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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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Raclot J, Meddeb L, Lagier J, Conrath J, Menard A. Gardez un œil ouvert, la syphilis oculaire est de retour ! Med Mal Infect 2018. [DOI: 10.1016/j.medmal.2018.04.236] [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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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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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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Calabrese A, Aguilar C, Hoffart L, Faure G, Conrath J, Castet E. Oculo-motor patterns induced by reading in peripheral vision. J Vis 2011. [DOI: 10.1167/11.11.514] [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] Open
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Grados A, Jean E, Mattonti F, Bernit E, Veit V, Chagnaud C, Marciano S, Conrath J, Brunel H, Harle JR, Schleinitz N. La fistule carotido-caverneuse une cause rare et parfois trompeuse d’exophtalmie à ne pas méconnaitre. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.177] [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: 10/28/2022]
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Catanese M, Nadeau S, Sekfali R, Hoffart L, Matonti F, C.Baeteman, Proust H, Conrath J. Glistening ou apparition de microvacuoles liquidiennes au sein d’un implant intraoculaire hydrophobe. À propos d’un cas. J Fr Ophtalmol 2011; 34:279-80. [DOI: 10.1016/j.jfo.2010.09.003] [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: 09/05/2010] [Accepted: 09/08/2010] [Indexed: 11/27/2022]
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Marc C, Hoffart L, Ridings B, Conrath J. [Extension of a macular scar after laser treatment in myopia: a case report]. J Fr Ophtalmol 2011; 34:353-4. [PMID: 21367485 DOI: 10.1016/j.jfo.2010.10.011] [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: 09/28/2010] [Accepted: 10/07/2010] [Indexed: 10/18/2022]
Affiliation(s)
- C Marc
- Service d'ophtalmologie, hôpital de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
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Madar J, Proust H, Matonti F, Conrath J, Ridings B, Hoffart L. [New therapeutic approach of keratoconus with intracorneal ring segments aided by femtosecond laser (Tecnolas Perfect Vision): indications, operating technique and results]. J Fr Ophtalmol 2010; 34:2-9. [PMID: 21112667 DOI: 10.1016/j.jfo.2010.09.016] [Citation(s) in RCA: 2] [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: 10/01/2009] [Accepted: 09/20/2010] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To assess the results of intracorneal ring segment implantation assisted by the Tecnolas Perfect Vision(®) femtosecond laser (Heidelberg, Germany). SETTINGS Retrospective observational study. METHODS The patients were operated on with the Tecnolas Perfect Vision(®) femtosecond laser. The following parameters were evaluated before and after surgery: uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), corneal topography, wavefront analysis, and central corneal thickness. The Wilcoxon test was used for statistical analysis. RESULTS Seventeen eyes of 15 patients were included. The mean follow-up was 6.9±0.71 months. Significant improvement of UCVA and BCVA was observed in 82.35% (P=0.027) and 94.12% (P=0.003) of the eyes, respectively. The subjective refraction showed a significant decrease of the sphere from -10.29±5.54 to -6.5±5.03D (P=0.002). The subjective cylinder significantly decreased from 5.43±3.20 to 3.69±2.30D (P=0.026). The SAI also decreased significantly (P=0.011). CONCLUSION Femtosecond-assisted intracorneal ring segment implantation is an effective treatment for corneal ectasia. Further studies are needed to improve surgical parameters and outcomes.
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Affiliation(s)
- J Madar
- Service d'ophtalmologie, hôpital de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
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Hoffart L, Utéza O, Sanner N, Matonti F, Sentis M, Ridings B, Conrath J. [New approach for determining the damage level of biological tissues using femtosecond laser: advantages and application to corneal surgery]. J Fr Ophtalmol 2010; 33:610-6. [PMID: 21056514 DOI: 10.1016/j.jfo.2010.09.010] [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: 05/01/2010] [Accepted: 09/15/2010] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Optimization of femtosecond laser characteristics in corneal surgery is still needed to improve clinical results. In this study, we describe an original characterization technique able to measure laser damage of corneal tissues precisely and to provide complementary physical results on the laser-matter interaction. METHOD A femtosecond laser was used to damage corneas not suitable for graft. The epithelium and the Bowman layer are exposed to a set of different single-shot fixed laser fluences. Optical microscopy can determine the probability of laser damage on the corneal surface. The high damage threshold (minimum fluence systematically damaging the cornea) roughly fixes the operating laser fluence conditions, while the low damage threshold sets the maximum laser fluence level preserving tissue integrity (safety level). RESULTS We precisely evaluate the damage fluence threshold of a tissue, using a statistical approach coupled with optical microscopy analysis. This technique gives essential information on laser-tissue interaction with a high rate of confidence. For corneal epithelium and the Bowman layer, we determine the maximum laser fluence level preserving tissue integrity (safety level) and the minimum fluence level systematically damaging the tissue. High and low threshold fluences of epithelium and the Bowman layers are (5.6 ± 0.4 J/cm(2); 2.7 ± 0.1 J/cm(2)), and (7.1 ± 1.1 J/cm(2); 3.4 ± 0.1 J/cm(2)), respectively. CONCLUSION These data constitute determinant parameters for clinical applications, since they determine a working window providing the minimal effective irradiation dose that is mandatory for the development of high-quality laser-cutting surgery processes with minimized side effects.
