[Unilateral idiopathic leopard-spot lesion of the retinal pigment epithelium: a fibroglial tractional complication]. / Lésion unilatérale idiopathique en taches léopard de l'épithélium pigmentaire: une complication fibrogliale tractionnelle.

The unilateral idiopathic leopard-spot lesion of the retinal pigment epithelium is a rare and acquired entity of the young adult whose clinical description is quite recent. This pathology presents a strong proliferative potential that is both neovascular and fibroglial. The authors report a case with severe fibroglial complications. Careful follow-up of these patients and their descendants seems to be essential in order to better characterize this lesion whose nature and etiopathogeny are still unknown.

[Surgical solutions to luxation of the IOL--capsular bag--capsular tension ring complex]. / Solutions chirurgicales à la luxation du complexe ICP--sac capsulaire--anneau de tension capsulaire.

INTRODUCTION: The spontaneous luxation of the intraocular lens-capsular bag-capsular tension ring complex is a serious but fortunately rare complication. The authors report a combined surgical procedure to reposition the complex in a patient who was operated on for bilateral lens subluxation 4 years before and whose enophthalmia made surgery difficult. CASE REPORT: Two surgical techniques can be considered to reposition the complex and avoid explantation. The McCannel modified stitch can capture the complex with the help of a transcorneal point and then a transscleral suture on the 12 o'clock meridian, despite the enophthalmia of the patient; the Moreno transscleral stitch. Both techniques suture the complex to the ciliary sulcus. CONCLUSION: Moreno's technique is easy and safe for the endothelium and must therefore be attempted first. In case of failure, the McCannel modified stitch remains a useful and satisfying procedure allowing transscleral fixation of the complex to the sulcus at the cost of a minimal corneal trauma.

[Acute spontaneous corneal hydrops in a patient with pellucid marginal corneal degeneration]. / Dégénérescence marginale pellucide compliquée d'un hydrops cornéen aigu spontané.

Pellucid marginal corneal degeneration (PMCD) is an ectatic corneal disorder characterized by a peripheral, noninflammatory band of thinning of the inferior cornea. This condition often is misdiagnosed with keratoconus, with which it shares several clinical, videotopographic, and histologic aspects. Furthermore, as with keratoconus, hydrops and spontaneous corneal perforation can occur. We report the case of a 56-year-old man with confirmed PMCD, emphasizing the diagnostic approach, the disease follow-up, and its complication in spontaneous acute corneal hydrops. Finally, regarding this case, authors collect the clinical and videotopographic characteristics of PMCD and discuss the different therapeutic options.