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Sakji F, Khairallah M, Ammari W, Messaoud R. [Chorioretinal involvement in West Nile virus infection]. J Fr Ophtalmol 2023; 46:e207-e209. [PMID: 37156717 DOI: 10.1016/j.jfo.2022.11.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Revised: 11/24/2022] [Accepted: 11/30/2022] [Indexed: 05/10/2023]
Affiliation(s)
- F Sakji
- Service d'ophtalmologie, hôpital universitaire Tahar Sfar, Mahdia 5100, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie.
| | - M Khairallah
- Service d'ophtalmologie, hôpital universitaire Tahar Sfar, Mahdia 5100, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie
| | - W Ammari
- Service d'ophtalmologie, hôpital universitaire Tahar Sfar, Mahdia 5100, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie
| | - R Messaoud
- Service d'ophtalmologie, hôpital universitaire Tahar Sfar, Mahdia 5100, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie
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Ben Amor H, Krifa H, Mefteh M, Khairallah M, Njim L, Khochtali S, Khairallah M. Ocular tuberculosis presenting with a conjunctival granuloma. J Fr Ophtalmol 2023; 46:231-234. [PMID: 36725373 DOI: 10.1016/j.jfo.2022.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Accepted: 07/01/2022] [Indexed: 02/03/2023]
Abstract
An 18-year-old female patient was referred with complaints of tearing and redness in the left eye for 3 months after a mild ocular trauma with a turkey feather. She was treated with topical antibiotics and corticosteroids with no improvement. Slit-lamp examination of the left eye showed a vascularized lesion with a polypoidal appearance due to multiple contiguous micronodules on the temporal and inferior bulbar conjunctiva. Results of the anterior and posterior segment examination were unremarkable in both eyes. A biopsy specimen of the conjunctival mass showed multiple tuberculoid granulomas composed of epithelioid histiocytes with associated Langhan's type multinucleate giant cells and a necrotic nodule surrounded by histiocytes and giant cells. The Mantoux test was positive with induration of 15mm. The patient was prescribed antituberculosis therapy. Three months after treatment initiation, the conjunctival lesions had resolved. Mycobacterium tuberculosis should be considered in cases of unilateral chronic recalcitrant conjunctivitis. Biopsy of a conjunctival mass is of utmost importance to establish a definite diagnosis.
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Affiliation(s)
- H Ben Amor
- Service d'ophtalmologie, CHU de Fattouma-Bourguiba, faculté de médecine, université de Monastir, 5019 Monastir, Tunisia; Faculté de médecine, université de Monastir, Monastir, Tunisia.
| | - H Krifa
- Service d'ophtalmologie, CHU de Fattouma-Bourguiba, faculté de médecine, université de Monastir, 5019 Monastir, Tunisia
| | - M Mefteh
- Service d'ophtalmologie, CHU de Fattouma-Bourguiba, faculté de médecine, université de Monastir, 5019 Monastir, Tunisia
| | - M Khairallah
- Service d'ophtalmologie, CHU de Tahar Sfar, Mahdia, Tunisia; Faculté de médecine, université de Monastir, Monastir, Tunisia
| | - L Njim
- Faculté de médecine, université de Monastir, Monastir, Tunisia; Service d'anatomie & cytologie pathologiques, CHU de Fattouma-Bourguiba, faculté de médecine, université de Monastir, Monastir, Tunisia
| | - S Khochtali
- Service d'ophtalmologie, CHU de Fattouma-Bourguiba, faculté de médecine, université de Monastir, 5019 Monastir, Tunisia; Faculté de médecine, université de Monastir, Monastir, Tunisia
| | - M Khairallah
- Service d'ophtalmologie, CHU de Fattouma-Bourguiba, faculté de médecine, université de Monastir, 5019 Monastir, Tunisia; Faculté de médecine, université de Monastir, Monastir, Tunisia
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Ammari W, Bayoudh K, Khairallah M, Zaghdoudi A, Hbaieb O, Mahmoud A, Mbarek S, Messaoud R. [Role of optical coherence tomography in unilateral amblyopia]. J Fr Ophtalmol 2023; 46:348-355. [PMID: 36759251 DOI: 10.1016/j.jfo.2022.09.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 09/29/2022] [Accepted: 09/30/2022] [Indexed: 02/10/2023]
Abstract
PURPOSE To compare the macular and papillary parameters on optical coherence tomography (OCT) between the amblyopic eye and the healthy eye in subjects with unilateral strabismic or anisometropic amblyopia. PATIENTS AND METHODS This is a cross-sectional and comparative study carried out over two years, from April 1, 2019, to March 31, 2021. We included patients aged over 5years, followed for unilateral amblyopia, free of any neurological and/or ocular pathology. The evaluation of the macular and papillary parameters in the amblyopic and healthy eyes was performed with Swept-Source Optical Coherence Tomography (OCT-SS). The parameters were compared according to age group and type of amblyopia. RESULTS We collected 50 patients, 29 children, and 21 adults, with a mean age of 19.8years. Amblyopia was secondary to anisometropia in 40 patients and strabismus in 10 patients. Analysis of macular tomographic parameters found no significant difference between amblyopic eyes and healthy eyes for mean macular thickness (P=0.86), central macular thickness (P=0.86), or mean macular volume (P=0.54). The mean retinal peripapillary fiber thickness (RNFL) was 107.48μm in the amblyopic eye and 103.8μm in the healthy eye, with a statistically significant difference (P<0.001). This significant thickening of the RNFL in amblyopic eyes was present in adults (P<0.001), children (P<0.001), anisometropic (P<0.001), and strabismic amblyopia (P=0.024). Analysis of the other optic nerve head parameters revealed no significant difference between amblyopic eyes and healthy eyes in terms of optic disc surface area (P=0.89), neuro-retinal annulus surface area (P=0.47), vertical (P=0.98) or horizontal (P=0.74) cup to disc ratio. CONCLUSION Amblyopia is accompanied by thickening of the peripapillary retinal fibers without macular repercussions. However, larger prospective studies are needed to confirm these results.
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Affiliation(s)
- W Ammari
- Service d'ophtalmologie CHU Taher Sfar Mahdia, 5100 Jbel Dar Waja, Tunisie; Faculté de médecine de Monastir, Monastir, Tunisie.
| | - K Bayoudh
- Service d'ophtalmologie CHU Taher Sfar Mahdia, 5100 Jbel Dar Waja, Tunisie; Faculté de médecine de Monastir, Monastir, Tunisie
| | - M Khairallah
- Service d'ophtalmologie CHU Taher Sfar Mahdia, 5100 Jbel Dar Waja, Tunisie; Faculté de médecine de Monastir, Monastir, Tunisie
| | - A Zaghdoudi
- Service d'ophtalmologie CHU Taher Sfar Mahdia, 5100 Jbel Dar Waja, Tunisie
| | - O Hbaieb
- Service d'ophtalmologie CHU Taher Sfar Mahdia, 5100 Jbel Dar Waja, Tunisie
| | - A Mahmoud
- Service d'ophtalmologie CHU Taher Sfar Mahdia, 5100 Jbel Dar Waja, Tunisie; Faculté de médecine de Monastir, Monastir, Tunisie
| | - S Mbarek
- Service d'ophtalmologie CHU Taher Sfar Mahdia, 5100 Jbel Dar Waja, Tunisie; Faculté de médecine de Monastir, Monastir, Tunisie
| | - R Messaoud
- Service d'ophtalmologie CHU Taher Sfar Mahdia, 5100 Jbel Dar Waja, Tunisie; Faculté de médecine de Monastir, Monastir, Tunisie
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Abroug N, Khairallah M, Ksiaa I, Ben Amor H, Zina S, Attia S, Jelliti B, Khochtali S, Khairallah M. A Comparative Study between Occlusive and Non-occlusive Retinal Vasculitis: Data from a Referral Center in Tunisia, North Africa. Ocul Immunol Inflamm 2023; 31:97-104. [PMID: 34644223 DOI: 10.1080/09273948.2021.1986726] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
PURPOSE To compare clinical profile and visual outcomes of occlusive versus non-occlusive retinal vasculitis (RV). METHODS A retrospective comparative study. RESULTS 284 patients were enrolled, including 124 patients with occlusive RV (ORV) and 160 patients with non-occlusive RV (NORV). Patients with ORV were older (p ≤ 10-3), predominantly male (p ≤10-3), with less bilateral involvement (31.5% vs 53,4%; p ≤ 10-3). Infectious RV was more frequently diagnosed in the ORV group than in the NORV group (48.8% vs 32.9%, p = .006). Behçet disease and ocular tuberculosis were the leading causes of ORV. Idiopathic RV, Behçet disease, and sarcoidosis were the most common causes of NORV. Independent predictive factors of poor visual outcome were worse baseline visual acuity in both groups (p = .006 and p ≤ 10-3, respectively), and retinal hemorrhages (p = .048) and optic atrophy (p = .040) in the ORV group. CONCLUSION Occlusive and non-occlusive RV have distinctive clinical and etiological profile.