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Affiliation(s)
- L Hoffart
- Département d'ophtalmologie, hôpital de la Timone, université de la Méditerranée, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.
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Alessi G, Levrier O, Conrath J, Hoffart L, Donnet A, L’attention L, Metellus P, Giorgi R, Matonti F, Ridings B. Évolution en tomographie par cohérence optique de l’œdème papillaire dans l’hypertension intracrânienne idiopathique traitée par mise en place de stent endosinusien du sinus latéral. J Fr Ophtalmol 2010; 33:637-48. [DOI: 10.1016/j.jfo.2010.06.013] [Citation(s) in RCA: 10] [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: 09/15/2009] [Accepted: 06/21/2010] [Indexed: 11/26/2022]
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12
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Bélénotti P, Sevy A, Bensahla H, Benyamine A, Conrath J, Serratrice J, Weiller PJ. Anti-angiogénèse et maladie de Horton : à propos d’un cas de NOIA sous ranibizumab. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.226] [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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Terrada C, Bodaghi B, Conrath J, Raoult D, Drancourt M. Uveitis: an emerging clinical form of Bartonella infection. Clin Microbiol Infect 2009; 15 Suppl 2:132-3. [DOI: 10.1111/j.1469-0691.2008.02202.x] [Citation(s) in RCA: 11] [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] [Indexed: 11/29/2022]
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Conrath J, Hoffart L, Matonti F, Cornand E, Guigou S, Ridings B. 694 Fermeture spontanée de trou maculaire post-traumatique : à propos de quatre cas. J Fr Ophtalmol 2009. [DOI: 10.1016/s0181-5512(09)73819-7] [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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Trichet E, Matonti F, Conrath J, Hoffart L, Ridings B. 709 Anisocorie aiguë et Pomme Épineuse : à propos d’un cas de mydriase toxique accidentelle chez l’enfant. J Fr Ophtalmol 2009. [DOI: 10.1016/s0181-5512(09)73834-3] [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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Gire J, Hoffart L, Matonti F, Ridings B, Conrath J. 495 Comparaison de l’épaisseur de la couche des fibres nerveuses rétiniennes mesurée en tomographie à cohérence optique de troisième génération (Time Domain) et en tomographie à cohérence optique de quatrième génération (Spectral Domain). J Fr Ophtalmol 2009. [DOI: 10.1016/s0181-5512(09)73619-8] [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: 11/26/2022]
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Conrath J. 119 Rétinopathie diabétique, glaucome néovasculaire et anti-VEGF. J Fr Ophtalmol 2009. [DOI: 10.1016/s0181-5512(09)73247-4] [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: 10/20/2022]
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Baeteman C, Conrath J. [Retinal detachment caused by giant traumatic tear with retinal inversion]. J Fr Ophtalmol 2009; 32:156-7. [PMID: 20579479 DOI: 10.1016/j.jfo.2009.01.009] [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] [Indexed: 11/28/2022]
Affiliation(s)
- C Baeteman
- Service d'ophtalmologie, Hôpital de la Vision, CHU de la Timone, 27, boulevard Jean-Moulin, 13385 Marseille cedex 5, France.
