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M Detry-Morel

Publications and source records attributed to M Detry-Morel.

13 recordsLinked to original sources
PubMed1995

[Combined operations: trabeculectomy, crystalline lens extraction and insertion of a posterior chamber implant: a 3-year retrospective study].

Thirty-four eyes of 29 patients with coexisting cataract and glaucoma that underwent glaucoma triple procedure between 1991 et 1994 were retrospectively analyzed. Mean follow-up was 9 months. A phacotrabeculectomy (PHACO-TRAB) was performed in 21 eyes, 13 eyes received extracapsular cataract extraction with trabculectomy (ECCE-TRAB). In 26 eyes, adjunctive 5-FluoroUracil subconjunctival injections were administrated. Our results showed a mean decrease from preoperative intraocular pressure (IOP) baseline of 10.5 mmHg at 3 months. (Mean preoperative IOP = 25.6 mmHg, mean IOP 3 months = 15.1 mmHg). The mean IOP decrease appears equivalent in the PHACOTRAB group compared to the ECCE-TRAB group, with a stable IOP result during the follow-up. Overall mean visual acuity improved from 0.16 preoperatively to 0.6 at 3 months with a slightly better result in the PHACO-TRAB group. Postoperative hyphema and fibrinous anterior uveitis were seen more often in the ECCE-TRAB than in the PHACO-TRAB group. This observation, along with the rapidity of the surgery, the quicker visual rehabilitation and the technique that is less disruptive to the conjunctiva are arguments in favour of phacotrabeculectomy whenever a combined procedure is indicated.

Adolescent↗
PubMed1995

[External sclerostomy using the THC:YAG Holmium laser in the treatment of glaucoma].

Ab externo THC:YAG Holmium laser sclerostomy is an interesting alternative to standard full thickness filtering surgery. We report our retrospective experience over a total number of 38 sclerostomies between march 1993 and september 1994 on 32 patients (33 eyes) with primary or secondary glaucomas composed of 17 phakic and 16 aphakic and/or pseudophakic eyes. The mean patient age is 62.9 years (range: 10 to 90 years). The mean follow-up time is 7.5 months (1 to 18 months). We used a long pulsed (300 microsec) laser emitting in the near infrared (2.1 microns). A conjunctival stab incision was made 12 mm away from the sclerostomy site to allow entry of a 22 G probe which delivers energy at a right angle to the long axis of the fiber. We used 100 mJ per pulse laser energy delivered at a rate of 5 impacts per second. The mean delivered energy to produce a functional sclerostomy was 16.1 J. All patients received subconjunctival injections of 5 Fluorouracil (mean number of injections: 7.4). Criteria for success included an IOP of 22 mmH or less with or without additional medical treatment and a decrease of at least 30% of IOP when the preoperative IOP was 22 mmHg or less. The mean preoperative IOP was 35.8 mmHg (21 to 54 mmHg). By 3 months, the mean IOP of the 14 eyes over 19 successfully controlled was 15.2 mmHg (8 to 22 mmHg) with additional medical treatment in 3 cases. By 6 months, 11 eyes over 11 successfully controlled was 14.1 mmHg (6 to 21 mmHg) with additional medical treatment in 3 cases.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1992

Contribution of pattern electroretinogram and pattern visual evoked potential in early diagnosis of primary open angle glaucoma.

Pattern electroretinogram (PERG) combined with visual evoked potential (VEP) has become increasingly useful in clinical assessment of the anterior visual pathways. In regard to the PERG dependence on ganglion cell activity, we studied monocular PERG in 36 patients (71 eyes) with intraocular hypertension (6 eyes under topical beta-blockers) and in 10 patients (18 eyes) with advanced glaucoma, to estimate the potential effect of increased IOP on ganglion cells. We recorded simultaneous VEP to evaluate the retino-cortical conduction time. Referring to normal values obtained from 19 eyes (12 subjects), we found clear-cut PERG abnormalities in 20 eyes among ocular hypertensive patients with increased IOP. They were more altered in the advanced glaucomatous group. Two or three control exams were performed in 10 patients every 6 months: however such a short-time follow-up seems too limited to define the ERG prognosis value in this pathology. Comparing the PERG with the clinical routine assessments, we discuss its place in the diagnosis and in the follow-up of patients with ocular hypertension.

