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It is a congenital anomaly related to the persistence of the fetal hyaloidien system and hyperplasty of primary vitreous. The aim of our study is to analyze the epidemiological profile and the diagnostic and therapeutic difficulties of persistent hyperplastic primary vitreous. 13 children [15 eyes] with PHVP treated and followed between 2004 and 2012. Age at admission ranged from 3 months to 14 years. The main call sign was leukocoria in 69.23% of cases; unilateral in 84.6% of our patients. It was an anterior form in 13.3% of eyes, posterior in 6.66% and mixed in 80%. An indication for surgery was raised in 60% of eyes. The postoperative aphakia was corrected with an implant in 77.7% of operated cases. Therapy for amblyopia was performed in all patients. The best visual result: 2/10 and counting fingers in both anterior forms; 1/10 in a posterior form unoperated. Discussion This is an isolated and unilateral affection usually occurs in infants born at term, it is most often revealed by leukocoria. There are 3 clinical forms. The functional prognosis is poor and the PHPV depends on several criteria. Treatment should be tailored to the clinical form. All studies support the value of early diagnosis and early intervention to maximize the visual potential in selected patients. Vision therapy should not be neglected and started quickly in the postoperative period, with appropriate refractive correction of aphakia
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It's represents a severe complication that could lead to vision lost. They are caused by a bad hygiene, a permanent wear of contact lenses and a contamination of boxes. We report a retrospective study of 10 years from January 2003 to december 2013, of patients seen in our hospital for severe corneal abcesses under contact lens. These patients have undergone the same treatement: an initial clinical exam with the assessement of visual acuity, slit lamp exam in order to analyse the corneal infection [superficiel or stromal corneal infection], conjunctival samples or samples within the abcesses, associated to bacterial exam, antibiotherapy in local or general administration, adapted after to bacteriologic results. Corneal abscess represent the major risk wearing contact lenses. Infectious complications have been reported frequently in patients with contact lenses in several series. The corneal abscess is a dramatic complication among patients with contact lenses. A good support is based primarily on early diagnosis and quality of the first treatment
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Introduction Chronic dacryocystitis in child is responsible for a significant functional gene by epiphora and may cause complications. The purpose of this study was to report our experience of management of this type of condition. Retrospective study of 33 children aged 08-16 years collected in our department between 2003 and 2008. All patients underwent a survey, the recommended treatment is the establishment of a single probe or bicanaliculo-nasal dacryocysto rhinostomy. Functional signs are watery found in 27 cases, acute dacryocystitis in 9 cases. 20% of our patients received medical treatment associated with a survey cannula Bowman. Chronic dacryocystitis in children is most often secondary to an unknown defect lacrimal. 6% of children are born before their permeabialisation total naso-lacrimal duct obstruction by the membrane Hesner which opens at the age of 1 year in 90% of cases C Tearing in the child is a common symptom. Early detection through awareness of parents, GPs and paediatricians
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The proliferative center of Aschoff, better known as radial scar, resembles carcinoma mammographically and histologically. It is a begnin conMucinous carcinoma of the eyelid is a rare tumor that usually occurs in the periorbital region. We propose a case of tumor affecting both eyelids on the same side. 55 year old man with swelling of the entire left lower eyelid, and a second swelling of the outer third of the upper eyelid evolving for over 5 years and has recurred after several incomplete excisions previously performed. A biopsy was performed with a result of mucinous carcinoma, The staging [CT orbitocerebrale, abdominal ultrasound, cervical ultrasound] did not reveal any other sites ormetastasis of the tumor. The patient was operated on in our department with complete resection of both tumors eyelid donating extemporaneous examinations obedient standards cancer surgery with rotation flaps and sliding. Primitive recurrent mucinous carcinoma of the eyelid is a rare malignancy tumor affecting the patients on their sixties. Clinically, it is in the form of an irregular nodular lesion on the eyelid, painless, with slow development, unaggressive. The evolution is characterized by frequent recurrences, sometimes late. Its diagnosis is histological. Treatment consists of complete excision of the tumor. Although it has a low metastatic potential, it has a high rate of recurrence
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Toxoplasmosis is the leading cause of posterior uveitis in immunocompetent patients. Our series includes 15 cases of ocular toxoplasmosis collected in the [B] ophthalmology department over the last 5 years. The mean age was 26 years. Male involvement is predominant. Lesions are mostly chorioretinal. Scarringare found in 60% of cases. Generally clinical appearance is typical, but sometimes the diagnosis can only be obtained by biology based on the detection of a local production of toxoplasmosis antibodies. Through this study, the authors emphasize the interest of the ophthalrnoscopic appearance in the diagnosis of this condition. Treatment is based on the combination pyrimethamine-sulfadiazine
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Malignant melanoma of the choroid is a rare condition, however it is the most common primary intraocular tumor in adults. The contribution of MRI in choroidal melanoma is considerable, given its specificity for melanin. We report one case of malignant choroidal melanoma. Our case of malignant choroidal melanoma whose ultrasound signs are very suggestive. An MRI signal intensity on Tl and hypo intensity on T2 are obvious, we also found no metastases. Enucleation was performed for the patient, histological analysis confirmed the diagnosis. At the genetic level, melanoma usually presents no recognized character of inheritance. The importance of the degree of pigmentation and growth uveal melanoma varies from one subject to another. It is very important to determine the value of imaging and especially MRI in the diagnosis of choroidal tumors