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Affiliation(s)
- Nesrine Abroug
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Molka Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Imen Ksiaa
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Hager Ben Amor
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Sourour Zina
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Sonia Attia
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Bechir Jelliti
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Sana Khochtali
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Moncef Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
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Malouch IE, Abroug N, Khairallah M, Belghith Y, Attia S, Khairallah M. Distinguishing clinical and etiological profile of occlusive retinal vasculitis in a referral center in Tunisia, North Africa. Acta Ophthalmol 2022. [DOI: 10.1111/j.1755-3768.2022.0518] [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: 12/24/2022]
Affiliation(s)
| | | | | | | | - Sonia Attia
- CHU Fattouma Bourguiba, Ophthalmology Monastir Tunisia
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Nabi W, Khochtali S, Ben Amor H, Khairallah M, Abroug N, Khairallah M. IRVAN syndrome: A retrospective review of 9 cases from Tunisia. J Fr Ophtalmol 2022; 45:1012-1020. [DOI: 10.1016/j.jfo.2022.04.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 04/19/2022] [Accepted: 04/21/2022] [Indexed: 11/28/2022]
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Mahmoud A, Abid F, Khairallah M, Affes S, Mbarek S, Amor HIH, Khalifa ABH, Mesaoud R, Khairallah M. Acute multifocal retinitis in a patient with Q fever (Coxiella Burnetii infection) with endocarditis. J Ophthalmic Inflamm Infect 2022; 12:19. [PMID: 35723746 PMCID: PMC9209575 DOI: 10.1186/s12348-022-00295-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 04/30/2022] [Indexed: 11/10/2022] Open
Abstract
Objective To report acute multifocal retinitis in association with serologically-proven Coxiella (C) Burnetii infection (Q fever) with endocarditis. Material and methods A single case report documented with multimodal imaging. Results A 67-year-old cattle breeder presented with a 2-week history of persistent fever, headache, and floaters in both eyes. On examination, his best-corrected visual acuity was 20/20, and there was 1+ vitreous cells in both eyes. Bilateral fundus examination showed multiple small superficial white retinal lesions scattered in the posterior pole and midperiphery associated with a few retinal hemorrhages. These retinal lesions did not stain on fluorescein angiography (FA) and showed focal hyperreflectivity and thickening primarily involving the inner retinal layers on optical coherence tomography (OCT). There also was a band-like hyper-reflective area in the middle retina consistent with paramacular acute middle maculopathy. Transthoracic echocardiogram (TTE) showed a mobile echodensity on the anterior aortic leaflet consistent with a diagnosis of endocarditis. Elisa assays performed on paired serum samples collected 2 weeks apart showed increase in antibodies against C burnetii from 60 IU/ml to 255 IU/ml. The patient was treated with doxycycline 100 mg twice a day for 18 months, with subsequent resolution of the endocarditis. Sequential ocular examinations showed gradual resolution of all acute retinal findings without visible scars. Conclusion Acute Q fever, caused by C burnetii infection, should be considered in the differential diagnosis of acute multifocal retinitis. A systematic cardiac assessment with echocardiography is essential for early diagnosis of associated endocarditis and for prompt administration of appropriate antibiotic treatment to improve clinical outcomes.
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Affiliation(s)
- Anis Mahmoud
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, Tunisia
| | - Fatma Abid
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, Tunisia
| | - Molka Khairallah
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, Tunisia
| | - Sofien Affes
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, Tunisia
| | - Sameh Mbarek
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, Tunisia
| | | | | | - Riadh Mesaoud
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, Tunisia
| | - Moncef Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
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Mahmoud A, Abid F, Khairallah M, Sakji F, Ibn Hadj Amor H, Attia H, Mbarek S, Messaoud R. Case Report: Central retinal artery occlusion following sildenafil intake. F1000Res 2022; 11:600. [PMID: 36249994 PMCID: PMC9490277 DOI: 10.12688/f1000research.122087.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/26/2022] [Indexed: 01/13/2023] Open
Abstract
Purpose: To report a case of central retinal artery occlusion associated with sildenafil intake and briefly discuss its causative pathogenesis. Methods: A 50-year-old man with no premorbidities presented with symptoms of sudden severe visual field constriction in the left eye (LE). Best-corrected visual acuity in the LE was 20/25. Fundus examination and fluorescein angiography of the LE were suggestive of central retinal artery occlusion (CRAO) with cilioretinal artery sparing. Further investigation revealed that 100 mg of sildenafil had been taken for the first time three hours before the onset of symptoms. Results: The patient was treated promptly with intravenous acetazolamide, sublingual isosorbide dinitrate and ocular massage, but without visual recovery. No other associated systemic or local risk factors were found, and the case was classified as a potential complication of sildenafil. Conclusion: Although no direct link could be established, the aim of this report is to highlight the incidence and to consider this issue when evaluating any case of central retinal artery occlusion.
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Affiliation(s)
- Anis Mahmoud
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, 5100, Tunisia,Faculty of Medicine, University of Monastir, Monastir, Tunisia,
| | - Fatma Abid
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, 5100, Tunisia,Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Molka Khairallah
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, 5100, Tunisia,Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Fatma Sakji
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, 5100, Tunisia,Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Hassen Ibn Hadj Amor
- Faculty of Medicine, University of Monastir, Monastir, Tunisia,Department of Cardiology, Tahar Sfar University Hospital, Mahdia, 5100, Tunisia
| | - Hala Attia
- Faculty of Medicine, University of Monastir, Monastir, Tunisia,Department of Anesthesiology and Perioperative Medicine, Tahar Sfar Hospital, Mahdia, 5100, Tunisia
| | - Sameh Mbarek
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, 5100, Tunisia,Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Riadh Messaoud
- Department of Ophthalmology, Tahar Sfar University Hospital, Mahdia, 5100, Tunisia,Faculty of Medicine, University of Monastir, Monastir, Tunisia
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Mahmoud A, Khairallah M, Amor HIH, Lahdhiri MH, Abroug N, Messaoud R, Khairallah M. Heterozygous factor V Leiden mutation manifesting with combined central retinal vein occlusion, cilioretinal artery occlusion, branch retinal artery occlusion, and anterior ischaemic optic neuropathy: a case report. BMC Ophthalmol 2022; 22:55. [PMID: 35123430 PMCID: PMC8818178 DOI: 10.1186/s12886-022-02278-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 01/26/2022] [Indexed: 11/27/2022] Open
Abstract
Background Our purpose was to describe a patient who developed combined central retinal vein occlusion (CRVO), cilioretinal artery occlusion, branch retinal artery occlusion (BRAO), and anterior ischaemic optic neuropathy (AION) followed by CRVO in the second eye because of the heterozygous factor V Leiden (FVL) mutation. Case presentation A 39-year-old female with a history of recurrent pregnancy losses presented with acute blurred vision in the right eye (RE), with visual acuity limited to counting fingers. She was diagnosed with combined impending CRVO, cilioretinal artery occlusion, BRAO, and AION. The results of thrombophilia testing, not including the FVL mutation, were negative. Retinal atrophy with vascular attenuation and optic disc pallor developed after resolution of acute retinal findings. Nine months after initial presentation, the patient developed an impending CRVO in the left eye (LE), with a secondary progression to a complete CRVO causing a decrease in best corrected visual acuity (BCVA) to 20/40. The patient was determined to be heterozygous for the FVL mutation. She subsequently was treated with acenocoumarol. At the last follow-up visit, the BCVA was 20/400 in the RE and 20/20 in the LE, and there was a complete resolution of the acute CRVO findings in the LE. Conclusion Our case shows that the heterozygous FVL mutation may manifest with combined retinal vascular occlusion involving multiple sites in both eyes. Early recognition of such an inherited thrombophilic disorder is important because it implies the need for long-term anticoagulative therapy to reduce the patient’s risk of recurrent, sight-threatening and life-threatening thrombotic events.
