[Treatment of macular hemorrhage].
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Biomedical subjects
Publications and source records attributed to P Turut.
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Explore the source record for details and available documents.
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Incidence of spontaneous second retinal detachment ranged from 10 to 19%. We reported a retrospective study of 527 rhegmatogenous retinal detachments. At the end of this study 302 second eyes with an average follow up of 46 months have been analysed. 205 second eyes were treated systematically by 360 degrees equatorial Argon Laser Photocoagulation (ALP) completed by four anterior radial rows independently of evidence or lack of peripheral retinal degenerations or retinal breaks. The incidence of bilateral retinal detachment decreased from 11 to 2.4% when systematical prophylactic treatment has been applied. After prophylactic treatment, no complications could be certainly attribute to ALP. This study contributed to ascertain safety and effectiveness of systematical prophylactic treatment by ALP.
In a series of 120 eyes of 60 patients in 24 affected families, 28 eyes were treated by photocoagulation in order to stabilize the extension of bullous peripheral retinoschisis to the posterior pole or to prevent retinal detachment. 3 eyes affected by severe retinal detachment in the months following this treatment. After analysis of spontaneous evolution of the untreated eyes and review of literature, the authors conclude that preventive photocoagulation in bullous retinoschisis is not advised, because of spontaneous regression with age and the possibility of complications. Prophylaxis treatment of retinal detachment by encircling the posterior pole by photo-coagulations is discussed.
One case report a thirty seven years old girl which presents a peripheral ischemic retinopathy consecutively juvenile glaucoma and choroidal angioma in a Sturge Weber Krabbe syndrome. A massive photocoagulation release an uveal effusion syndrome.
Authors compare 2 statics perimetrics: G1 programme by octopus 500 and 1 static programme by "moniteur ophtalmologique". Results are quite similar in the group of follow up. In the other group, the second method seems to be a little too sensible. A longer experience is necessary and clinical follow up too.
We report a case of microscope light-induced retinopathy which occurred during combined ECCE with PCIOL implantation and vitrectomy (triple procedure). The patient had a copper intra-ocular foreign body.
Retinal vasculitis is an inflammatory permeability disorder of the retinal vascular wall affecting chiefly the veins and capillary vessels. It is diagnosed at ophthalmoscopy which demonstrates vascular sheathing and even better at fluorescein angioscopy which shows the colouring agent diffusing from the vessels. As regards its aetiology and treatment, retinal vasculitis is disconcerting. Except in those cases where a systemic disease can be blamed, the condition is isolated, usually chronic and often recurrent. It may result in visual impairment or, exceptionally, blindness.
Curative and prophylactic treatment of peripheral retinoschisis has been studied over a period of 20 years in 60 cases of sex-linked congenital retinoschisis. Peripheral retinoschisis occurred in 36 of 120 eyes. In all, 12 severely affected eyes in children under 10 years of age underwent surgery (8 improvements and 4 aggravations) and 21 cases were photocoagulated (18 stabilisations and 3 aggravations that were subsequently treated by surgery); 6 cases were not treated. Aggravations after surgery or photocoagulation were consistently observed in the early post-operative follow-up period. An epidemiological study of these 60 patients demonstrated that bullous-phase peripheral retinoschisis occurs only in patients under 10 years of age, with a tendency to regress with age (no cases were reported in patients over 50 years of age). This study closely corroborates the findings of authors who think that this type of retinoschisis tends to improve spontaneously and that indications for prophylactic or curative treatment should be very carefully considered.
Two families showed a retinal pigment epithelial dystrophy characterized by an X-shaped yellowish macular lesion and numerous flavimaculatus retinal flecks. Nine members were variously affected. The condition was bilateral, had a dominant inheritance and started in middle age with a slow-developing macular lesion. Visual functions were often minimally disturbed for 2 or 3 decades. The flavimaculatus flecks which differed in number appeared only as secondary phenomena yet increased in number and size. At the onset of the disease, the ERG and EOG as well as colour vision were normal and became altered only in the course of a very slow process.
Overall study of 20 years of curative and prophylactic peripheral retinoschisis treatment in 60 cases of sex linked congenital retinoschisis. Peripheral retinoschisis was present in 36 out of 120 eyes. Twelve eyes of children under 10 years severely affected, have undergone surgery (8 improvements and 4 aggravations) and 21 cases were photocoagulated (18 stabilizations, 3 aggravations which were subsequently treated by surgery). Six cases were not treated. Aggravations after surgery or photocoagulation have always been observed in early postoperative follow-up period. The above findings bring to light the problems of treatment. An epidemiological study of these 60 patients demonstrates that peripheral retinoschisis into bullous phase is only present under 5 years of age with tendency to regress with age (none reported after age of 50). This study corroborates ad absurdum the results of some authors who think that this type of retinoschisis has a tendency to improve spontaneously, and that indications for prophylactic and curative treatment must be thought of very carefully.
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A case is described of a 62 years-old man who developed solitary plasmocytoma of the lacrimal sack. Treatment was by excision.
"Like flows" atrophy of the retinal pigment epithelium are observed in multiple cases of lesions of the posterior pole. The authors are reported one observation of different diseases with like flows atrophy.
Authors report one case of a non typical Eales' disease associated to an hypereosinophily. None etiology was found nosology and physiopathology of Eales' syndrome and Eales' disease are still unclear. Main element of diagnosis is the discovery of a general pathology.