cell retinopathy (PSR) treated by peripheral retinal scatter photocoagulation to natural course disease. Methods Long-term follow-up of 101 patients enrolled in a prospective trial of photocoagulation for PSR has been completed. Among 202 eyes of 101 patients enrolled at the University Eye Clinic of Créteil, 73 eyes showed a stage III PSR, which the authors further divided into five new grades (A, B, C, D, E) considering size, hemorrhage, fibrosis, and visible vessels. Grading was based on a three-mirror fundus examination, 360° color photographs, and fluorescein angiography. Mean follow-up was 4 years. Results Thirty-eight treated eyes and 35 untreated eyes were included in this study. The evolution was not statistically significant between treated and untreated groups concerning flat sea fan p<1 MPS disc area (grade A) or elevated sea fan with partial fibrosis (grade C). Progression and regression were compared between the two groups for grade B, resulting statistically significant (pp<0.05). Nine complications (13%) were observed, which only occurred in untreated patients with elevated sea fan and hemorrhage (grade B) or complete fibrosed sea fan with well defined vessels (grade E) (pp<0.05). Conclusions These data suggest that patients with grade A or C new sea fan classification should not be initially treated but observed.
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Affiliation(s)
- D. Sayag
- Department of Ophthalmology, University of Paris XII, Centre Hospitalier Intercommunal de Créteil
| | - M. Binaghi
- Department of Ophthalmology, University of Paris XII, Hopital Henri Mondor, Créteil
| | - E.H. Souied
- Department of Ophthalmology, University of Paris XII, Centre Hospitalier Intercommunal de Créteil
| | - G. Querques
- Department of Ophthalmology, University of Paris XII, Centre Hospitalier Intercommunal de Créteil
- Department of Ophthalmology, University of Foggia, Policlinico Riuniti di Foggia - Italy
| | - F. Galacteros
- Sickle Cell Disease Center, University of Paris XII, Hopital Henri Mondor, Créteil - France
| | - G. Coscas
- Department of Ophthalmology, University of Paris XII, Centre Hospitalier Intercommunal de Créteil
| | - G. Soubrane
- Department of Ophthalmology, University of Paris XII, Centre Hospitalier Intercommunal de Créteil
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Sacconi R, Baldin G, Carnevali A, Querques L, Rabiolo A, Marchini G, Bandello F, Querques G. Response of central serous chorioretinopathy evaluated by multimodal retinal imaging. Eye (Lond) 2018; 32:734-742. [PMID: 29303152 DOI: 10.1038/eye.2017.295] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Accepted: 09/15/2017] [Indexed: 12/19/2022] Open
Abstract
PurposeTo identify predictive biomarkers of treatment outcomes by multimodal retinal imaging in patients affected by central serous chorioretinopathy (CSC).Patients and methodsIn this interventional non-randomized clinical study, 27 treatment-naive CSC patients were prospectively enrolled and treated with oral eplerenone for 5-13 weeks. Primary outcomes included presence of pathological findings on indocyaine green angiography (ICGA), structural optical coherence tomography (OCT) and OCT-angiography (OCT-A) at baseline associated with different response to the treatment.ResultsA total of 29 eyes of 27 patients (2 females, 25 males) met the inclusion criteria and were included in the study (mean age was 45±7 years). Mean CSC duration at baseline was 13.5±4.4 weeks. After a mean of 10.5 weeks of treatment, mean central macular thickness significantly reduced (P<0.001), and mean best-corrected visual acuity improved (P<0.001). Seventeen eyes (61%) demonstrated total reabsorption of subretinal fluid on structural OCT, five eyes (18%) presented a partial response to eplerenone therapy and six eyes (21%) showed no response. The complete response to the treatment was associated with absence of CNV at OCT-A and the presence of hotspot at ICGA (P<0.001 and P=0.002, respectively). None of eight eyes with CNV in OCT-A imaging had a complete response to eplerenone and none of three eyes without hotspot at ICGA showed a complete response to the treatment.ConclusionsMultimodal retinal imaging allowed us to propose predictive biomarkers (ie, absence of CNV on OCT-A and presence of hotspot on ICGA) for treatment outcomes.
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Affiliation(s)
- R Sacconi
- Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy.,Department of Ophthalmology, University of Verona, University Hospital of Verona, Verona, Italy
| | - G Baldin
- Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy
| | - A Carnevali
- Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy.,Department of Ophthalmology, University of 'Magna Graecia', Catanzaro, Italy
| | - L Querques
- Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy.,G.B. Bietti Foundation-IRCCS, Rome, Italy
| | - A Rabiolo
- Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy
| | - G Marchini
- Department of Ophthalmology, University of Verona, University Hospital of Verona, Verona, Italy
| | - F Bandello
- Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy
| | - G Querques
- Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy
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12
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Pezzotta G, Querques G, Pecorelli A, Nani R, Sironi S. MRI detection of soleus muscle injuries in professional football players. Skeletal Radiol 2017; 46:1513-1520. [PMID: 28770309 DOI: 10.1007/s00256-017-2729-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Revised: 06/27/2017] [Accepted: 07/10/2017] [Indexed: 02/02/2023]
Abstract
OBJECTIVES To describe magnetic resonance imaging (MRI) characteristics of soleus muscle injuries in symptomatic professional football players stratified according to both the Munich consensus statement and the British Athletics Muscle Injury Classification (BAMIC), and to investigate the association between specific MRI features and the "return to play" (RTP). MATERIALS AND METHODS Professional football players with an episode of acute posterior calf pain and impaired function, subsequent to sports activity, underwent ultrasound followed by MRI examination reviewed by two different radiologists with more than 10 years of experience in the musculoskeletal system. MRI features and RTP outcome were evaluated for all types of injuries. RESULTS During a 36-month period, a total of 20 professional football players were evaluated. According to the Munich consensus, 11 were type 3A, 8 were type 3B, and 1 was type 4, whereas according to the BAMIC, 11 lesions were considered grade 1, 4 grade 2, 4 grade 3, and 1 grade 4. RTP data were available for all patients (mean 3.3 ± 1.6 weeks). Both the Munich consensus and the BAMIC correlated with RTP (Spearman correlation = 0.982 and p < 0.0001 and 0.886 and p < 0.0001 respectively). Extension of edema was an independent prognostic factor for RTP in two different models of multivariate regression analysis (p = 0.044 model A; p = 0.031 model B). CONCLUSIONS The Munich consensus and BAMIC grading systems are useful tools for defining the patient's prognosis and proper rehabilitation time after injury. The MRI feature that we should carefully look for is the extension of edema, as it seems to significantly affect the RTP.