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Khochtali S, Krifa H, Zina S, Khairallah M, Jelliti B, Abroug N, Khairallah M. Multimodal Imaging of Acute Foveolitis following COVID-19 Vaccination. Ocul Immunol Inflamm 2021; 30:1214-1217. [PMID: 34797736 DOI: 10.1080/09273948.2021.1993270] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE To report a case of unilateral acute foveolitis following COVID-19 vaccination. METHODS A case report. RESULTS A 24-year-old woman developed a sudden blurring of vision in the left eye (LE) 5 days after receiving the first dose of COVID-19 vaccine. Examination of the LE showed a visual acuity at 20/40, 2+ cells in the vitreous, and a small yellow-orange foveal subretinal lesion. Late-phase fluorescein angiography showed a mild diffuse retinal vascular leakage and a faint foveal hyperfluorescence. ICG angiography showed in the late-phase hypofluorescence of the centrofoveal lesion. OCT B-scan demonstrated a conical hyperreflective subfoveal lesion on the retinal pigment epithelium associated with disruption of the outer retinal layers. En-face OCT revealed granular hyperreflective specks mainly in the inner nuclear layer. Work-up results were unremarkable. The patient received oral prednisolone with subsequent full functional and anatomic recovery. CONCLUSION Foveolitis may rarely occur as a complication of COVID-19 vaccination.
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Affiliation(s)
- Sana Khochtali
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Hamza Krifa
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Sourour Zina
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Molka Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Bechir Jelliti
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Nesrine Abroug
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Moncef Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
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Abroug N, Khairallah M, Zina S, Ksiaa I, Amor HB, Attia S, Jelliti B, Khochtali S, Khairallah M. Ocular Manifestations of Emerging Arthropod-Borne Infectious Diseases. J Curr Ophthalmol 2021; 33:227-235. [PMID: 34765808 PMCID: PMC8579803 DOI: 10.4103/joco.joco_134_21] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 04/25/2021] [Accepted: 04/25/2021] [Indexed: 11/04/2022] Open
Abstract
Purpose To review the clinical features, diagnosis, treatment modalities, and prognosis of arthropod-borne infectious diseases. Methods This is a narrative review on arthropod-borne infectious diseases including general and ophthalmological aspects of these infectious diseases. A comprehensive literature review between January 1983 and September 2020 was conducted in PubMed database. Epidemiology, clinical features, diagnosis, treatment, and prognosis of arthropod-borne infectious diseases were reviewed. Results Emergent and resurgent arthropod-borne infectious diseases are major causes of systemic morbidity and death that are expanding worldwide. Among them, bacterial and viral agents including rickettsial disease, West Nile virus, Dengue fever, Chikungunya, Rift valley fever, and Zika virus have been associated with an array of ocular manifestations. These include anterior uveitis, retinitis, chorioretinitis, retinal vasculitis, and optic nerve involvement. Proper clinical diagnosis of any of these infectious diseases is primarily based on epidemiological data, history, systemic symptoms and signs, and the pattern of ocular involvement. The diagnosis is confirmed by laboratory tests. Ocular involvement usually has a self-limited course, but it can result in persistent visual impairment. Doxycycline is the treatment of choice for rickettsial disease. There is currently no proven specific treatment for arboviral diseases. Prevention remains the mainstay for arthropod vector and zoonotic disease control. Conclusions Emerging arthropod vector-borne diseases should be considered in the differential diagnosis of uveitis, especially in patient living or with recent travel to endemic countries. Early clinical diagnosis, while laboratory testing is pending, is essential for proper management to prevent systemic and ocular morbidity.
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Affiliation(s)
- Nesrine Abroug
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.,Departement of Ophthalmology, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Molka Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.,Departement of Ophthalmology, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Sourour Zina
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.,Departement of Ophthalmology, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Imen Ksiaa
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.,Departement of Ophthalmology, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Hager Ben Amor
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.,Departement of Ophthalmology, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Sonia Attia
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.,Departement of Ophthalmology, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Bechir Jelliti
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.,Departement of Ophthalmology, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Sana Khochtali
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.,Departement of Ophthalmology, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Moncef Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.,Departement of Ophthalmology, Faculty of Medicine, University of Monastir, Monastir, Tunisia
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Jomaa O, Ksiaa I, Khochtali S, Jguirim M, Khairallah M. P059 Etiological profile of childhood uveitis in a Tunisian population: a 12-year retrospective study. Rheumatology (Oxford) 2021. [DOI: 10.1093/rheumatology/keab722.051] [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] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Uveitis in children represents 10% of all cases of uveitis. It is a serious condition with an often-insidious onset and evolution, and has a negative impact on visual prognosis with a risk of amblyopia or even blindness. The etiologies are varied. the aim of this study is to describe the epidemiological, clinical, and etiological characteristics of childhood uveitis during a period of 12 years.
Methods
A descriptive retrospective study including 138 children (276 eyes) with uveitis, was conducted at the Ophthalmology Department of Fattouma Bourguiba University Hospital in Monastir Tunisia between 1 January 2006 and 31 December 2017.
Results
The patients average age was 10.2 ± 3,58. A female predominance was noted (sex ratio: 0.91). Uveitis was bilateral in 2/3 of cases and unilateral in 1/3 of cases. Vision loss was the most common reason for consultation (52.2%). The mean initial visual acuity was 3,3/10 ± 3,24. Intermediate uveitis was the most common anatomical form (42,02%), followed by anterior uveitis (28,26%), panuveitis (26,08%), and posterior uveitis (3,6%). The infectious origin was the most common aetiology, followed by uveitis related to general condition (13,72%), and uveitis in context of a specific ocular condition (12,3%). Uveitis was idiopathic in 79 patients (57.24%). Periocular injection of triamcinolone acetonide was performed in (29 patients, 21%). The use of immunosuppressives agents was noted in 38 patients (27,5%) (methotrexate: 23 patients, azathioprine: 16 patients, and ciclosporin: 10 patients). The use of intravitreous injections of bevacizumab was noted in 6 patients (4.33%). Anti TNF alpha treatment was used for 2 patients. Post-uveitic complications were noted in 84.3% of cases. They were dominated by cataract (31,88%) at the anterior segment level. Cystoid macular oedema (31,88%) and retinal serous detachment (15,9%) were the major complications in the posterior segment. Mean final visual acuity was 5.98/10 ± 3,54. It was <1/10 in 14 eyes.
Conclusion
In our study a female predominance was noted. Intermediate uveitis was the most common anatomical form. The infectious origin was preponderant. Post-uveitic complications was dominated at the anterior segment level by cataract and cystoid macular oedema at the posterior segment.
