[Postoperative Candida Iris nodules: report of a case]. / Nodules iriens postopératoires à candida: à propos d'un cas.

PURPOSE: Description of an uncommon case of postoperative Candida iris nodules. CASE REPORT: A 70-year-old immunocompetent patient developed whitish iris nodules after phacoemulsification in the left eye, without any other signs of endophthalmitis. Histophathological examination showed spores of candida. These nodules did not respond to intracameral amphotericin B but disappeared with oral fluconazole. However, the functional outcome was poor because of persistant inflammation of the anterior segment. CONCLUSION: In the presence of postoperative iris nodules, fungal etiology must be considered.

[Orbital ischemia syndrome after surgical intervention of the spine. A case report]. / Syndrome d'ischémie orbitaire après intervention chirurgicale sur le rachis. A propos d'un cas.

Uni- or bilateral blindness is an infrequent but severe complication after spinal surgery and typically occurs more frequently in elderly patients. The visual loss may be caused by ischemic optic neuropathy , central retinal artery or vein occlusion or cerebral stroke . It has often been attributed to various causes such as hemorrhagic shock, hypotension, coagulopathic disorders and embolism. However blindness as a surgical complication has rarely been described as a consequence of prolonged compression of the eye.

[Bilateral primary pseudotumoral palpebral amyloidosis. A case report]. / Amylose palpébrale bilatérale primitive pseudotumorale. A propos d'un cas.

Ocular amyloidosis is infrequent, and the palpebral location is uncommon. It usually has a primary localized form, but can occur in systemic or familial amyloidosis. The diagnosis is mainly made by histopathology. Its treatment is surgical and the prognosis depends on clinical presentation and recurrences. We report the case of a 54-year-old woman with no medical history of the disease, who had bilateral isolated palpebral amyloidosis presenting as bilateral upper lid swelling with ptosis and corneal dystrophy. Diagnosis was confirmed by palpebral biopsy and the patient underwent excision of the involved lid tissue with reconstruction of the affected lid with cartilage autograft. Clinical progression showed improvement of the ptosis and the patient's comfort. Although rare, palpebral amyloidosis poses management problems, particularly in advanced cases, because of corneal complications and recurrence.

[Orbital primitive neuroectodermal tumor with intracranial extension. A case report]. / Tumeur neuro-ectodermique primitive orbitaire avec extension endocrânienne. A propos d'un cas.

Primitive neuroectodermal tumor (PNET) of the orbit is rare. We present a case of a young patient with orbital PNET extending to the endo-crane and sinuses, which had been treated 10 years before with the diagnosis of rhabdomyosarcoma. The diagnosis was corrected with immunohistochemistry. Through this observation, we discuss the clinical aspects, the diagnosis difficulties, and the therapeutic options of this rare affection.

[Purtscher's retinopathy with a favorable outcome after corticosteroids: case report]. / La retinopathie de purtscher evolution favorable sous corticoides: a propos d'un cas.

Purtscher's retinopathy is a retinal vasculopathy most commonly caused by head or chest trauma. The most frequent signs include multiple areas of white ischemic infarcts and hemorrhages located in the posterior pole. Visual outcome in Purtscher's retinopathy is variable and there is no well defined treatment. We report a 8 year old child with sudden blurred vision in the right eye after head trauma. Ophthalmoscopy revealed multiple whitish patches and retinal hemorrhages predominant in the posterior pole. Megadoses of steroids were given with good visual response in the first three weeks, and child's vision recovered completely after four months despite initial severe symptomatology.

[Retinal arterial macroaneurysm: spontaneous occlusion after rupture. In connection with a case]. / Macroanévrysme artériel retinien: occlusion spontanée après rupture. A propos d'un cas.

INTRODUCTION: Retinal arterial macroaneurysms are ectatic modifications of the arterial wall. They are a relatively uncommon condition wich can threaten visual function by pre- or subretinal hemorrhage in case of rupture or by massive macular exudation. OBSERVATION: We report a case of a 50 years old patient, without cardio-vascular history, who presented an arterial macroaneurysm complicated by premacular hemorrhage. Spontaneous evolution was aneurysm occlusion with complete hemorrhage regression and visual recovery. COMMENTS AND CONCLUSION: Retinal macro-aneurysms are acquired malformations, often isolated and located in a temporal artery. Their evolution is unpredictable either towards spontaneous occlusion, occurrence of chronic exsudative retinopathy or hemorrhagic complications by fissuration or rupture of arterial wall. Through this observation, the authors discuss the evolution and therapeutic modalities of this affection.

[Colobomatous orbital cyst associated with microphthalmos. Apropos of a case]. / Kyste colobomateux de l'orbite associé à une microphtalmie. A propos d'un cas.

Colobomatous orbital cyst with microphthalmos is a rare anomaly occurring during embryogenesis. The authors describe a case of colobomatous orbital cyst with microphthalmos in a three-month-old child underlying the difficulties of clinical diagnosis and emphasizing the role of radiologic investigations. It is only the histopathologic study which allows the final diagnosis. From the informations given by this observation, the authors discuss the pathogenic, diagnostic, histopathologic and therapeutic characteristics of this disease.