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Affiliation(s)
- G Pezzotta
- Department of Radiology, Papa Giovanni XXIII Hospital, University Milano-Bicocca, Piazza OMS 1, Bergamo, Italy.
| | - G Querques
- Department of Radiology, Papa Giovanni XXIII Hospital, University Milano-Bicocca, Piazza OMS 1, Bergamo, Italy
| | - A Pecorelli
- Department of Radiology, Papa Giovanni XXIII Hospital, University Milano-Bicocca, Piazza OMS 1, Bergamo, Italy
| | - R Nani
- Department of Radiology, Papa Giovanni XXIII Hospital, University Milano-Bicocca, Piazza OMS 1, Bergamo, Italy
| | - S Sironi
- Department of Radiology, Papa Giovanni XXIII Hospital, University Milano-Bicocca, Piazza OMS 1, Bergamo, Italy
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13
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Bacquet JL, Sarov-Rivière M, Denier C, Querques G, Riou B, Bonin L, Barreau E, Labetoulle M, Rousseau A. Fundus autofluorescence in retinal artery occlusion: A more precise diagnosis. J Fr Ophtalmol 2017; 40:648-653. [PMID: 28882392 DOI: 10.1016/j.jfo.2017.03.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 12/06/2016] [Revised: 03/08/2017] [Accepted: 03/09/2017] [Indexed: 11/18/2022]
Abstract
IMPORTANCE Retinal artery occlusion (RAO) is a medical emergency associated with a high risk of cerebral vascular accident and other cardiovascular events. Among patients with non-arteritic RAO, a retinal embolus is observed in approximately 40% of cases. Fundus examination and retinography are not reliable to predict the nature of the emboli. OBSERVATIONS We report three consecutive cases of central and branch RAO that were investigated with fundus autofluorescence, fluorescein angiography and color retinal photographs. All patients underwent complete neurological and cardiovascular workups, with brain imaging, cardiac Doppler ultrasound, carotid Dopplers and Holter ECG's, to determine the underlying mechanism of retinal embolism. In the three cases, aged 77.7±4 years (2 women and 1 man), fundus autofluorescence demonstrated hyperautofluorescent emboli. In two cases, it allowed visualization of emboli that were not detected with fundus examination or retinography. The cardiovascular work-up demonstrated atheromatous carotid or aortic plaques in all patients. In one case, it permitted the diagnosis of RAO. Two of the three cases were considered to be of atherosclerotic origin and one of undefined origin. CONCLUSION AND RELEVANCE Fundus autofluorescence may help to detect and characterize retinal emboli. Since lipofuscin, which is present in large quantity in atherosclerotic plaques, is the main fluorophore detected with fundus autofluorescence, this non-invasive and simple examination may give information about the underlying mechanism of retinal embolism, and thus impact the etiologic assessment of RAO. Additional studies are necessary to confirm this potential role of autofluorescence.
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Affiliation(s)
- J-L Bacquet
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, DHU vision et handicaps, Assistance publique-Hôpitaux de Paris, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France
| | - M Sarov-Rivière
- Service de neurologie, hôpital Bicêtre, université Paris-Sud, Assistance publique-Hôpitaux de Paris, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - C Denier
- Service de neurologie, hôpital Bicêtre, université Paris-Sud, Assistance publique-Hôpitaux de Paris, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - G Querques
- Service d'ophtalmologie, centre hospitalier intercommunal de Créteil, université Paris-Est, DHU vision et handicaps, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France
| | - B Riou
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, DHU vision et handicaps, Assistance publique-Hôpitaux de Paris, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France
| | - L Bonin
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, DHU vision et handicaps, Assistance publique-Hôpitaux de Paris, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France
| | - E Barreau
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, DHU vision et handicaps, Assistance publique-Hôpitaux de Paris, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France
| | - M Labetoulle
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, DHU vision et handicaps, Assistance publique-Hôpitaux de Paris, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France
| | - A Rousseau
- Service d'ophtalmologie, hôpital Bicêtre, université Paris-Sud, DHU vision et handicaps, Assistance publique-Hôpitaux de Paris, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France.