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Affiliation(s)
- O Jomaa
- Department of Ophthalmology, Faculty of Medicine of Monastir, Fattouma Bourguiba Hospital, Tunisia
| | - I Ksiaa
- Department of Ophthalmology, Faculty of Medicine of Monastir, Fattouma Bourguiba Hospital, Tunisia
| | - S Khochtali
- Department of Ophthalmology, Faculty of Medicine of Monastir, Fattouma Bourguiba Hospital, Tunisia
| | - M Jguirim
- Department of Ophthalmology, Faculty of Medicine of Monastir, Fattouma Bourguiba Hospital, Tunisia
| | - M Khairallah
- Department of Ophthalmology, Faculty of Medicine of Monastir, Fattouma Bourguiba Hospital, Tunisia
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Zina S, Khairallah M, Ben Amor H, Ksiaa I, Hadhri R, Attia S, Khochtali S, Khairallah M. [Conjunctival granulomas leading to the diagnosis of systemic sarcoidosis]. J Fr Ophtalmol 2021; 45:e67-e69. [PMID: 34763957 DOI: 10.1016/j.jfo.2021.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 06/02/2021] [Accepted: 06/04/2021] [Indexed: 10/19/2022]
Affiliation(s)
- S Zina
- Service d'ophtalmologie, faculté de médecine, hôpital universitaire Fattouma-Bourguiba, université de Monastir, avenue Farhat-Hached, 5000 Monastir, Tunisie
| | - M Khairallah
- Service d'ophtalmologie, faculté de médecine, hôpital universitaire Fattouma-Bourguiba, université de Monastir, avenue Farhat-Hached, 5000 Monastir, Tunisie.
| | - H Ben Amor
- Service d'ophtalmologie, faculté de médecine, hôpital universitaire Fattouma-Bourguiba, université de Monastir, avenue Farhat-Hached, 5000 Monastir, Tunisie
| | - I Ksiaa
- Service d'ophtalmologie, faculté de médecine, hôpital universitaire Fattouma-Bourguiba, université de Monastir, avenue Farhat-Hached, 5000 Monastir, Tunisie
| | - R Hadhri
- Service d'anatomopathologie, faculté de médecine, hôpital universitaire Fattouma-Bourguiba, université de Monastir, avenue Farhat-Hached, 5000 Monastir, Tunisie
| | - S Attia
- Service d'ophtalmologie, faculté de médecine, hôpital universitaire Fattouma-Bourguiba, université de Monastir, avenue Farhat-Hached, 5000 Monastir, Tunisie
| | - S Khochtali
- Service d'ophtalmologie, faculté de médecine, hôpital universitaire Fattouma-Bourguiba, université de Monastir, avenue Farhat-Hached, 5000 Monastir, Tunisie
| | - M Khairallah
- Service d'ophtalmologie, faculté de médecine, hôpital universitaire Fattouma-Bourguiba, université de Monastir, avenue Farhat-Hached, 5000 Monastir, Tunisie
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Abroug N, Zina S, Ksiaa I, Ben Amor H, Khochtali S, Khairallah M. Central retinal vein occlusion complicating retinal arteriovenous malformation. J Fr Ophtalmol 2021; 44:1476-1478. [PMID: 34474923 DOI: 10.1016/j.jfo.2021.01.007] [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: 12/20/2020] [Accepted: 01/04/2021] [Indexed: 11/27/2022]
Affiliation(s)
- N Abroug
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia.
| | - S Zina
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - I Ksiaa
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - H Ben Amor
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - S Khochtali
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - M Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
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Khochtali S, Khairallah M, Meddeb S, Zina S, Khalifa M, Khairallah M. Ophthalmic involvement in Mycoplasma-induced rash and mucositis: A case report. J Fr Ophtalmol 2021; 45:e17-e19. [PMID: 34330551 DOI: 10.1016/j.jfo.2021.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 03/03/2021] [Indexed: 11/19/2022]
Affiliation(s)
- S Khochtali
- Service d'ophtalmologie, hôpital universitaire Fattouma Bourguiba, avenue Farhat-Hached, 5000 Monastir, Tunisia; Université de Monastir, faculté de médecine de Monastir, avenue Avicenne, 5000 Monastir, Tunisia.
| | - M Khairallah
- Service d'ophtalmologie, hôpital universitaire Fattouma Bourguiba, avenue Farhat-Hached, 5000 Monastir, Tunisia; Université de Monastir, faculté de médecine de Monastir, avenue Avicenne, 5000 Monastir, Tunisia
| | - S Meddeb
- Hôpital régional de Msaken, avenue Taieb M'Hiri, 4070 M'Saken, Sousse, Tunisia
| | - S Zina
- Service d'ophtalmologie, hôpital universitaire Fattouma Bourguiba, avenue Farhat-Hached, 5000 Monastir, Tunisia; Université de Monastir, faculté de médecine de Monastir, avenue Avicenne, 5000 Monastir, Tunisia
| | - M Khalifa
- Service de pédiatrie, hôpital régional de Msaken, avenue Taieb M'Hiri, 4070 M'Saken, Sousse, Tunisia
| | - M Khairallah
- Service d'ophtalmologie, hôpital universitaire Fattouma Bourguiba, avenue Farhat-Hached, 5000 Monastir, Tunisia; Université de Monastir, faculté de médecine de Monastir, avenue Avicenne, 5000 Monastir, Tunisia
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Ksiaa I, Kechida M, Ben Tkhayat S, El Mhamdi S, Abroug N, Khairallah M. Cross-validation of the Tunisian version of the National Eye Institute Visual Function Questionnaire 25. J Fr Ophtalmol 2021; 44:1211-1215. [PMID: 34281759 DOI: 10.1016/j.jfo.2021.01.025] [Citation(s) in RCA: 1] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 01/07/2021] [Indexed: 11/18/2022]
Abstract
INTRODUCTION The goal of our study was to create a cross-cultural adaptation of the questionnaire « National Eye Institute Visual Function Questionnaire » (NEI-VFQ-25) for the Tunisian population (Tu-VFQ-25) and to test its psychometric properties in a group of patients with chronic uveitis. PATIENTS AND METHODS The study consisted of two steps. The first was translation of the NEI-VFQ-25 and its cross-cultural adaptation to the Tunisian dialect (Tu-VFQ-25) according to the guidelines of Beaton et al. The second step consisted of studying the psychometric properties of the Tu-VFQ-25. Enrolled patients, diagnosed with chronic uveitis, were interviewed face-to-face by two different investigators, followed by a telephone interview by the first investigator 48hours later. Feasibility, internal consistency and reproducibility of the Tu-VFQ-25 were then tested using statistical methods. RESULTS The mean time taken to administrate the questionnaire to each of the 45 patients was 11min 40 s (± 2min 24 s). Internal consistency was acceptable, with Cronbach's alpha coefficients above 0.7 except the "Ocular Pain" and "Driving" subscales (0.645 and 0.559 respectively). Inter-observer reliability was excellent, with intra-class correlation coefficients (ICC) ranging from 0.857 to 0.985 for all subscales. Test-retest reliability, assessed for 43 patients, was good to excellent, with ICC above 0.80 for all subscales except "General Vision," which had a value of 0.786. CONCLUSION As with previous versions, the Tu-VFQ-25 is an easy and reliable tool for assessing vision-related quality of life of Tunisian patients with chronic uveitis.
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Affiliation(s)
- I Ksiaa
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, 5000 Monastir, Tunisia.
| | - M Kechida
- Department of Internal Medicine and Endocrinology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - S Ben Tkhayat
- Department of Internal Medicine and Endocrinology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - S El Mhamdi
- Department of Epidemiology and Preventive Medicine, Taher Sfar University Hospital, Mahdia, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - N Abroug
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, 5000 Monastir, Tunisia
| | - M Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, 5000 Monastir, Tunisia
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Zina S, Khochtali S, Sayadi S, Ksiaa I, Abroug N, Khairallah M. [Specular microscopy findings in active uveitis]. J Fr Ophtalmol 2021; 44:981-988. [PMID: 34172297 DOI: 10.1016/j.jfo.2020.10.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Revised: 10/09/2020] [Accepted: 10/09/2020] [Indexed: 10/21/2022]
Abstract
PURPOSE To study the effect of ocular inflammation in active uveitis on the corneal endothelium. MATERIALS AND METHODS This is a prospective cross-sectional study involving 63 eyes of 38 patients with active newly-diagnosed uveitis. Eighty-four eyes of 42 non-uveitic subjects served as a control group. All patients underwent detailed ophthalmic examination, laser flare photometry, and non-contact specular microscopy. Eyes with uveitis had a follow-up visit at one month after initiation of treatment, including laser flare photometry and specular microscopy. RESULTS The mean age of the active uveitis patients was 33 (range: 9-67 years) with 21 men (55%) and 17 women (45%). For the uveitis patients at baseline, the mean flare value was 32ph/ms (range: 15-100ph/ms) with flare photometry value ≥50ph/ms in 13 eyes (21%) and<50ph/ms in 50 eyes (79%). At baseline, cell density (CD) of the uveitis patients was similar to CD in control eyes (p꞊0.16). The percent of hexagonality was significantly lower (p<0.0001), and the coefficient of variance (CV) (p<0.0001) and central corneal thickness (CCT) (p<0.0001) were significantly higher than in the control group. After one month, there was a significant decrease in flare photometry values (p<0.0001), with a mean flare value of 14.5ph/ms (range: 4-60ph/ms). In the active uveitis group, the overall results of specular microscopy did not significantly vary between the initial examination and the 1-month examination. For eyes with flare photometry value ≥50ph/ms at baseline, CD and hexagonal cell count significantly increased on the 1-month examination (p꞊0.01 and p꞊0.02 respectively), while CV and CCT decreased significantly at the one-month follow-up visit (p꞊0.007/p꞊0.03 respectively). For eyes with flare photometry value at baseline <50ph/ms, there was no significant differences in specular microscopy results between the initial examination and the 1-month examination. CONCLUSIONS In eyes with newly-diagnosed uveitis and active anterior chamber inflammation, specular microscopy shows transient qualitative abnormalities of the corneal endothelium that depend on the severity of the anterior chamber inflammation as measured by the laser flare meter.