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Matonti F, Hoffart L, Prost Magnin O, Coulibaly F, Catanèse M, Alessi G, Proust H, Ridings B, Conrath J. [Anterior segment analysis using OCT3]. J Fr Ophtalmol 2008; 31:855-61. [PMID: 19107056 DOI: 10.1016/s0181-5512(08)74725-9] [Citation(s) in RCA: 2] [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] [Indexed: 10/21/2022]
Abstract
PURPOSE Optical coherence tomography has been used for many years, in particular in the field of the retinal imaging, and is a promising technique in the analysis of the anterior segment, providing a similar resolution to histology for ocular tissue. MATERIAL AND METHODS We present a collection of images obtained with the OCT3 (Carl Zeiss Meditec, Dublin, CA), with parameters set to obtain good-quality images of the iris and corneal structures. RESULTS The OCT provides detailed analysis of the cornea, precise assessment of the dimensions and locations of corneal lesions - in the anterior-posterior plane as well as transversally or obliquely - with 10-microm precision, and the study of the iridocorneal angle and its dynamics. DISCUSSION Using the highly precise OCT3 for retinal imaging, it is possible to obtain good-quality anterior segment imaging, which makes the device highly versatile and thus increases reasons for acquiring this type of apparatus. CONCLUSIONS OCT3 users should not neglect this potential of the device, already in wide use for examining the retina.
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Affiliation(s)
- F Matonti
- Service d'ophtalmologie, Hôpital de la Timone, Marseille, France.
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Loudot C, Baeteman C, Catanese M, Matonti F, Alessi G, Prost Magnin O, Ridings B, Conrath J. 343 Analyse en tomographie à cohérence optique haute définition de foyers rétiniens secondaires à une endocardite de la valve tricuspide. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)70941-0] [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: 11/29/2022]
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Matonti F, Hoffart L, Prost Magnin O, Alessi G, Catanese M, Baeteman C, Ridings B, Conrath J. 436 Oblitération de la veine centrale de la rétine chez l’enfant : revue de la littérature et présentation de 2 cas. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)71034-9] [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: 12/01/2022]
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Hoffart L, Conrath J, Matonti F, Wotawa N, Chavane F, Ridings B, Masson G. 098 Organisation rétino-topique du cortex visuel et représentation corticale de scotomes rétiniens. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)70694-6] [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: 11/28/2022]
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Baeteman C, Loudot C, Catanese M, Matonti F, Prost-Magnin O, Conrath J, Ridings B. 583 Intérêt de l’injection intra-vitréenne de ranibizumab (Lucentis®) dans la prise en charge de la néovascularisation sous rétinienne du sujet jeune. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)71181-1] [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: 10/22/2022]
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Alessi G, Matonti F, Levrier O, Ridings B, Conrath J. 072 Évaluation de la régression de l’œdème papillaire en OCT dans l’hypertension intracrânienne idiopathique après mise en place de stent dans le sinus latéral. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)70668-5] [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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Lecleire Collet A, Erginay A, Sofroni R, Conrath J, Mohand-Said S, Gaudric A, Sahel J, Massin P. 128 Étude des anomalies fonctionnelles rétiniennes observées chez des patients diabétiques sans rétinopathie diabétique. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)70724-1] [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: 10/22/2022]
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Donnet A, Metellus P, Levrier O, Mekkaoui C, Fuentes S, Dufour H, Conrath J, Grisoli F. Endovascular treatment of idiopathic intracranial hypertension: Clinical and radiologic outcome of 10 consecutive patients. Neurology 2008; 70:641-7. [PMID: 18285539 DOI: 10.1212/01.wnl.0000299894.30700.d2] [Citation(s) in RCA: 138] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- A Donnet
- Neurosurgical Department, Timone Hospital, Rue St Pierre, 13005 Marseille, France.