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Marchese A, Parravano M, Rabiolo A, Carnevali A, Corbelli E, Cicinelli MV, Battaglia Parodi M, Querques L, Bandello F, Querques G. Optical coherence tomography analysis of evolution of Bruch's membrane features in angioid streaks. Eye (Lond) 2017. [PMID: 28622313 DOI: 10.1038/eye.2017.112] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PurposeTo describe optical coherence tomography (OCT) features in the Bruch's membrane (BM) of eyes with angioid streaks (AS) and evaluate their evolution over the follow-up.Patients and methodsPatients with AS presenting between March 2016 and September 2016 at two tertiary referral centers were consecutively recruited in this study. Eligibility criteria included prior spectral domain (SD)-OCT images, taken at least 3 months before at the same referral center, with automated eye tracking and image alignment modules. Alterations of BM were described and compared to previous scans over the follow-up. Multimodal imaging was used to identify alteration of retinal pigment epithelium (RPE) and choroid.ResultsThirty-two eyes of 16 consecutive patients with AS were included. BM undulations, mostly observed around the optic nerve head, were found in 19 (59.4%) of 32 eyes. BM breaks were found in 31 (96.9%) out of 32 eyes. Evolution of BM undulations into BM breaks was observed in 5 eyes (15.6%). Choroidal neovascularization (CNV) was observed in 12 eyes (37.5%) during follow-up, typically in areas of BM interruption.ConclusionsBM undulations, probably caused by high stretching forces exerted on the BM around the optic nerve head, seem to precede some BM breaks. BM interruptions may be a preferred way for the growth of CNV, which was identified in one-third of our cases.
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Affiliation(s)
- A Marchese
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy
| | - M Parravano
- G.B. Bietti Eye Foundation-IRCCS, Rome, Italy
| | - A Rabiolo
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy
| | - A Carnevali
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy.,Department of Ophthalmology, University of Magna Graecia, Catanzaro, Italy
| | - E Corbelli
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy
| | - M V Cicinelli
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy
| | - M Battaglia Parodi
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy
| | - L Querques
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy
| | - F Bandello
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy
| | - G Querques
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy
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15
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Capuano V, Sellam A, Miere A, Souied EH, Querques G. [Simultaneous cilioretinal artery and superior hemiretinal vein occlusions: What is the role of hyperhomocysteinemia?]. J Fr Ophtalmol 2016; 39:e279-e281. [PMID: 27745896 DOI: 10.1016/j.jfo.2015.11.017] [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: 06/30/2015] [Revised: 10/23/2015] [Accepted: 11/12/2015] [Indexed: 11/27/2022]
Affiliation(s)
- V Capuano
- Department of Ophthalmology, University of Paris-Est-Creteil, centre hospitalier intercommunal de Creteil, 40, avenue de Verdun, 94000 Creteil, France
| | - A Sellam
- Department of Ophthalmology, University of Paris-Est-Creteil, centre hospitalier intercommunal de Creteil, 40, avenue de Verdun, 94000 Creteil, France
| | - A Miere
- Department of Ophthalmology, University of Paris-Est-Creteil, centre hospitalier intercommunal de Creteil, 40, avenue de Verdun, 94000 Creteil, France
| | - E H Souied
- Department of Ophthalmology, University of Paris-Est-Creteil, centre hospitalier intercommunal de Creteil, 40, avenue de Verdun, 94000 Creteil, France
| | - G Querques
- Department of Ophthalmology, University of Paris-Est-Creteil, centre hospitalier intercommunal de Creteil, 40, avenue de Verdun, 94000 Creteil, France.
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16
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Martiano D, Caillaux V, Cohen SY, Querques G, Cochener B, Souied EH. Angioid streaks complicated by choroidal neovascularization in Paget's disease. J Fr Ophtalmol 2016; 39:e239-e240. [PMID: 27587348 DOI: 10.1016/j.jfo.2015.08.019] [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: 07/21/2015] [Accepted: 08/24/2015] [Indexed: 11/26/2022]
Affiliation(s)
- D Martiano
- Centre hospitalier intercommunal de Créteil, University Paris Est, 40, avenue de Verdun, 94000 Créteil, France; University Eye Department, centre hospitalier universitaire de Brest, 2, avenue Foch, 29200 Brest, France.
| | - V Caillaux
- Centre hospitalier intercommunal de Créteil, University Paris Est, 40, avenue de Verdun, 94000 Créteil, France
| | - S Y Cohen
- Centre hospitalier intercommunal de Créteil, University Paris Est, 40, avenue de Verdun, 94000 Créteil, France
| | - G Querques
- Centre hospitalier intercommunal de Créteil, University Paris Est, 40, avenue de Verdun, 94000 Créteil, France
| | - B Cochener
- University Eye Department, centre hospitalier universitaire de Brest, 2, avenue Foch, 29200 Brest, France
| | - E H Souied
- Centre hospitalier intercommunal de Créteil, University Paris Est, 40, avenue de Verdun, 94000 Créteil, France
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17
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Frascio P, Capuano V, Souied EH, Querques G. Residual visual function in a man with a large subfoveal outer retinal tubulation in late-onset Stargardt disease. J Fr Ophtalmol 2016; 39:e89-92. [PMID: 26949114 DOI: 10.1016/j.jfo.2014.11.032] [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: 07/19/2014] [Revised: 11/09/2014] [Accepted: 11/13/2014] [Indexed: 10/22/2022]
Affiliation(s)
- P Frascio
- Department of Ophthalmology, University of Paris Est Créteil, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France; Department of Ophthalmology, University of Genoa, Genoa, Italy
| | - V Capuano
- Department of Ophthalmology, University of Paris Est Créteil, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - E H Souied
- Department of Ophthalmology, University of Paris Est Créteil, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - G Querques
- Department of Ophthalmology, University of Paris Est Créteil, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France.