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Affiliation(s)
- S Zina
- Service d'ophtalmologie, Hôpital universitaire Fattouma Bourguiba, Faculté de Médecine, Université de Monastir, 5019 Monastir, Tunisia.
| | - S Khochtali
- Service d'ophtalmologie, Hôpital universitaire Fattouma Bourguiba, Faculté de Médecine, Université de Monastir, 5019 Monastir, Tunisia.
| | - S Sayadi
- Service d'ophtalmologie, Hôpital universitaire Fattouma Bourguiba, Faculté de Médecine, Université de Monastir, 5019 Monastir, Tunisia.
| | - I Ksiaa
- Service d'ophtalmologie, Hôpital universitaire Fattouma Bourguiba, Faculté de Médecine, Université de Monastir, 5019 Monastir, Tunisia.
| | - N Abroug
- Service d'ophtalmologie, Hôpital universitaire Fattouma Bourguiba, Faculté de Médecine, Université de Monastir, 5019 Monastir, Tunisia.
| | - M Khairallah
- Service d'ophtalmologie, Hôpital universitaire Fattouma Bourguiba, Faculté de Médecine, Université de Monastir, 5019 Monastir, Tunisia.
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Abderrahim K, Zina S, Khairallah M, Ben Amor H, Khochtali S, Khairallah M. Abducens nerve palsy with associated retinal involvement secondary to rickettsia typhi infection. J Ophthalmic Inflamm Infect 2021; 11:9. [PMID: 33748920 PMCID: PMC7982369 DOI: 10.1186/s12348-021-00239-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Accepted: 02/24/2021] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE To report a case of abducens nerve palsy with associated retinal involvement due to rickettsia typhi infection. MATERIAL AND METHODS A single case report documented with multimodal imaging. RESULTS A 18-year-old woman with a history of high-grade fever was initially diagnosed with typhoid fever and treated with fluoroquinolone. She presented with a 5-day history of diplopia and headaches. Her best-corrected visual acuity was 20/20 in both eyes. Ocular motility examination showed left lateral gaze restriction. Lancaster test confirmed the presence of left abducens palsy. Fundus examination showed optic disc swelling in both eyes associated with superotemporal retinal hemorrhage and a small retinal infiltrate with retinal hemorrhage in the nasal periphery in the left eye. Magnetic resonance imaging (MRI) of the brain and orbits showed no abnormalities. A diagnosis of rickettsial disease was suspected and the serologic test for Richettsia Typhi was positive. The patient was treated with doxycycline (100 mg every 12 h) for 15 days with complete recovery of the left lateral rectus motility and resolution of optic disc swelling, retinal hemorrhages, and retinal infiltrate. CONCLUSION Rickettsial disease should be considered in the differential diagnosis of abducens nerve palsy in any patient with unexplained fever from endemic area. Fundus examination may help establish an early diagnosis and to start an appropriate rickettsial treatment.
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Affiliation(s)
- Kaies Abderrahim
- Department of Ophthalmology, Medenine University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Sourour Zina
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, 5019, Monastir, Tunisia
| | - Molka Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, 5019, Monastir, Tunisia
| | - Hager Ben Amor
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, 5019, Monastir, Tunisia
| | - Sana Khochtali
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, 5019, Monastir, Tunisia
| | - Moncef Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, 5019, Monastir, Tunisia.
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El Matri K, Falfoul Y, Amoroso F, Souied EH, Dekli Z, Chebil A, Mili-Boussen I, Khairallah M, El Matri L. Multimodal imaging of branch retinal artery occlusion and multiple retinal infiltrates associated to cat's scratch disease. J Fr Ophtalmol 2021; 44:e199-e204. [PMID: 33451868 DOI: 10.1016/j.jfo.2020.06.035] [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: 05/20/2020] [Accepted: 06/11/2020] [Indexed: 11/28/2022]
Affiliation(s)
- K El Matri
- Institut Hédi Rais d'ophtalmologie de Tunis, Department B / Oculogenetic laboratory LR14SP01, boulevard du 9 Avril 1938, 1006 Tunis, Tunisia; Université Tunis - El Manar, Faculté de médecine de Tunis, rue Djebal Lakhdar, 1006 Tunis, Tunisia; Centre hospitalier intercommunal de Créteil, Ophthalmology department, 40 avenue de Verdun, 94000 Créteil, France; Université Paris-Est Créteil, Faculté de médecine de Créteil, 8, rue du Général Sarrail, 94000 Créteil, France.
| | - Y Falfoul
- Institut Hédi Rais d'ophtalmologie de Tunis, Department B / Oculogenetic laboratory LR14SP01, boulevard du 9 Avril 1938, 1006 Tunis, Tunisia
| | - F Amoroso
- Centre hospitalier intercommunal de Créteil, Ophthalmology department, 40 avenue de Verdun, 94000 Créteil, France; Université Paris-Est Créteil, Faculté de médecine de Créteil, 8, rue du Général Sarrail, 94000 Créteil, France
| | - E H Souied
- Centre hospitalier intercommunal de Créteil, Ophthalmology department, 40 avenue de Verdun, 94000 Créteil, France; Université Paris-Est Créteil, Faculté de médecine de Créteil, 8, rue du Général Sarrail, 94000 Créteil, France
| | - Z Dekli
- Institut Hédi Rais d'ophtalmologie de Tunis, Department B / Oculogenetic laboratory LR14SP01, boulevard du 9 Avril 1938, 1006 Tunis, Tunisia; Université Tunis - El Manar, Faculté de médecine de Tunis, rue Djebal Lakhdar, 1006 Tunis, Tunisia
| | - A Chebil
- Institut Hédi Rais d'ophtalmologie de Tunis, Department B / Oculogenetic laboratory LR14SP01, boulevard du 9 Avril 1938, 1006 Tunis, Tunisia; Université Tunis - El Manar, Faculté de médecine de Tunis, rue Djebal Lakhdar, 1006 Tunis, Tunisia
| | - I Mili-Boussen
- Université Tunis - El Manar, Faculté de médecine de Tunis, rue Djebal Lakhdar, 1006 Tunis, Tunisia; Centre hospitalier universitaire Charles Nicolle, Ophthalmology department boulevard du 9-Avril 1938, Tunis, Tunisia
| | - M Khairallah
- Service d'ophtalmologie, Hôpital universitaire Fattouma Bourguiba, avenue Farhat Hached, 5000 Monastir, Tunisia; Université de Monastir, Faculté de médecine de Monastir, avenue Avicenne, 5000 Monastir, Tunisia
| | - L El Matri
- Institut Hédi Rais d'ophtalmologie de Tunis, Department B / Oculogenetic laboratory LR14SP01, boulevard du 9 Avril 1938, 1006 Tunis, Tunisia; Université Tunis - El Manar, Faculté de médecine de Tunis, rue Djebal Lakhdar, 1006 Tunis, Tunisia
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Kammoun S, Khochtali S, Sehli M, Ben Amor S, Feki J, Khairallah M. Atypical multimodal imaging findings in a patient with multiple evanescent white dot syndrome. J Fr Ophtalmol 2020; 44:e115-e121. [PMID: 33162178 DOI: 10.1016/j.jfo.2020.04.043] [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: 02/27/2020] [Revised: 04/08/2020] [Accepted: 04/14/2020] [Indexed: 10/23/2022]
Affiliation(s)
- S Kammoun
- Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, El-Ferdaous avenue, 3029 Sfax, Tunisia
| | - S Khochtali
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - M Sehli
- Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, El-Ferdaous avenue, 3029 Sfax, Tunisia.
