M. Abdellaoui

Les décollements de rétine rhegmatogènes inférieurs traités par cryo-indentation

PURPOSE To investigate the epidemiological, clinical, therapeutic and prognostic factors in cases of inferior rhegmatogenous retinal detachments (RD) treated by scleral buckling surgery. PATIENTS AND METHODS A retrospective chart review was performed on 45 patients (45 eyes) with inferior RD with only inferior tears (4:00-8:00), who had been treated by scleral buckling surgery over a 6-year period from 2006 to 2011. The parameters studied included patient demographics, refractive status, time until consultation, clinical exam data, treatment modalities and functional and anatomic results. RESULTS Forty-five cases were included in this study (45 eyes), with an average patient age of 44.5 years (14 to 75 years) and a slight male predominance (56%). Myopia was observed in 60%. Mean time until consultation was 3.5 months. Visual acuity on admission was less than 1/10 in 53.33%. Macular detachment was found in 80%. Causative lesions were holes in 26 eyes. Proliferative vitreoretinopathy was essentially stage B in 48.9%. Scleral buckling surgery was performed in all patients, with drainage of subretinal fluid in 37.8%. Retinal reattachment was obtained in 36 eyes (80%) with a final visual acuity greater than or equal to 1/10 in 71.11%. The mean follow-up in our study was 6.62 months. CONCLUSION Inferior retinal detachment has a predilection for young myopes. The time until consultation is often long, and extraocular surgery, although difficult, exhibits documented efficacy.

Exophtalmie congénitale unilatérale révélant une complication inhabituelle d’un accouchement assisté par ventouse (à propos d’un cas)

L’exophtalmie dans la période néonatale est relativement rare, et a diverses étiologies sous-jacentes pouvant compromettre la vue, voir la vie de ces nouveau-nés. L’une des causes rares semble être l’hématome orbitaire souspériosté. Une détection précoce, une différenciation par rapport à d’autres causes et un suivi régulier sont essentiels. Nous rapportons dans cette observation une complication rare et inhabituelle d’un accouchement assisté par ventouse : L’hématome orbitaire sous-périosté diagnostiqué rétrospectivement après régression spontanée d’une exophtalmie néonatale unilatérale dont le diagnostic initialement porté à la TDM était une tumeur orbitaire.

La trichotillomanie des cils: à propos d’un cas

Trichotillomania is a neglected psychiatric disorder characterized by the urge to pull out the hair, the eyebrows or any other hair, but rarely the eyelashes. In the Diagnostic and Statistical Manual of Mental Disorders it is defined as habits and pulses disturbance. We here report the case of a girl with trichotillomania involving her left eyelashes due to low self-esteem. The disease may be episodic but it is usually chronic and difficult to treat. Given the possible clinical and psychiatric complications, early and accurate diagnosis is essential. Cognitive-behavioral therapy is the gold standard treatment.