Adult↗
PubMed1992

Stellar corneal rupture and secondary glaucoma after squash trauma in a keratotomized eye.

We report an unusual dramatic case of stellar ocular rupture after squash blunt in a recently keratotomized eye through weakened keratotomy scars. The early secondary glaucoma, the tension generated by the surgical sutures of the wounds and the use of systemic and topical steroids could explain the reopening of two incisions initially unperforated and the delayed healing procedure. We also stress the benefits of wearing protective eye glasses when playing squash, as well as a strict legislation in Belgium in such an eye-threatening sport.

Adult↗
PubMed1991

Surface-wrinkling maculopathy as a potential complication of trabeculectomy: a case report.

We report a case of "crinkled cellophane maculopathy" which developed during the first few days following an uneventful trabeculectomy in a high myopic patient with primary open-angle glaucoma. We suggest pathogenic mechanisms that may have induced such premacular lesions, emphasizing the patient's high myopia combined with a postoperative inflammatory reaction.

Adult↗
PubMed1990

[Role of argon laser trabeculoplasty in the treatment of open-angle glaucoma: a 7-year retrospective experience].

We present a retrospective study of 534 Argon laser trabeculoplasty which we realized from January 1983 to July 1990 on 356 primary open-angle glaucoma and secondary open-angle glaucoma patients. Follow-up is ranging from 3 months to 7 years. Photocoagulation was limited to 180 degrees trabecular surface in 300 cases and were completed to 360 degrees in the 234 other eyes. We observed an overall cumulated success rate of 87% at 6 months, which decreased slowly further to reach 32.6% at 6 years. Before laser, the mean intra-ocular pressure was 25 mmHg, this value decreased "a maxima" after 18 months (6.3 mmHg) and slowly increased afterwards but was still significant at 6 years. Some parameters may be of better prognosis: an age equal or older than 65 years, pigmentary dispersion syndrome and pseudo-exfoliative glaucoma. Laser trabeculoplasty associated with hypotensive drugs are an efficient and innocuous technic for controlling open-angle glaucoma; however, after a 30 months mean period, we observe a decrease of their efficiency.

Adult↗
PubMed1981

[Vascular glaucoma].

Explore the source record for details and available documents.

Diabetic Retinopathy↗
PubMed1981

[The eye and cavernous sinus disorders (author's transl)].

The extradural cavernous space lies in relation to the body of the sphenoid and is in direct communication with the orbit through the sphenoidal fissure. Its importance resides in the fact that it is traversed by various elements: internal carotid, and motor and sensory orbit nerves, but also the fundamental venous confluent of the middle stage of the base of the cranium represented by the cavernous sinus. Clinical symptoms of lesions in this region are determined by the respective positions and anatomical relationships of these different structures. Diagnosis can be established by computed tomography, carotid angiography, and orbital phlebography examinations. Whereas cavernous sinus thrombophlebitis is now very rarely observed, "intrinsic" pathological processes detected involve mainly intracavernous carotid aneurysms and carotidocavernous fistulae. The identification of the internal carotid intracavernous collaterals, and the increased knowledge of hemodynamic modifications resulting from carotidocavernous fistulae has led to the development of more appropriate endovascular surgical techniques. These include both elective obstruction of the fistula and the suppression of its various sources of supply. "Extrinsic" lesions of various origins, represented by different tumors of the base of the cranium, and tumors of the nasal and retronasal spaces, particularly cancer of the cavum and metastases, make up the greater part of cavernous syndromes.

Aneurysm↗