| | - S Ben Amor
- Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, El-Ferdaous avenue, 3029 Sfax, Tunisia
| | - J Feki
- Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, El-Ferdaous avenue, 3029 Sfax, Tunisia
| | - M Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
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Ksiaa I, Abroug N, Kechida M, Zina S, Jelliti B, Khochtali S, Attia S, Khairallah M. Œil et maladie de Behçet. J Fr Ophtalmol 2019; 42:626-641. [DOI: 10.1016/j.jfo.2018.09.027] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2018] [Accepted: 09/03/2018] [Indexed: 12/30/2022]
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Abroug N, Zina S, Khairallah M, Ksiaa I, Kechida M, Ben Amor H, Khochtali S, Khairallah M. Diagnosing retinal vasculitis and its implications for treatment. Expert Review of Ophthalmology 2019. [DOI: 10.1080/17469899.2019.1613153] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Nesrine Abroug
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Sourour Zina
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Molka Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Imen Ksiaa
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Melek Kechida
- Internal Medicine Department, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Hager Ben Amor
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Sana Khochtali
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Moncef Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
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Khochtali S, Kadri A, Bouabana A, Ben Amor H, Khairallah M, Zaouali S, Khairallah M. [Multimodal imaging in a case of drusen-like deposits associated with systemic lupus erythematosus]. J Fr Ophtalmol 2019; 42:e107-e110. [PMID: 30851970 DOI: 10.1016/j.jfo.2018.07.009] [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] [Received: 03/31/2018] [Revised: 07/12/2018] [Accepted: 07/13/2018] [Indexed: 10/27/2022]
Affiliation(s)
- S Khochtali
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie.
| | - A Kadri
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie
| | - A Bouabana
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie
| | - H Ben Amor
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie
| | - M Khairallah
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie
| | - S Zaouali
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie
| | - M Khairallah
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, Monastir, Tunisie
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Gargouri S, Kaibi I, Zone I, Khairallah M, Koubaa M, Ben Jemaa M, Feki J. Presumed Tuberculous uveitis: clinical features and management. Tunis Med 2019; 97:106-112. [PMID: 31535701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
AIM To illustrate the various clinical features and management of presumed tuberculous uveitis in an endemic area in Tunisia. METHODS This is a retrospective study including 14 patients (26 eyes) diagnosed with presumed tuberculous uveitis at the Department of Ophthalmology Habib Bourguiba University Hospital of Sfax-Tunisia. RESULTS Mean age at onset was 31.7 years. Uveitis was bilateral in 86 % of cases (12 eyes). Panuveitis was the most common manifestation and represented 50% of cases (13 eyes). Ocular findings include mutton-fat keratic precipitates in 35% of cases (9 eyes), posterior synechiae in 31% of cases (8 eyes), vitritis in 81% of cases (21eyes), multifocal choroiditis in 23% of cases (6 eyes), periphlebitis in 27% of cases (7 eyes), and macular edema in 42% of cases (11eyes). Anti-tubercular treatment was prescribed in all patients and was associated with systemic corticosteroids in 71% of cases (10 patients). After a mean follow-up of 16.27 months (range, 6-36), inflammation was controlled with improvement in visual acuity. Recurrence developed in 7 % of cases (1 patient). CONCLUSION In the present study, posterior synechiae, vitritis, multifocal choroiditis, and retinal vasculitis are the most common manifestations of tuberculous uveitis in tuberculosis endemic area in Tunisia. These manifestations are suggestive of a tubercular cause of uveitis and merit specific treatment.
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Khochtali S, Daldoul N, Zina S, Kadri A, Ben Yahia S, Khairallah M. [Corneal involvement in tyrosinemia type II mimicking herpetic keratitis: Case report in an adult]. J Fr Ophtalmol 2018; 41:e315-e318. [PMID: 30126694 DOI: 10.1016/j.jfo.2017.09.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Revised: 09/21/2017] [Accepted: 09/25/2017] [Indexed: 11/19/2022]
Affiliation(s)
- S Khochtali
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie.
| | - N Daldoul
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - S Zina
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - A Kadri
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - S Ben Yahia
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - M Khairallah
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
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Kechida M, Ksiaa I, Abroug N, Klii R, Hammami S, Khochtali I, Khairallah M. Manifestations ophtalmologiques de l’artérite à cellules géantes. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.200] [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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Kechida M, Khochtali S, Benamor H, Zina S, Attia S, Khairallah M. Les sclérites : étiologies et modalités de prise en charge. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.178] [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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Kechida M, Khochtali S, Zina S, Lahdhiri M, Zaouali S, Khairallah M. Pemphigoïde oculaire cicatricielle sévère : à propos de 5 cas. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.209] [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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Ameur K, Mohamed M, Ben Brahim H, Lahouel I, Sriha B, Khairallah M, Loussaief C, Zili J. Une cause exceptionnelle d’œdème palpébral. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.03.150] [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: 10/17/2022]
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Turki A, Mzoughi S, Mtitaoui N, Khairallah M, Marmouch H, Hammami S, Mahjoub T, Almawi WY. Gender differences in the association of ELMO1 genetic variants with type 2 diabetes in Tunisian Arabs. J Endocrinol Invest 2018; 41:285-291. [PMID: 28752301 DOI: 10.1007/s40618-017-0734-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2017] [Accepted: 07/12/2017] [Indexed: 12/22/2022]
Abstract
PURPOSE Polymorphisms of the engulfment and cell motility 1 (ELMO1) gene were recently associated with type 2 diabetes (T2DM) and its complications. We investigated the association of rs10255208, rs7782979, and rs2041801 ELMO1 gene variants with T2DM in Tunisian Arabs. METHODS Subjects comprised 900 T2DM patients and 600 normoglycemic controls. ELMO1 genotyping was done by PCR-RFLP; the contribution of ELMO1 variants to T2DM was analyzed by Haploview and regression analysis. RESULTS Minor allele frequencies of rs7782979 and rs10255208 ELMO1 variants were significantly higher among unselected T2DM cases than controls, and significant differences in the distribution of rs7782979 genotypes were seen between T2DM cases and control subjects, which was seen in male but not female subjects. Three-locus ELMO1 haplotype analysis identified haplotype GAA to be positively associated, and haplotypes GCA, AAA, and GCG to be negatively associated with T2DM. The distribution of these haplotypes was gender-dependent for some (GCA, GCG, AAG), and gender-independent for others (GAA, AAA). This translated into altered risk of T2DM in male or female subjects, which persisted after adjusting for BMI, systolic and diastolic blood pressure, and serum lipid profile. CONCLUSION These results confirm role for ELMO1 as T2DM susceptibility locus, which appears to be gender-dependent.
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Affiliation(s)
- A Turki
- Research Laboratory of Human Genome and Multifactorial Diseases, Faculty of Pharmacy of Monastir, University of Monastir, Monastir, Tunisia
| | - S Mzoughi
- Research Laboratory of Human Genome and Multifactorial Diseases, Faculty of Pharmacy of Monastir, University of Monastir, Monastir, Tunisia
| | - N Mtitaoui
- Research Laboratory of Human Genome and Multifactorial Diseases, Faculty of Pharmacy of Monastir, University of Monastir, Monastir, Tunisia
- Higher Institute of Biotechnology of Monastir, Monastir, Tunisia
| | - M Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | - H Marmouch
- Department of Endocrinology and Internal Medicine, Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | - S Hammami
- Department of Endocrinology and Internal Medicine, Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | - T Mahjoub
- Research Laboratory of Human Genome and Multifactorial Diseases, Faculty of Pharmacy of Monastir, University of Monastir, Monastir, Tunisia
| | - W Y Almawi
- Faculty of Sciences, El Manar University, Tunis, Tunisia.