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Bandello F, Corbelli E, Carnevali A, Pierro L, Querques G. Optical Coherence Tomography Angiography of Diabetic Retinopathy. Developments in Ophthalmology 2016; 56:107-12. [DOI: 10.1159/000442801] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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19
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Cavallero E, Corvi F, Souied E, Bandello F, Querques G. Spontaneous retinal pigment epithelium tear in geographic atrophy. J Fr Ophtalmol 2016; 39:64-8. [DOI: 10.1016/j.jfo.2015.05.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2015] [Revised: 05/04/2015] [Accepted: 05/15/2015] [Indexed: 11/26/2022]
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20
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Corvi F, Querques G. Progressive development of acquired vitelliform lesion secondary to chorioretinal folds. J Fr Ophtalmol 2015; 38:898-9. [PMID: 26342656 DOI: 10.1016/j.jfo.2015.01.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2014] [Accepted: 01/19/2015] [Indexed: 11/18/2022]
Affiliation(s)
- F Corvi
- Department of ophthalmology, university Paris Est Creteil, Centre Hospitalier Intercommunal de Creteil, 40, avenue de Verdun, 94000 Creteil, France; Department of ophthalmology, hospital San Raffaele, university Vita Salute San Raffaele, Via Olgettina, 58, 20132 Milano, Italy
| | - G Querques
- Department of ophthalmology, university Paris Est Creteil, Centre Hospitalier Intercommunal de Creteil, 40, avenue de Verdun, 94000 Creteil, France; Department of ophthalmology, hospital San Raffaele, university Vita Salute San Raffaele, Via Olgettina, 58, 20132 Milano, Italy.
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21
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Boulanger-Scemama E, Querques G, About F, Puche N, Srour M, Mane V, Massamba N, Canoui-Poitrine F, Souied E. Ranibizumab for exudative age-related macular degeneration: A five year study of adherence to follow-up in a real-life setting. J Fr Ophtalmol 2015; 38:620-7. [DOI: 10.1016/j.jfo.2014.11.015] [Citation(s) in RCA: 77] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2014] [Revised: 11/14/2014] [Accepted: 11/17/2014] [Indexed: 11/24/2022]
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22
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Kamami-Levy C, Querques G, Rostaqui O, Blanco-Garavito R, Souied EH. Choroidal neovascularization associated with extensive macular atrophy with pseudodrusen-like appearance. J Fr Ophtalmol 2014; 37:780-6. [DOI: 10.1016/j.jfo.2014.06.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Revised: 06/04/2014] [Accepted: 06/11/2014] [Indexed: 12/01/2022]
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23
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Diwo E, Querques G, Rioux B, Perrenoud F, Barreau E, Labetoulle M, Rousseau A. [Asymptomatic polypoidal choroidal vasculopathy associated with choroidal nevus]. J Fr Ophtalmol 2014; 37:e119-21. [PMID: 25087126 DOI: 10.1016/j.jfo.2014.01.013] [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: 10/17/2013] [Revised: 01/06/2014] [Accepted: 01/06/2014] [Indexed: 10/25/2022]
Affiliation(s)
- E Diwo
- Service d'ophtalmologie, CHU de Bicêtre, Assistance publique-Hôpitaux de Paris, université Paris-Sud, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
| | - G Querques
- Service d'ophtalmologie, CHI de Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - B Rioux
- Service d'ophtalmologie, CHU de Bicêtre, Assistance publique-Hôpitaux de Paris, université Paris-Sud, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - F Perrenoud
- Centre explore vision, 12, rue Croix-des-Petits-Champs, 75001 Paris, France
| | - E Barreau
- Service d'ophtalmologie, CHU de Bicêtre, Assistance publique-Hôpitaux de Paris, université Paris-Sud, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - M Labetoulle
- Service d'ophtalmologie, CHU de Bicêtre, Assistance publique-Hôpitaux de Paris, université Paris-Sud, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - A Rousseau
- Service d'ophtalmologie, CHU de Bicêtre, Assistance publique-Hôpitaux de Paris, université Paris-Sud, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
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24
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Venturini M, Querques G, Margari S, Agostini G, Colombo M, Caldara R, Socci C, De Cobelli F, Del Maschio A. Renal artery stenosis due to fibromuscular dysplasia in a transplanted kidney from a deceased donor: a difficult diagnosis at color Doppler ultrasonography. J Clin Ultrasound 2014; 42:116-120. [PMID: 23657871 DOI: 10.1002/jcu.22056] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2012] [Revised: 12/14/2012] [Accepted: 04/01/2013] [Indexed: 06/02/2023]
Abstract
Atherosclerotic renal artery stenosis is a frequent cause of arterial hypertension and/or allograft dysfunction after kidney transplantation and is usually located at the iliac artery anastomosis. Fibromuscular dysplasia is a less frequent, nonatherosclerotic, vascular disease, inducing stenosis at the proximal/mid-distal part of the renal artery. We report the case of a 44-year-old woman, in whom serum creatinine concentration increased and arterial hypertension developed 3 months after renal transplantation. Color Doppler ultrasonography showed a low arterial resistance index and prolonged acceleration time in the interlobar arteries, and a significantly increased peak systolic velocity at the mid third of the renal artery, demonstrating hemodynamically significant stenosis. Percutaneous transluminal angioplasty allowed stenosis correction and was followed by creatinine concentration and arterial blood pressure normalization.
