[Clinical and microbiological features of severe infectious keratitis during heatwaves]. / Caractéristiques cliniques et microbiologiques des patients atteints de kératite infectieuse sévère en période caniculaire.

PURPOSE: To study clinical and microbiological features of patients with severe microbial keratitis during a heatwave. To evaluate the links between disease severity, causative micro-organisms and temperature variation. METHODS: Retrospective study of patients with microbial keratitis hospitalized in a referral center during the summer months (between June 1, 2009 and September 30, 2009), separated into two groups by date of hospitalization (heatwave vs non-heatwave). Prevalence and daytime temperatures were compared for data collected during the summers of 2009 (heatwave), 2008 (temperate) and 2003 (prolonged heatwave). RESULTS: Thirty-three patients were hospitalized during the summer of 2009, with an average age of 51 years and an average stay of 15 days. The primary predisposing factor was the use of contact lenses (36%), followed by pre-existing corneal disease (15%) and systemic disease (15%). Prevalence of severe keratitis was higher in periods of heatwaves vs periods of no heatwaves (mean 9.8 patients vs 3.1, P<0.001). Best corrected visual acuity progressed from 1/30 at admission to 1/10 at 1 month after discharge (P<0.001). The most common bacteria identified were Gram-positive cocci (CNS 27%) and Pseudomonas (23%). Microbiological results were similar in the two groups. Similar variations between the prevalence of severe keratitis and daytime temperatures were found for the summer of 2009 as well as for the summers of 2008 and 2003. CONCLUSIONS: There appears to be a link between climatic temperature variations and the prevalence of severe microbial keratitis.

[Massive choroidal detachment secondary to topical use of bimatoprost: Report of two cases]. / Décollement choroïdien massif secondaire à l'administration de collyre bimatoprost : à propos de deux cas.

PURPOSE: To report two cases of choroidal detachment induced by topical bimatoprost. OBSERVATIONS: Two males, aged 95 (case 1) and 74 years (case 2), were referred to our department for massive choroidal detachment. Case 1 was a one-eyed patient, and the affected eye of case 2 had undergone trabeculectomy 2 years previously. Both affected eyes were pseudophakic and treated for 6 months with topical bimatoprost/timolol fixed combination for open angle glaucoma (case 1) and pseudoexfoliation glaucoma (case 2). In both cases, symptoms appeared immediately after starting the drops and progressively worsened thereafter. In both affected eyes, moderate conjunctival hyperemia was noted, anterior segment examination and intraocular pressure were normal, and fundus examination revealed a massive choroidal detachment. This diagnosis was confirmed by B-scan ultrasonography. An adverse effect of bimatoprost was suspected, and the drug was discontinued, leading to the complete resolution of the choroidal detachment within 3 weeks in both eyes. CONCLUSION: Choroidal detachment is a rare adverse effect which is not specific to bimatoprost but which has been also reported with the other prostaglandin analog drops. Its exact cause remains unclear, but is probably linked to the combination of enhanced uveoscleral outflow and pro-inflammatory properties. In all cases, the discontinuation of the prostaglandin analog led to the complete resolution of the choroidal detachment within 3 weeks.

Wastewater toxicity of tannin- versus chromium-based leather tanneries in Marrakesh, Morocco.

The toxicity of leather tanning wastewater from a traditional tannery (TT), which is based on vegetable tannin (VT), was compared with wastewater from a tannery combining the use of chromium-based tanning (CT) with VT-based tanning operations. Wastewater samples from a TT and a CT plant as well as from five sewer sampling points were collected in Marrakesh, Morocco, and the concentrations of VT and some selected inorganics were measured. A set of bioassays were used to test wastewater toxicity in sea urchin (Paracentrotus lividus) embryos and sperm, in Daphnia magna, and in marine microalgae (Dunaliella tertiolecta). Toxicity end points included: (1) developmental defects, embryonic mortality, sperm fertilization success, and offspring damage in sea urchins; (2) D. magna immobilization; and (3) algal growth rate inhibition. Toxicity tests on TT and CT effluents (TTE and CTE) were run at dilutions ranging from 0.1% to 2% (sea urchins and algae) or up to 12% in D. magna. Parallel bioassays were run on VT extract (VTE) at nominal tannin concentrations ranging from 0.1 to 10 mg l(-1). The results showed higher toxicity of CTE compared with TTE. CTE toxicity in sea urchins and algae showed concentration-related trends, whereas TTE exerted hormetic effects at levels of 0.1% to 0.2% and toxic effects at levels >or=1%. The same trends were observed for VTE, suggesting a prevailing role of tannin in TTE-associated effects. The moderate wastewater toxicity of VT-based tanneries might prompt interest in the VT tanning process.

Metal concentrations in sediments and clams in four Moroccan estuaries.

Metals (Cd, Cu, Ni, Zn, Mn and Fe) were analyzed seasonally over three years in sediments and in tissues of the clam Scrobicularia plana in four Moroccan Atlantic estuaries: Loukkos, Sebou, Bou Regreg and Oum er Rbia. Of these metals, Cd was at the lowest concentrations in sediment. Concentrations of Cu, Zn, and to a lesser extent Ni, in sediments suggest greater contamination in Sebou and Bou Regreg than in the other estuaries. The fluctuations of Mn and Fe concentrations in the fine surface sediments reflect their continental origin and show seasonal variations that indicate soil run-off following rain events. Concentrations of Cu, Zn, and especially Ni in clam tissues in these estuaries were generally higher than in some other common bioindicator bivalve species. The seasonal variations in S. plana's tissue metal concentrations are linked to patterns of reproductive activity for all metals except Cd and possibly Zn, whose tissue concentrations may be regulated. Mn and Fe concentrations in S. plana were positively correlated to sediment levels of these metals.

Metals in sediments and the edible cockle Cerastoderma edule from two Moroccan Atlantic lagoons: Moulay Bou Selham and Sidi Moussa.

Metals (Cd, Cu, Pb and Zn) were determined over a 3-year period in sediments and bivales Cerastoderma edule from two lagoon ecosystems on the Moroccan Atlantic coastline, Moulay Bou Selham and Sidi Moussa. Sediment metal concentrations were seasonally influenced, and were highest, generally, in winter--possibly signifying an increased contribution from run-off from adjacent arable land and roads. Neither site can be considered highly contaminated; however, Cd was enriched at Sidi Moussa, probably as a result of waste discharge from phosphate industries 20 km along the coast to the northeast. This ability to act as a sink for metals at distance from sources demonstrates the need for surveillance in these sensitive environments. Copper and Zn concentrations in edible cockles C. edule appear to be regulated over the concentration ranges currently found in lagoon sediments. In contrast, body burdens of Pb and, to a lesser extent Cd, reflect sediment levels and might be useful in future risk assessments. Metal concentrations Cerastoderma edule are seasonally related to the reproductive cycle, however, and sample timing will need to be standardised in future monitoring exercises.