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Hoffart L, Conrath J, Matonti F, Galland F, Wotawa N, Chavane F, Castet E, Ridings B, Masson G. Étude en IRM fonctionnelle 3T de l’organisation rétinotopique du cortex visuel. J Fr Ophtalmol 2007; 30:830-6. [DOI: 10.1016/s0181-5512(07)92618-2] [Citation(s) in RCA: 3] [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] [Indexed: 11/16/2022]
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Abstract
INTRODUCTION Automated lamellar keratoplasty remains a challenging surgical technique because of surgical difficulties and is associated with a high rate of complications. The precision of the corneal cut at any corneal depth with the femtosecond laser is an important improvement in this technique. We report the first case of femtosecond-assisted anterior lamellar keratoplasty. MATERIAL AND METHODS A 63-year-old woman with anterior stromal dystrophy underwent femtosecond laser-assisted ALTK on the left eye. A donor lenticula was prepared from a corneoscleral rim utilizing the Femtec 20/10 Perfectvision femtosecond laser device and an artificial anterior chamber (Moria, Antony, France). The anterior lamellar cut was also performed on the patient's eye with the femtosecond laser. RESULTS Postoperative examinations showed a well-adapted graft with a clear interface. OCT III (Carl Zeiss Meditech, Dublin) measurements showed a corneal pachymetry of 713 microm associated with a regular posterior bed and a central thickness of 132 microm. DISCUSSION Femtosecond laser corneal cutting may offer greater safety, reproducibility, predictability, and flexibility. The risks of irregular cutting and microperforation are reduced. A better graft congruence can limit the risk of secondary displacement and the smooth interface should improve visual results. CONCLUSION Donor lenticulae and corneal cuttings performed with the Femtec 20/10 Perfectvision( femtosecond laser device can be used in the successful management of eyes requiring anterior lamellar keratoplasty. Further studies are needed to evaluate outcomes of this procedure.
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Affiliation(s)
- L Hoffart
- Service d'Ophtalmologie, Hôpital de la Timone, Marseille, France.
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Abstract
Macular edema was first described more than a century ago, and its medical treatment has made great progress thanks to recent pharmacological advances. Administration is topical, local (peri- or intraocular), or systemic. Nonsteroidal anti-inflammatory agents and corticosteroids are the mainstay therapy when inflammation is involved, as well as acetazolamide in many cases. More recently, molecules such as protein kinase-C- beta inhibitors and anti-VEGF agents are already or will soon be available, to add to our therapeutic armamentarium. Perhaps combination therapy will become popular, as is the case with age-related macular degeneration.
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Affiliation(s)
- J Conrath
- Service d'Ophtalmologie, Hôpital de la Timone, Marseille, France.
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Cano A, Rouzier C, Monnot S, Chabrol B, Conrath J, Lecomte P, Delobel B, Boileau P, Valero R, Procaccio V, Paquis-Flucklinger V, Vialettes B. Identification of novel mutations in WFS1 and genotype-phenotype correlation in Wolfram syndrome. Am J Med Genet A 2007; 143A:1605-12. [PMID: 17568405 DOI: 10.1002/ajmg.a.31809] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.2] [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: 11/09/2022]
Abstract
Mutations in the WFS1 gene have been reported in Wolfram syndrome (WS), an autosomal recessive disorder defined by early onset of diabetes mellitus (DM) and progressive optic atrophy. Because of the low prevalence of this syndrome and the recent identification of the WFS1 gene, few data are available concerning the relationships between clinical and molecular aspects of the disease. Here, we describe 12 patients from 11 families with WS. We report on eight novel (A214fsX285, L293fsX303, P346L, I427S, V503fsX517, R558C, S605fsX711, P838L) and seven previously reported mutations. We also looked for genotype-phenotype correlation both in patients included in this study and 19 additional WS patients that were previously reported. Subsequently, we performed a systematic review and meta-analysis of five published clinical and molecular studies of WFS1 for genotype-phenotype correlation, combined with our current French patient group for a total of 96 patients. The presence of two inactivating mutations was shown to predispose to an earlier age of onset of both DM and optic atrophy. Moreover, the clinical expression of WS was more complete and occurred earlier in patients harboring no missense mutation.