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Affiliation(s)
- M Venturini
- Department of Radiology, San Raffaele Scientific Research Institute, Milan, Italy
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25
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Merle B, Puche N, Delcourt C, Querques G, Benlian P, Souied E. Consommation de poisson et dégénérescence maculaire liée à l’âge – étude NAT2, Créteil, France. Rev Epidemiol Sante Publique 2013. [DOI: 10.1016/j.respe.2013.07.276] [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: 10/26/2022] Open
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26
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Atmani K, Querques G, Zourdani A, Benhamou N, Souied EH. Unusual presentations of type 2 idiopathic macular telangiectasia. ACTA ACUST UNITED AC 2013; 230:126-30. [PMID: 23969580 DOI: 10.1159/000354111] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2013] [Accepted: 06/26/2013] [Indexed: 11/19/2022]
Abstract
PURPOSE To report unusual presentations of type 2A idiopathic macular telangiectasia (IMT). METHODS A retrospective analysis of disease presentation was conducted in 32 patients with type 2A IMT. All patients underwent a complete ophthalmological examination, including spectral domain optical coherence tomography (SD-OCT), fluorescein angiography (FA) and indocyanine green angiography (ICGA). RESULTS Three out of 32 study patients showed the simultaneous presentation of type 2 IMT and other retinal diseases. In the first patient, the ophthalmological examination revealed a proliferative IMT associated with late-onset Stargardt disease. The second patient presented bilateral nonproliferative IMT and chronic serous chorioretinopathy in the left eye. The examination of the third patient revealed basal laminar drusen and soft drusen associated with IMT in both eyes. CONCLUSIONS Type 2 IMT may represent an unusual presentation of Stargardt disease, chronic serous chorioretinopathy and basal laminar drusen. These presentations are most likely coincidental and highlight the importance of FA, ICGA and SD-OCT in the diagnosis and treatment of such cases.
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Affiliation(s)
- K Atmani
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, University Paris-Est, Créteil, France
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27
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Mascali R, Querques G, Georges A, Souied E. [Spontaneous rupture of a drusenoid pigment epithelium detachment]. J Fr Ophtalmol 2013; 36:901-3. [PMID: 23932483 DOI: 10.1016/j.jfo.2013.04.003] [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: 04/18/2013] [Accepted: 04/25/2013] [Indexed: 11/30/2022]
Affiliation(s)
- R Mascali
- Service d'ophtalmologie, centre hospitalier intercommunal Créteil, 40, avenue de Verdun, 94000 Créteil, France
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28
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Querques G, Codenotti M, Maestranzi G, Iuliano L, Bandello F. Reply to Grzybowski and Ascaso. Eye (Lond) 2013; 27:777. [DOI: 10.1038/eye.2013.63] [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: 11/09/2022] Open
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29
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Querques G, Codenotti M, Maestranzi G, De Benedetto U, Bandello F. Reply to Matonti et al. Eye (Lond) 2013; 27:778. [DOI: 10.1038/eye.2013.64] [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: 11/09/2022] Open
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30
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Zucchiatti I, Querques G, Querques L, Cascavilla ML, Introini U, Parodi MB, Bandello F. En face optical coherence tomography visualization of post-traumatic photoreceptor disruption. J Fr Ophtalmol 2013; 36:e159-61. [PMID: 23725653 DOI: 10.1016/j.jfo.2012.11.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2012] [Accepted: 11/28/2012] [Indexed: 11/18/2022]
Affiliation(s)
- I Zucchiatti
- Department of ophthalmology, university scientific institute San Raffaele, Via Olgettina 60, Milan, Italy
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Querques G, Querques L, Leveziel N, Bandello F, Souied E. Intravitreal ranibizumab for type 3 choroidal neovascularization complicating adult onset foveomacular vitelliform dystrophy. J Fr Ophtalmol 2013; 36:e1-4. [DOI: 10.1016/j.jfo.2012.04.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2012] [Accepted: 04/10/2012] [Indexed: 11/28/2022]
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32
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Querques L, Terrada C, Souied EH, Corrado A, Cantatore FP, Querques G. Bilatéralisation à distance d’une occlusion de la veine centrale de la rétine associée à un syndrome des anti-phospholipides primaire. J Fr Ophtalmol 2012; 35:443.e1-5. [DOI: 10.1016/j.jfo.2011.08.014] [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: 04/13/2011] [Revised: 08/17/2011] [Accepted: 08/26/2011] [Indexed: 10/28/2022]
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Tran THC, Baglin G, Querques G. Intravitreal ranibizumab injection for choroidal neovascularization in Strümpell-Lorrain Syndrome. J Fr Ophtalmol 2012; 35:353-5. [PMID: 22463854 DOI: 10.1016/j.jfo.2011.12.004] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2011] [Accepted: 12/14/2011] [Indexed: 10/28/2022]
Abstract
Strümpell-Lorrain syndrome, or hereditary spastic paraplegia is a genetic disease of the central nervous system affecting the spinal cord and cerebellum. It represents a clinically heterogenous group of neurodegenerative disorders characterized by progressive spasticity and hyperreflexia of the lower limbs. Ocular abnormalities include keratitis, macular pigmentary abnormalities, juxtafoveolar retinal telangiectasis and choroidal neovascularization. We report the first case of choroidal neovascularization associated with Strüpell-Lorrain syndrome treated successfully with intravitreal ranibizumab injection.
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Affiliation(s)
- T H C Tran
- Service d'ophtalmologie, université Catholique de Lille, hôpital Saint-Vincent-de-Paul, boulevard Belfort, BP 387, 59020 Lille cedex, France.