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Khochtali S, Salah Hani M, Ksiaa I, Zina S, Ben Yahia S, Jelliti B, Khairallah M. Crise de glaucome par fermeture de l’angle révélant une maladie inflammatoire du segment postérieur : à propos de 2 cas. J Fr Ophtalmol 2017; 40:e409-e412. [DOI: 10.1016/j.jfo.2017.01.027] [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: 10/20/2016] [Revised: 12/30/2016] [Accepted: 01/03/2017] [Indexed: 11/26/2022]
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32
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Khochtali S, Zina S, Kechida M, Chakroun H, Bellassoued O, Jelliti B, Khairallah M. [Anterior uveitis as the presenting sign of chronic lymphocytic leukemia]. J Fr Ophtalmol 2017; 40:e337-e338. [PMID: 28992953 DOI: 10.1016/j.jfo.2017.04.010] [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: 09/16/2016] [Revised: 12/13/2016] [Accepted: 04/03/2017] [Indexed: 10/18/2022]
Affiliation(s)
- S Khochtali
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie.
| | - S Zina
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - M Kechida
- Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie; Service de médecine interne, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie
| | - H Chakroun
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - O Bellassoued
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - B Jelliti
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - M Khairallah
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
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Khairallah M, Khochtali S, Abroug N. The place of OCT-angiography in uveitis. Acta Ophthalmol 2017. [DOI: 10.1111/j.1755-3768.2017.02133] [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: 11/26/2022]
Affiliation(s)
- M. Khairallah
- Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
| | - S. Khochtali
- Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
| | - N. Abroug
- Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
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Benabderrahim K, Feki J, Khairallah M. The advantages of serological tests of blood and tears for the diagnosis and the follow up of corneal rickettsiosis. Acta Ophthalmol 2017. [DOI: 10.1111/j.1755-3768.2017.01193] [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: 12/01/2022]
Affiliation(s)
| | - J. Feki
- Department of Ophthalmology; Habib Bourguiba University Hospital; Sfax Tunisia
| | - M. Khairallah
- Department of Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
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Ben Abderrahim K, Zina S, Khairallah M, Ksiaa I, Jelliti B, Khairallah M. Optical coherence tomography angiography in occlusive retinal vasculitis. Acta Ophthalmol 2017. [DOI: 10.1111/j.1755-3768.2017.01183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | - S. Zina
- Department of Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
| | - M. Khairallah
- Department of Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
| | - I. Ksiaa
- Department of Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
| | - B. Jelliti
- Department of Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
| | - M. Khairallah
- Department of Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
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Khairallah M, Khochtali S, Mahmoud A, Ben Amor H. Tuberculosis. Acta Ophthalmol 2017. [DOI: 10.1111/j.1755-3768.2017.03533] [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)
- M. Khairallah
- Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
| | - S. Khochtali
- Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
| | - A. Mahmoud
- Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
| | - H. Ben Amor
- Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
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Khochtali S, Kechida M, Ben Amor H, Ksiaa I, Klii R, Hammami S, Khochtali I, Khairallah M. Les uvéites associées à la sarcoïdose : aspects cliniques et thérapeutiques. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.275] [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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38
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Ksiaa I, Kechida M, Klii R, Hammami S, Khochtali I, Khochtali S, Khairallah M. Choriorétinopathie séreuse centrale (CRSC) : une complication ophtalmologique à connaître par les internistes. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.03.281] [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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Zayani M, Ammari W, Najjar S, Bannour R, Karsou B, Lahmar N, Messaoud R, Khairallah M. Apport de l’OCT spectral domain dans le diagnostic précoce de la maculopathie aux antipaludéens de synthèse : à propos d’un cas. J Fr Ophtalmol 2017; 40:e105-e107. [DOI: 10.1016/j.jfo.2016.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Revised: 11/08/2016] [Accepted: 11/19/2016] [Indexed: 11/29/2022]
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40
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Kechida M, Khochtali S, Zina S, Ben Nasr M, Klii R, Hammami S, Khochtali I, Khairallah M. Les sclérites : un motif de collaboration entre internistes et ophtalmologistes. Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.10.249] [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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Abid F, Sellami D, Ben Yahia S, Gargouri S, Ammous D, Khairallah M, Feki J. Early treatment with Nd-YAG laser for a premacular hemorrhage secondary to a retinal macroaneurysm. J Fr Ophtalmol 2016; 40:e11-e13. [PMID: 27855977 DOI: 10.1016/j.jfo.2016.07.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2016] [Accepted: 07/30/2016] [Indexed: 10/20/2022]
Affiliation(s)
- F Abid
- Department of ophtalmology, Habib Bourguiba University Hospital, Faculty of Medecine, University of Sfax, Sfax, Tunisia.
| | - D Sellami
- Department of ophtalmology, Habib Bourguiba University Hospital, Faculty of Medecine, University of Sfax, Sfax, Tunisia
| | - S Ben Yahia
- Department of ophtalmology, Fattouma Bourguiba University Hospital, Faculty of Medecine, University of Monastir, Monastir, Tunisia
| | - S Gargouri
- Department of ophtalmology, Habib Bourguiba University Hospital, Faculty of Medecine, University of Sfax, Sfax, Tunisia
| | - D Ammous
- Department of ophtalmology, Habib Bourguiba University Hospital, Faculty of Medecine, University of Sfax, Sfax, Tunisia
| | - M Khairallah
- Department of ophtalmology, Fattouma Bourguiba University Hospital, Faculty of Medecine, University of Monastir, Monastir, Tunisia
| | - J Feki
- Department of ophtalmology, Habib Bourguiba University Hospital, Faculty of Medecine, University of Sfax, Sfax, Tunisia
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Ammari W, Harrath S, Mbarek S, Mahmoud A, Chebbi W, Messaoud R, Khairallah M. [Incidence and causes of visual impairment in the district of Mahdia, in east Tunisia: Retrospective study of 1487 cases]. J Fr Ophtalmol 2016; 39:771-779. [PMID: 27745894 DOI: 10.1016/j.jfo.2016.07.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Revised: 05/03/2016] [Accepted: 07/04/2016] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To study socio-demographic characteristics and main causes related to visual impairment (VI) as a function of age bracket and to analyze their trends over time in the district of Mahdia. METHOD A retrospective review was performed on 1487 cases of visual impairment registered with the social authorities in Mahdia, between 1980 and 2013. The social, demographic, vision exam findings and causes were ascertained and analyzed in an SPSS database. Incidence rates of VI and blindness due to various causes were calculated based on the demographic data from the NSI to estimate the time trends using the general linear regression model and Spearman correlation. RESULTS Analyses included 1487 participants with a median age of 47 years, 40.6% of cases were aged under 45 years. Children accounted for 11.1% (165 patients), while age was between 16 and 45 years in 29.5% (439 patients), between 46 and 65 years in 31.5% (469 patients) and greater than 65 years in 27.8% (414 patients). The sex-ratio (M/F) was 1.78. Socially, 51% came from rural areas, 62% were illiterate, and 84% were unemployed. We observed blindness in 70% of participants and low vision in 30%. In children, the causes were dominated by congenital cataract and congenital glaucoma, each present in 31 children (18.8%). Between 16 and 45 years, glaucoma and hereditary dystrophies of the retina were found in 62 and 61 patients respectively (14% each). For age between 46 and 65 years, trachoma was responsible for 19.8% of cases of VI, glaucoma in 15.8% and cataract in 15.1%. Beyond 65 years, glaucoma accounted for 30.7% of the causes of VI and cataract 27.8% of cases. Trend analysis shows a significant increase in the incidence rate of visual impairment with an average of 12% per year (P=0.001). The mean age increased by 46% (P=0.003). Trachoma increased by 118% (P<0.0001) between 1980 and 1990, then declined by 42% (P=0.0013) between 1991 and 2013. Incidence of VI significantly increased by 4% for cataract (P=0.001), 23% (P=0.001) for glaucoma and 20% (P=0.02) for diabetic retinopathy, while VI related to refractive errors and AMD showed no significant change. CONCLUSION Advanced age, lower educational and socio-economic status were associated with bilateral VI. Age related eye problems are the main causes of VI, and their incidence is tending to increase. Public health policies and procedures should be targeted to risk related populations and age-related diseases in order to control the incidence of visual impairment and avoid its consequences.