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Affiliation(s)
- A Cano
- Department of Nutrition, Metabolic Diseases and Endocrinology, la Timone, Hospital, Marseille, France
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Bellmann C, Conrath J, Gaudric A, Girmens JF, Glanc M, Haouchine B, Lacombe F, Lecleire-Collet A, Legargasson JF, Lena P, Massin P, Pâques M, Sahel JA. Nouvelles techniques d’imagerie de la rétine. J Fr Ophtalmol 2007. [DOI: 10.1016/s0181-5512(07)89682-3] [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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Lecleire-Collet A, Pâques M, Girmens JF, Conrath J, Gaudric A, Sahel JA, Massin P. Le Retinal Vessel Analyser (RVA) : une nouvelle technique de mesure du diamètre des vaisseaux rétiniens. J Fr Ophtalmol 2007. [DOI: 10.1016/s0181-5512(07)89685-9] [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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Zanin E, Touvron G, Ridings B, Conrath J. 584 Neuropathie optique et dysplasie de l’artère ophtalmique : à propos d’un cas rare de conflit vasculonerveux. J Fr Ophtalmol 2007. [DOI: 10.1016/s0181-5512(07)80397-4] [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: 11/16/2022]
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Alessi G, Matonti F, Hoffart L, Galland F, Conrath J, Ridings B. 655 Injection intravitréenne de bevacizumab dans la prise en charge des pathologies vasculaires et inflammatoires rétiniennes. J Fr Ophtalmol 2007. [DOI: 10.1016/s0181-5512(07)80468-2] [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: 10/21/2022]
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Metellus P, Levrier O, Fuentes S, N'Doye N, Laghmari M, Adetchessi T, Dufour H, Donnet A, Conrath J, Grisoli F. Traitement endovasculaire de l'hypertension intracrânienne bénigne étiquetée « idiopathique ». Analyse de huit cas consécutifs. Neurochirurgie 2007; 53:10-7. [PMID: 17336341 DOI: 10.1016/j.neuchi.2006.10.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2006] [Accepted: 10/10/2006] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Optic nerve sheath fenestration or ventricular shunting are classically proposed after failure of medical treatment. Idiopathic intracranial hypertension is caused by venous sinus obstruction in an unknown percentage of cases. Recently, endoluminal venous sinus stenting was proposed as an alternative treatment. PATIENTS AND METHOD Between September 2003 and December 2004, eight consecutive patients with a diagnosis of idiopathic intracranial hypertension underwent MRI venography and direct retrograde cerebral angiography. RESULTS There were five females and three males aged 22 to 55 years. All patients had vision disorders. The cerebrospinal fluid pressure ranged from 27 to 45 mmHg with normal composition. All patients presented at least one sinus stenosis. Endovascular stenting of the stenotic venous sinus was performed under intravenous heparin administration. Anti-platelet therapy was administered for 3 months post treatment. Intra-sinus pressures were invariably reduced by stenting. Mean follow-up was 18 months. All patients improved clinically. The cerebrospinal fluid pressure had normalized at 3-month follow-up in all patients. In all patients, multidetector row CT-angiography or MRI venography was performed at 3-, 6- and 12-month follow-up and demonstrated the patency of the stent. DISCUSSION The importance of venous sinus disease as a cause of idiopathic intracranial hypertension is probably underestimated. Patients with idiopathic intracranial hypertension should be evaluated with direct retrograde cerebral venography and manometry. In patients with venous sinus lesions, treatment by an endoluminal venous sinus stent is a safe and effective alternative for amenable lesions.
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Affiliation(s)
- P Metellus
- Département de neurochirurgie, hôpital de La Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.
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Matonti F, Prost Magnin O, Galland F, Hoffart L, Coulibaly F, Conrath J, Ridings B. Oblitération de l’artère centrale de la rétine secondaire à une dissection de la carotide interne sur fibrodysplasie artérielle. J Fr Ophtalmol 2006; 29:e15. [PMID: 16988621 DOI: 10.1016/s0181-5512(06)73855-4] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
INTRODUCTION We report a case of a 66-year-old woman presenting a central retinal artery occlusion with no cardiovascular risk factor, with assessment using supra-aortic artery ultrasonography showing total internal carotid artery thrombosis. OBSERVATION When vascular thrombosis risk factors are absent, more in-depth assessment such as a supra-aortic artery angioscan can provide the diagnosis of arterial dissection on arterial fibromuscular dysplasia. CONCLUSION Central retinal artery occlusion is a rare but severe pathology. Therefore it is very important not to neglect the etiological assessment, because it can be the revealing element of a severe pathology.
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Affiliation(s)
- F Matonti
- Service d'Ophtalmologie, Hôpital de la Timone, 264, rue Saint Pierre, 13385 Marseille Cedex 05.