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Dethorey G, Leveziel N, Lalloum F, Forte R, Guigui B, Querques G, Glacet-Bernard A, Soubrane G, Souied H. Comparaison du traitement par injections intravitréennes de ranibizumab à la photothérapie dynamique dans la néovascularisation choroïdienne compliquant la myopie forte. J Fr Ophtalmol 2012; 35:106-12. [DOI: 10.1016/j.jfo.2011.03.028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2011] [Revised: 03/21/2011] [Accepted: 03/21/2011] [Indexed: 11/16/2022]
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35
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Querques G, Bux AV, Forte R, Francesco P, Cristiana I, Noci ND. [Multiple evanescent white dot syndrome and multiple sclerosis]. J Fr Ophtalmol 2011; 34:252-5. [PMID: 21419509 DOI: 10.1016/j.jfo.2010.11.001] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2008] [Accepted: 10/26/2010] [Indexed: 11/30/2022]
Abstract
PURPOSE To describe a patient who fulfilled the criteria for both clinically definite multiple evanescent white dot syndrome (MEWDS) and multiple sclerosis. METHODS We performed a complete ophthalmologic and neurological examination in a 30-year-old woman who was referred to our department for blurred vision in her left eye (LE) with photopsia. RESULTS Following a complete ophthalmologic examination, the patient was diagnosed with MEWDS and coincident multiple sclerosis. She underwent therapy with intravenous methylprednisolone (1000 mg/day) for three days, followed by oral prednisone (1 mg/kg per day) for 15 days. Most of the symptoms and signs apparently regressed within one month, despite a still abnormal OCT macular scan, probably due to atrophic post-inflammatory changes in the outer and photoreceptor layers (rods and cones). CONCLUSION This report, showing the clinical features of MEWDS associated with multiple sclerosis, strongly suggests common neuropathological and inflammatory mechanisms between MS and white dot syndromes.
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Affiliation(s)
- G Querques
- Service d'ophtalmologie, Policlinico Riuniti di Foggia, université de Foggia, Viale Pinto, 1, 71100 Foggia, Italie.
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Le Tien V, Atmani K, Querques G, Massamba N, Souied EH. Ranibizumab for subfoveal choroidal neovascularization in Bietti crystalline retinopathy. Eye (Lond) 2010; 24:1728-9. [PMID: 20798693 DOI: 10.1038/eye.2010.116] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [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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37
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Puche N, Querques G, Benhamou N, Tick S, Mimoun G, Martinelli D, Soubrane G, Souied EH. High-resolution spectral domain optical coherence tomography features in adult onset foveomacular vitelliform dystrophy. Br J Ophthalmol 2010; 94:1190-6. [PMID: 20576764 DOI: 10.1136/bjo.2009.175075] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
PURPOSE To describe the different morphological features in adult onset foveomacular vittelliform dystrophy (AOFVD) using high-resolution spectral domain optical coherence tomography (OCT). DESIGN Prospective observational case series. METHODS Complete ophthalmologic examination, including spectral domain OCT, was performed in 49 consecutive AOFVD patients (60 eyes). RESULTS In 28/60 eyes, spectral domain OCT showed hyper-reflective clumps within the outer plexiform and outer nuclear layers. In 9/60 eyes, the photoreceptor inner segment/outer segment (IS/OS) interface appeared highly reflective like a shell all around the vitelliform material, and appeared irregular and discontinued in 27/60 eyes. The Verhoeff membrane was clearly visible at the border of the lesion, disappeared over the vitelliform lesion in 20/60 eyes, became thickened and less defined on the outer aspect of the lesion in 11/60 eyes, appeared without noticeable alterations in 10/60 eyes and not well defined in 19/60 eyes. The vitelliform material appeared as a highly reflective dome-shaped lesion (homogeneous in 14/60 eyes and heterogeneous in 36/60 eyes) located between the photoreceptor layer and the retinal pigment epithelium (RPE). In 10/60 eyes, the macular lesion appeared as hypo/a-reflective. The RPE appeared irregular in 14/60 eyes, with hyper-reflective mottling on its inner aspect. We observed discrete RPE detachments in 29/60 eyes. CONCLUSIONS We hypothesise that early changes involve the layer between RPE and the IS/OS interface, first with vitelliform material accumulation beneath the sensory retina, and then with IS/OS alterations, pigments migration towards inner layers and fluid accumulation. These changes come with RPE alterations such as hypertrophy or sub-RPE deposits.
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Affiliation(s)
- N Puche
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Creteil, University Paris XII, Creteil 94000, France
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Querques G, Azrya S, Martinelli D, Berboucha E, Feldman A, Pece A, Coscas G, Soubrane G, Souied EH. Ranibizumab for exudative age-related macular degeneration: 24-month outcomes from a single-centre institutional setting. Br J Ophthalmol 2009; 94:292-6. [DOI: 10.1136/bjo.2009.170670] [Citation(s) in RCA: 61] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Querques G, Soubrane G, Souied E. Caractéristiques de l’occlusion double d’une artère cilio-rétinienne à la tomographie par cohérence optique à haute résolution. J Fr Ophtalmol 2009. [DOI: 10.1016/j.jfo.2009.03.003] [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: 10/20/2022]
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Querques G, Benlian P, Chanu B, Portal C, Coscas G, Soubrane G, Souied EH. Nutritional AMD treatment phase I (NAT-1): feasibility of oral DHA supplementation in age-related macular degeneration. Eur J Ophthalmol 2009; 19:100-6. [PMID: 19123156 DOI: 10.1177/112067210901900115] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE To create a pilot study in order to evaluate the feasibility of a prospective case-control study of oral supplementation with fish oil (docosahexaenoic acid [DHA]; eicosapentaenoic acid [EPA]) in a population with age-related macular degeneration (AMD). METHODS A homogeneous group of 38 patients with drusenoid pigment epithelial detachment in one eye (PED) without choroidal new vessels (CNV) was selected. A complete ophthalmologic examination, and a complete profile of fatty acids in serum (S) and in red blood cell membranes (RBCM), were recorded at day 0 and month 6. In group 1, 22 patients were orally supplemented with EPA (720 mg/day) and DHA (480 mg/day) during 6 months. In group 2, 16 patients were followed as controls. Nutritional recommendations on fish consumption were given to both groups. RESULTS In group 1, after 6 months supplementation we observed a significant blood enrichment in EPA (EPA-S: 2.20 vs 0.79, p<0.0001 and EPA-RBCM: 2.24 vs 0.85, p<0.0001) and in DHA (DHA-S: 2.47 vs 1.56, p<0.0001 and DHA-RBCM: 6.47 vs 4.67, p<0.0001). No change was observed in group 2 despite nutritional recommendations. In this short followup, no evolution to CNV was noted in either of the two groups. Neither side effects nor dropouts were observed in either of the groups. DISCUSSION This study supports the feasibility of a long-term double-masked prospective case-control study in an AMD population in order to evaluate a potential benefit from oral supplementation with DHA.