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Affiliation(s)
- W Ammari
- Service d'ophtalmologie, CHU Taher Sfar, Jbel Dar Waja, 5100 Mahdia, Tunisie.
| | - S Harrath
- Service d'ophtalmologie, CHU Taher Sfar, Jbel Dar Waja, 5100 Mahdia, Tunisie
| | - S Mbarek
- Service d'ophtalmologie, CHU Taher Sfar, Jbel Dar Waja, 5100 Mahdia, Tunisie
| | - A Mahmoud
- Service d'ophtalmologie, CHU Taher Sfar, Jbel Dar Waja, 5100 Mahdia, Tunisie
| | - W Chebbi
- Service d'ophtalmologie, CHU Taher Sfar, Jbel Dar Waja, 5100 Mahdia, Tunisie
| | - R Messaoud
- Service d'ophtalmologie, CHU Taher Sfar, Jbel Dar Waja, 5100 Mahdia, Tunisie
| | - M Khairallah
- Service d'ophtalmologie, CHU Taher Sfar, Jbel Dar Waja, 5100 Mahdia, Tunisie
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Khairallah M, Kahloun R, Jelliti B. Central serous chorioretinopathy misdiagnosed as posterior uveitis. Acta Ophthalmol 2016. [DOI: 10.1111/j.1755-3768.2016.0080] [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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Khairallah M, Khochtali S, Abroug N. Behçet's disease, VKH, sarcoidosis. Acta Ophthalmol 2016. [DOI: 10.1111/j.1755-3768.2016.0081] [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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Khairallah M, Kahloun R, Ksiaa I. Behçet's disease, VKH, sarcoidosis. Acta Ophthalmol 2015. [DOI: 10.1111/j.1755-3768.2015.0084] [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)
- M. Khairallah
- Ophthalmology; Fattouma Bourguiba University Hospital; Monastir Tunisia
| | - R. Kahloun
- Ophthalmology; Faculty of Medicine; Fattouma Bourguiba University Hospital; University of Monastir; Monastir Tunisia
| | - I. Ksiaa
- Ophthalmology; Faculty of Medicine; Fattouma Bourguiba University Hospital; University of Monastir; Monastir Tunisia
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Doan S, Baudouin C, Khairallah M. Randomised, controlled study of the efficacy and safety of a new eye-drop formulation for moderate to severe dry eye syndrome. Acta Ophthalmol 2015. [DOI: 10.1111/j.1755-3768.2015.1553] [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: 11/27/2022]
Affiliation(s)
- S. Doan
- Hopital Bichat; Ophtalmologie; Paris France
| | - C. Baudouin
- CHNO des XV-XX; Service Ophtalmologie III; Paris France
| | - M. Khairallah
- Hôpital Fattouma Bourguiba; Service d'ophthalmologie; Monastir Tunisia
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Doan S, Baudouin C, Khairallah M. Randomised, controlled study of the efficacy and safety of a new eye-drop formulation for moderate to severe dry eye syndrome. Acta Ophthalmol 2015. [DOI: 10.1111/j.1755-3768.2015.0553] [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: 11/27/2022]
Affiliation(s)
- S. Doan
- Ophtalmologie; Hopital Bichat; Paris France
| | - C. Baudouin
- CHNO des XV-XX; Service Ophtalmologie III; Paris France
| | - M. Khairallah
- Hôpital Fattouma Bourguiba; Service d'ophthalmologie; Monastir Tunisia
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Khochtali S, Bouzaiane M, Hadhri R, Attia S, Zaouali S, Zakhama A, Khairallah M. [A swelling of the upper eyelids]. Rev Med Interne 2014; 36:430-1. [PMID: 25234462 DOI: 10.1016/j.revmed.2014.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2014] [Accepted: 08/18/2014] [Indexed: 10/24/2022]
Affiliation(s)
- S Khochtali
- Service d'ophtalmologie, CHU Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie.
| | - M Bouzaiane
- Service d'ophtalmologie, CHU Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - R Hadhri
- Service d'anatomopathologie, CHU Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - S Attia
- Service d'ophtalmologie, CHU Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - S Zaouali
- Service d'ophtalmologie, CHU Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - A Zakhama
- Service d'anatomopathologie, CHU Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
| | - M Khairallah
- Service d'ophtalmologie, CHU Fattouma-Bourguiba, 5019 Monastir, Tunisie; Faculté de médecine, université de Monastir, 5019 Monastir, Tunisie
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Kahloun R, Jelliti B, Zaouali S, Attia S, Ben Yahia S, Resnikoff S, Khairallah M. Prevalence and causes of visual impairment in diabetic patients in Tunisia, North Africa. Eye (Lond) 2014; 28:986-91. [PMID: 24924439 DOI: 10.1038/eye.2014.131] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2013] [Accepted: 04/28/2014] [Indexed: 01/08/2023] Open
Abstract
PURPOSE To investigate the prevalence and causes of blindness and partial sight among a population of Tunisian diabetic patients. METHODS A cross-sectional study of 2320 randomly identified patients with diabetes mellitus. Patient's characteristics as well as data from the last ophthalmic examination were reviewed. RESULTS Of all patients examined, 60.2% were females and 39.8% were males. Mean age of patients was 54.5 years. Mean duration of diabetes was 7.6 years. Diabetic retinopathy (DR) was recorded in 26.3% of patients, and was proliferative in 3.4% of patients. The prevalence of visual impairment was 22.2%, with 4.4% patients legally blind and 17.8% partially sighted. Visual impairment was significantly associated with age ≥60 years (P<0.001), duration of diabetes >10 years (P<0.001), body mass index >25 (P=0.014), hypertension (P<0.001), heart disease (P<0.001), peripheral neuropathy (P=0.03), vegetative neuropathy (P=0.002), macroalbuminuria (P<0.001), cataract (P<0.001), DR (P<0.001), diabetic macular edema (P<0.001), open angle glaucoma (P<0.001), intravitreal hemorrhage (P<0.001), rubeosis iridis (P<0.001), neovascular glaucoma (P<0.001), and tractional retinal detachment (P<0.001). CONCLUSION The current report is the largest study of DR in North African region. It provides a baseline data against which future progress can be assessed. Screening and treatment can greatly reduce the incidence of visual impairment due to diabetes.
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Affiliation(s)
- R Kahloun
- 1] Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia [2] Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - B Jelliti
- 1] Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia [2] Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - S Zaouali
- 1] Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia [2] Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - S Attia
- 1] Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia [2] Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - S Ben Yahia
- 1] Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia [2] Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - S Resnikoff
- International Health and Development, Geneva, Switzerland
| | - M Khairallah
- 1] Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia [2] Faculty of Medicine, University of Monastir, Monastir, Tunisia
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Zaouali S, Khochtali S, Abroug N, Attia S, Jelliti B, Khairallah M. [A big eyelid]. Rev Med Interne 2013; 35:690-1. [PMID: 24238793 DOI: 10.1016/j.revmed.2013.10.333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2013] [Revised: 10/05/2013] [Accepted: 10/12/2013] [Indexed: 10/26/2022]
Affiliation(s)
- S Zaouali
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba de Monastir, 5019 Monastir, Tunisie; Faculté de médecine et université de Monastir, 5019 Monastir, Tunisie
| | - S Khochtali
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba de Monastir, 5019 Monastir, Tunisie; Faculté de médecine et université de Monastir, 5019 Monastir, Tunisie.
| | - N Abroug
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba de Monastir, 5019 Monastir, Tunisie; Faculté de médecine et université de Monastir, 5019 Monastir, Tunisie
| | - S Attia
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba de Monastir, 5019 Monastir, Tunisie; Faculté de médecine et université de Monastir, 5019 Monastir, Tunisie
| | - B Jelliti
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba de Monastir, 5019 Monastir, Tunisie; Faculté de médecine et université de Monastir, 5019 Monastir, Tunisie
| | - M Khairallah
- Service d'ophtalmologie, hôpital universitaire Fattouma-Bourguiba de Monastir, 5019 Monastir, Tunisie; Faculté de médecine et université de Monastir, 5019 Monastir, Tunisie
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