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Federici L, Proust H, Conrath J, Ridings B. [Bilateral corneal endothelial decompensation after postsepticemia coma]. J Fr Ophtalmol 2006; 29:556-8. [PMID: 16885831 DOI: 10.1016/s0181-5512(06)73810-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 12/01/2022]
Abstract
We report a case of unexplained bilateral corneal endothelial decompensation after a coma. A 71-year-old man with no medical history presented with bilateral endothelial decompensation that required penetrating keratoplasty of the left eye combined with cataract surgery. This coma was caused by septicemia originally due to staphylococcus infection following catheter placement in preparation for a CT scan. Visual acuity of the left eye was 20/400 and 20/100 in the right eye when the patient awoke from the coma. After examination, we noted only stromal thickening and Descemet membrane folds causing corneal edema predominating OS. The rest of the exam was normal. Six months after surgery, visual acuity improved to 20/25. The most probable physiopathological mechanism of this decompensation is an iatrogenic complication from drugs administered during the patient's stay in intensive care (oxacillin), but we cannot rule out direct aggression of a bacterium or its toxin or the decompensation of a preexisting pathology.
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Affiliation(s)
- L Federici
- Service d'Ophtalmologie, Hôpital La Timone, Marseille
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Conrath J, Erginay A, Giorgi R, Lecleire-Collet A, Vicaut E, Klein JC, Gaudric A, Massin P. Evaluation of the effect of JPEG and JPEG2000 image compression on the detection of diabetic retinopathy. Eye (Lond) 2006; 21:487-93. [PMID: 16456597 DOI: 10.1038/sj.eye.6702238] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [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: 11/09/2022] Open
Abstract
AIMS To compare the effect of classic Joint Photographic Experts Group (JPEG) and JPEG2000 compression algorithms on detection of diabetic retinopathy (DR) lesions. METHODS In total, 45 colour fundus photographs obtained with a digital nonmydriatic fundus camera were saved in uncompressed Tagged Interchanged Files Format (TIFF) format (1.26 MB). They were graded jointly by two retinal specialists at a 1 month interval for soft exudates, hard exudates, macular oedema, newvessels, intraretinal microvascular abnormalities (IRMA), and retinal haemorrhages and/or microaneurysms. They were compressed to 118, 58, 41, and 27 KB by both algorithms and 24 KB by classic JPEG, placed in random order and graded again jointly by the two retina specialists. Subjective image quality was graded, and sensitivity, specificity, positive and negative predictive values, and kappa statistic were calculated for all lesions at all compression ratios. RESULTS Compression to 118 KB showed no effect on image quality and kappa values were high (0.94-1). Image degradation became important at 27 KB for both algorithms. At high compression levels, IRMA and HMA detection were most affected with JPEG2000 performing slightly better than classic JPEG. CONCLUSION Performance of classic JPEG and JPEG2000 algorithms is equivalent when compressing digital images of DR lesions from 1.26 MB to 118 KB and 58 KB. Higher compression ratios show slightly better results with JPEG2000 compression, but may be insufficient for screening purposes.
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Affiliation(s)
- J Conrath
- Department of Ophthalmology, Hôpital Lariboisière, Assistance Publique--Hôpitaux de Paris, Université Paris 7, Paris, France
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Abstract
AIM To study the foveal avascular zone (FAZ) of the central retina in diabetic patients with retinopathy having undergone metabolic evaluation. METHODS One hundred and ten digital fluorescein angiograms were chosen from our digital image bank after cross matching diabetic patient lists of the ophthalmology and endocrinology departments of our institution. The patients had undergone day visits with systemic, biological and ophthalmologic evaluation, including digital fluorescein angiography. RESULTS Sex ratio was M 62/F 48. Average age was 52.4 years (+/- 13.8) with 44 type 1 diabetics and 66 type 2. Retinopathy was present in all patients (54 background (BDR), 30 pre-proliferative (PPDR), 26 proliferative (PDR)). Age was positively correlated with FAZ grade (47.3 years +/- 13.2 for normal FAZ, 53.8 years +/- 13.7 for abnormal FAZ, P=0.03). Lipid profile showed a protective tendency of the Apo A1 fraction of cholesterol on macular vascularization (1.7 gr./l in normal FAZ patients vs 1.43 gr./l in abnormal FAZ patients, P=0.004). Body mass index was negatively correlated with macular ischemia (28.11 if FAZ not severely altered, 25.97 if FAZ severely altered, P=0.03). CONCLUSIONS We found possible relations between BMI and Apo A 1 cholesterol and macular vascularization which may warrant further investigation.
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Affiliation(s)
- J Conrath
- Ophthalmology department, Hôpital de la Timone, France.