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Affiliation(s)
- G Querques
- Department of Ophthalmology, University of Paris XII, Centre Hospitalier Intercommunal de Creteil, France.
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Bux A, Querques G, Iaculli C, Delle Noci N. 685 Trou maculaire lamellaire après injection intravitréenne de pegaptanib sodium pour œdème maculaire diabétique. J Fr Ophtalmol 2009. [DOI: 10.1016/s0181-5512(09)73809-4] [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: 11/16/2022]
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Voigt M, Querques G, Quijano C, Atmani K, Puche N, Soubrane G, Souied E. 453 Analyse des taches flavimaculées en tomographie en cohérence optique à haute résolution. J Fr Ophtalmol 2009. [DOI: 10.1016/s0181-5512(09)73577-6] [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: 10/20/2022]
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Primavera V, Querques G, Guigui B, Turco I, Iaculli C, Russo V, Delle Noci N. Métastase choroïdienne d’un adénocarcinome de la prostate : iconographie d’un cas rare. J Fr Ophtalmol 2008; 31:877-82. [DOI: 10.1016/s0181-5512(08)74728-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Querques G, Barone A, Forte R, Prascina F, Iaculli C, Delle Noci N. [Optical coherence tomography and fundus-related perimetry in spontaneous closure of a traumatic macular hole]. J Fr Ophtalmol 2008; 31:710-3. [PMID: 18971857 DOI: 10.1016/s0181-5512(08)74386-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
We describe the spontaneous closure of a traumatic macular hole as evaluated with optical coherence tomography (OCT) and fundus-related perimetry. A 36-year-old man was examined by fundus biomicroscopy, ultrasonography, fundus-related perimetry, and OCT a few hours after injury to his left eye and during the following 18 months. At first examination, OCT showed a full-thickness macular hole, while fundus-related perimetry showed reduction of mean macular sensitivity, with an eccentric and unstable fixation. After 1 month, OCT scans showed complete closure of the macular hole, while fundus-related perimetry revealed a new eccentric but stable fixation (new preferred-retinal-locus). OCT and fundus-related perimetry seem to be useful tools to evaluate traumatic macular holes during follow-up.
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Affiliation(s)
- G Querques
- Service d'Ophtalmologie, Policlinico Riuniti di Foggia, Université de Foggia, Foggia, Italia.
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Russo V, Scott IU, Querques G, Stella A, Barone A, Delle Noci N. Orbital and ocular manifestations of acute childhood leukemia: clinical and statistical analysis of 180 patients. Eur J Ophthalmol 2008; 18:619-23. [PMID: 18609485 DOI: 10.1177/112067210801800420] [Citation(s) in RCA: 59] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE To investigate the association between presence of orbital or ocular lesions and type and stage of leukemia and to investigate whether orbital and ocular lesions are significant in predicting leukemia prognosis. METHODS The authors evaluated 180 patients with acute childhood leukemia. Lesions associated with leukemia may be classified as specific (due to leukemic infiltration of various ocular tissues), nonspecific (due to one of the secondary complications), or iatrogenic manifestations caused by chemotherapy. Risk-based treatment assignment is based on clinical and laboratory features at diagnosis. Children with presenting white blood cell count below 50,000 mm3 are considered at standard risk for treatment failure, while all others are considered at high risk for treatment failure. RESULTS Specific lesions were noted in 66% of patients with acute myeloid leukemia (AML) and 11.5% patients with acute lymphocytic leukemia (ALL) (p<0.05), and were more severe in patients with high risk leukemia than in patients with standard risk leukemia. Orbital or ocular lesions were noted more commonly in patients with AML (66.6%) compared to patients with ALL (15.1%). In both the AML and ALL groups, there was a higher frequency of leukemic relapses in the bone marrow and/or central nervous system in patients with specific lesions (63.1%) compared to patients with nonspecific lesions (42%), and in patients without orbital or ocular lesions (29.2%) (p<0.05). CONCLUSIONS In both the AML and ALL groups, the presence of specific orbital or ocular lesions was associated with a higher frequency of bone marrow relapses and CNS involvement (p<0.05), leading to a lower survival rate.
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Affiliation(s)
- V Russo
- Institute of Ophthalmology, University of Foggia, Foggia, Italy.
