[Acute herpetic keratoconjunctivitis following renal transplantation. Treatment with acycloguanosine].
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Biomedical subjects
Publications and source records attributed to D A Lebuisson.
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A 62-year-old female had severe progressive ophthalmoplegia associated with facial, pharyngeal and limb muscle involvement. When 40, she had undergone surgery for bilateral cataract present for about 20 years. Biopsies of skeletal muscles indicated myopathy; histochemistry and electron microscopy gave evidence of abnormal mitochondria in type I fibres. Bilateral cataract needing surgical treatment at 32 was the prominent symptom in her daughter, then with only mild facial weakness. Despite absence of ophthalmoplegia, similar pathological changes were observed in an inferior oblique muscle. The child of the former, a 10-year-old clinically healthy boy, had been surgically treated for a bilateral cataract at the age of 3. As indicated by a review of literature, cataract is not an exceptional occurrence in this particular type of ocular myopathy and therefore should be included within its multisystem associations. The same HLA haplotype (A2-B21) was found in the three patients.
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A study of 50 failures in retinal detachments operated on as a primary procedure (23 p. 100 of retinal detachments operated in one year). The causes of the most frequent failures relate to the anatomical severity of the detachment and the tears, but a certain number of insufficiencies in the pre-operative examination and failures of surgical procedure are discussed.
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