[Progressive aspects of diabetic retinopathy during pregnancy]

The course of diabetic retinopathy [DR] was studied in 93 pregnant patients. Results were compared with data from 98 diabetic non pregnant women. Worsening of initial retinal lesions was observed in 16%of the pregnant group whereas only 6%of the control group showed a similar aggravation. The difference between the two groups was statistically significant [p<0, 05]. Argon laser panretinal photocoagulation of preproliferative and proliferative DR resulted in subsequent DR induced complications. On the other hand, the risk of appearance of DR and/or its worsening during pregnancy depends on initial network but mostly on the duration of diabetes mellitus. In conclusion, regular ophthalmologic examination of diabetic patients especially during pregnancy seems crucial for the early screening of any worsening. Furthermore, the importance of pregnancy planning is emphasized

[Demodex blepharitis about two cases]

Demodex is a mite commonly found in eyelash hair follicles and sebaceous glands of healthy people. This mite has been reported in many chronic cases of blepharitis. Two cases of very long term observation and clinical findings of chronic blepharitis caused by demodex folliculorum are presented. A 60 year old woman suffered from recurrent blepharoconjunctivitis during ten years treated locally with antibiotics and steroids. We carried out microbiological test results from the epilated eyelashes. The second case was a 25 year old man who was treated for over five years for blepharitis and repetitive chalazions treated by topically steroids and antibiotics. A significant thickening of the blood vessels in the eyelid and numerous cylindrical cuffs of dry discharge around the base of the eyelashes persuaded us to carry out microbiological tests result from the epilated eyelashes. Demodex folliculorum considered as saprophytic mite may play a pathogenic role in ocular diseases

[Ocular manifestation in psoriasis about 3 cases]

Our purpose was to describe palpebral manifestations in patients with psoriasis and to discuss their treatment. We examinated three patients with psoriasis vulgaris. A 54 years old man, who had presented bilateral eyelid psoriasis. Treatment of eyelashes and eyelid by corticoids ointment raised intra ocular pressure and provoqued glaucoma. Two girls, 14 and 5 years old who had lid edema, conjunctivitis and superficial punctuate keratitis. Rarefy eyelashes complicated the pathologic eye in one patient. We discuss treatment of eyelid in psoriasis like corticoids and their complications

[Treatment of Xanthelesma palpebrarum with monochromatic green laser - about 20 patients]

To report the therapy of xanthelesma with a green laser as an alternative to surgery. A prospective study including 20 patients with xanthelasma of the eyelid were included in this study. The mean follow-up period was 5.8 months [range, 3 to 24 months]. All patients were satisfied regarding the laser therapy and the cosmetic result. Remarkably, the wounds were dry after laser therapy. No infections of the wounds occurred; wounds were epithelialized after 2 to 3 weeks by a normal-appearing epithelium. The area of argon laser treatment was less pigmented than the surrounding skin in one case. One case of relapse occurred in a patient with dyslipemia. Green laser therapy of xanthelasma seems to be a useful alternative to traditional surgery. It is easy to perform, well tolerated by the patients and shows excellent cosmetic results

[Trabeculectomy in the management of primary chronic open angle glaucoma]

To elucidate long term outcome of trabeculectomy in primary open angle glaucoma [POAG]. 48 eyes of 40 patients with primary open angle glaucoma who underwent trabeculectomy were retrospectively studied. Complete ophthalmological examination and automatic visual field were performed in all cases. The mean follow up period was 32, 3 +/- 3, 4 months. A statistical analysis was done to compare our results. The mean age was 54, 2 +/- 13, 1 years. The mean preoperative lOP was 25, 7+1-62 mmHg under 2, 1 medications. Postoperative IOP was 17, 4 +/- 3, 12. IOP reduction was 32, 3%. Complete and qualified success was achieved in 66, 6%of the operated eyes. Stabilisation of visual acuity arid visual field was observed respectively in 77%and 73%. Trabeculectomy in POAG is effective over a long time. It provides good tonometric and perimetric results with a lower rate of complications