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Querques G, Russo V, Barone A, Iaculli C, Delle Noci N. [Efficacy of omega-6 essential fatty acid treatment before and after photorefractive keratectomy]. J Fr Ophtalmol 2008; 31:282-6. [PMID: 18404122 DOI: 10.1016/s0181-5512(08)74806-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
PURPOSE Following PRK, a regression or the appearance of haze is often observed. This type of problem may be caused by an anomalous response by the stroma, probably mediated by keratocytes. Controlling keratocyte apoptosis therefore affects the outcome and stability of PRK. Inhibiting the transmission of the apoptosis signal from the damaged corneal epithelium to the keratocytes attenuates cell activation. This can be achieved by using a systemic product that will control the release of the mediators of the inflammation and stimulate tear production. The aim of this prospective, randomized study was to test the effects of a supplement containing omega-6 fatty acids (linoleic and (-linolenic acid), (-carotene, group B vitamins and trace elements (copper, zinc), when administered both before and after PRK. METHODS Eighty subjects undergoing PRK were randomly divided into two groups. The group treated with omega-6 fatty acids included 18 females and 22 males, with a mean age of 32 years; the control group comprised 20 females and 20 males (mean age, 30 years). Statistical evaluation of the results was carried out on Schirmer test and fluorescein staining values and the state of the epithelium. RESULTS In the Schirmer tests, a comparison between the two groups of patients who underwent surgery (groups 1 and 2) showed a statistically significant difference after 7, 15, and 30 days' treatment in favor of the group treated with omega-6 fatty acids. The values relating to the fluorescein staining test and the state of the epithelium showed a statistically significant difference in favor of the group treated with omega-6 fatty acids. CONCLUSION These results confirm the real advantages of using omega-6 essential fatty acids to optimize and stabilize the outcome of PRK.
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Affiliation(s)
- G Querques
- Service d'Ophtalmologie, Policlinico Riuniti di Foggia, Université de Foggia, Foggia, Italie.
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Querques G, Prato R, Iaculli C, Voigt M, Delle Noci N, Coscas G, Soubrane G, Souied EH. Correlation of visual function impairment and OCT findings in patients with Stargardt disease and fundus flavimaculatus. Eur J Ophthalmol 2008; 18:239-47. [PMID: 18320517 DOI: 10.1177/112067210801800212] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE To investigate the relationship between morphologic lesions of the retina and functional abnormalities in patients with Stargardt disease (STGD) and fundus flavimaculatus (FFM). DESIGN. Case-controlled, prospective, comparative observational study. METHODS A complete ophthalmologic examination, including best-corrected visual acuity (BCVA) and optical coherence tomography (OCT), was performed in 61 eyes of 32 consecutive patients with STGD/FFM and in 60 eyes of 30 matched healthy control subjects. Furthermore, fundus-related perimetry was performed in 12 of the affected eyes. RESULTS The age ranged from 21 to 71 years in STGD/FFM patients and from 21 to 72 years in controls. BCVA ranged from 20/20 to 20/400 and from 20/20 to 20/32, respectively, in STGD/FFM patients and in controls. A foveal thinning was found by OCT Stratus in almost all cases (average 160 microm) compared with controls (average 210 microm) (p<0.001). BCVA impairment significantly correlated to the degree of foveal thinning (r2=0.16; p=0.0014). Moreover, in STGD/FFM patients the authors observed two types of hyperreflective deposits which were not correlated with BCVA impairment or foveal thinning. In addition, fundus-related perimetry revealed a stable fixation in 8/12 eyes, that was predominantly central in only 4 of these eyes. A smaller degree of foveal thinning correlated to a more stable fixation (p=0.0108), even if not predominantly central (p=0.0218). CONCLUSIONS In this series, lower visual acuity and unstable fixation correlated with a greater transverse foveal thinning. OCT and fundus-related perimetry may be useful tools in STGD/FFM patients.
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Affiliation(s)
- G Querques
- Department of Ophthalmology, Hopital Intercommunal de Creteil, University Paris XII, Paris, France.
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Querques G, Forte R, Longo C, Carrillo P, Laculli C, Soubrane G, Delle Noci N. La micro-périmétrie dans la dégénérescence maculaire liée à l’âge. J Fr Ophtalmol 2008; 31:515-21. [DOI: 10.1016/s0181-5512(08)72469-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Abstract
PURPOSE To report the novel use of intravitreal pegaptanib sodium for the treatment of refractory cystoid macular edema (CME) following cataract extraction. METHODS A 72-year-old man presented with decreased visual acuity in his right eye 8 months after uncomplicated phacoemulsification cataract extraction and intraocular lens implantation. His bestcorrected visual acuity (BCVA) was 20/125 in the affected eye, and fundus examination revealed CME despite 6 months of oral and topical indomethacin therapy. Fluorescein angiography (FA) showed leakage in the central region with no signs of neovascularization, and optical coherence tomography (OCT) confirmed the diagnosis with thickening of the fovea. Because of his history of glaucoma, the patient chose to be treated with intravitreal pegaptanib sodium 0.3 mg. RESULTS At the 1-week follow-up, BCVA was 20/25, and the FA and OCT revealed almost total resolution of the CME with no adverse sequelae. Six months postinjection, the patient's BCVA remained 20/25 with no recurrence of CME. Perimetry revealed a stable fixation within 4 degrees with slight reduction of sensitivity. CONCLUSIONS Vascular endothelial growth factor inhibition with intravitreal pegaptanib sodium appears to be of benefit in the treatment of chronic refractory CME with improvement of visual acuity. Studies evaluating pegaptanib''s use in this setting with long-term follow-up are warranted to confirm its efficacy and safety.
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Affiliation(s)
- G Querques
- Department of Ophthalmology, Policlinico Riuniti di Foggia, University of Foggia, Foggia, Italy.
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Souied E, Cohen S, Korobelnik J, Sahel J, Dumas J, Leveziel N, Letien V, Querques G, Renaud M, Coscas G, Soubrane G. 155 Constitution d’une banque d’ADN française de patients atteints de DMLA. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)70751-4] [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: 11/30/2022]
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