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Conrath J, Forzano O, Pinelli JC, Ridings B. Images en vidéo-ophtalmoscopie indirecte. J Fr Ophtalmol 2005; 28:794-5. [PMID: 16208232 DOI: 10.1016/s0181-5512(05)80997-0] [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: 11/23/2022]
Affiliation(s)
- J Conrath
- Service d'Ophtalmologie, Hôpital de la Timone Adultes, 264, rue Saint-Pierre, 13385 Marseille cedex 05.
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Abstract
PURPOSE To describe the relations between foveal avascular zone (FAZ) size and outline in patients presenting diabetic retinopathy. METHODS 110 high-quality fluorescein angiograms from 110 diabetics were chosen from our digital retinal image databank. Patients with significant media opacities, macular scars, macular hard exsudates, high ametropia, and associated macular pathology were excluded. Both FAZ perimeter and surface area were measured with image analysis software. FAZ outline was graded according to ETDRS report Number 11 (from 0=normal to 4=capillary outline completely destroyed). Data were compared to that of 31 healthy controls. FAZ surface in diabetics was compared to that of controls and FAZ surface was compared to FAZ grade, FAZ perimeter and retinopathy stage in diabetics. Quantitative variables were compared using the U-test of Mann-Whitney or Kruskal-Wallis test and correlations between quantitative variables were estimated with the Spearmann coefficient. RESULTS All patients presented diabetic retinopathy (54 BDR, 30 PPDR, 26 PDR). FAZ size was larger in diabetics than controls (P<0.001). In diabetics, FAZ size increased with FAZ grade (P<or=0.006 except between grades 1 and 2=NS) and with retinopathy stage (P<or=0.024). As retinopathy advanced, there was a higher proportion of altered FAZ outlines (P=0.003). CONCLUSIONS This study confirms capillary alteration to be the cause of increase in FAZ size in diabetics and presents an alternative evaluation method of the FAZ to FAZ size measurement. No qualitative studies using the ETDRS FAZ grading scale have been performed to our knowledge.
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Affiliation(s)
- J Conrath
- Ophthalmology Department, Timone Hospital, Marseille, France.
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Barthes A, Conrath J, Ridings B. [Quantitative and spatial analysis in image processing: study of drusen distribution from the foveal center in age-related macular degeneration]. J Fr Ophtalmol 2005; 28:298-302. [PMID: 15883495 DOI: 10.1016/s0181-5512(05)81057-5] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Angiofluorograms were obtained from 58 patients presenting posterior pole drusen due to age-related macular degeneration. These frames underwent image processing by morphological mathematics algorithms. The detection sensitivity of this algorithm is 78%. We present a quantitative and spatial analysis of drusen distribution from the foveal center in the form of a graph. This technique may allow for multi-date comparisons, by using a graphic representation of this risk factor for age-related macular degeneration.
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Affiliation(s)
- A Barthes
- Laboratoire des Interfaces, Sciences Physiques, Biologie et Médecine, Université d'Aix-Marseille III, Faculté des sciences de St. Jérôme, Marseille, France
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Combes J, Proust H, Coulibaly F, Navaro A, Bernard R, Conrath J, Fany A. 409 La greffe de membrane amniotique : intérêts et limites. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)73530-0] [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: 11/27/2022]
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Galland F, Matonti F, Conrath J, Ridings B. 493 Choroïdérémie et diabète. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)73613-5] [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: 11/15/2022]
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Coulibaly F, Proust H, Bernard R, Conrath J, Fany A. 393 Utilisations particulières de la ciclosporine en ophtalmologie. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)73514-2] [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: 10/22/2022]
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Proust H, Coulibaly F, Conrath J, bernard R, Fany A. 390 Prise en charge de l’ulcère de Mooren : à propos de deux cas. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)73511-7] [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: 11/29/2022]
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Hadjadj E, Conrath J, Benso C, Cornand E, Bernard C, Rendu Pietri I, Loudot C, Navarro A, Zanin E, Denis D. 678 Panuvéite bilatérale chez un enfant de 7 ans avec recherche par PCR positive à méningocoque de type C dans l’humeur aqueuse. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)73795-5] [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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Pommier S, Galland F, Benso C, Hadjadj E, Conrath J, Denis D, Ridings B. 681 Toxoplasmose oculaire : foyer actif associé à un néovaisseau rétro-fovéolaire. J Fr Ophtalmol 2005. [DOI: 10.1016/s0181-5512(05)73798-0] [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: 12/01/2022]
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