[Oculo-palpebral complication of vaccination. Review of the literature]. / Les complications oculo-palpébrales des vaccinations. Revue de la littérature.

Post-vaccination eyes and eyelid complications are seldom seen. Clinically different, they are not only due to the small-pox vaccination which is no longer performed but may also be seen with various kinds of viral vaccines as well as bacterial vaccines except for polymyelitis and tetanus. We believe that vaccination contraindications, direction for use and propylactic treatment are useful.

[Ocular complications of intracarotid chemotherapies with nitrosourea agents]. / Complications oculaires des chimiothérapies intracarotidiennes par nitroso-urées.

The authors report ocular complications in intracarotid chemotherapy with Nitrosyl-urea on 39 patients with intracerebral malignant tumor (anaplastic astrocytoma). Internal carotid infusion catheter was in infra-ophthalmic position. They also report 13 ocular complications (33% of cases) as arterial retinal occlusions essentially, ipsilateral to catheter site. Their study and literature revue emphasize five ocular toxicity factors; intracarotid catheter position, type of drug, its quantity, its solubility and solvent, the rate of infusion.

[Means syndrome. 8 cases]. / Syndrome de Means. Huit cas.

BACKGROUND: Euthyroid Graves' disease is defined as an ophthalmopathy without dysthyroidism. We report 8 cases in 6 women and 2 men with an average follow-up of 16 months after diagnosis. CASE REPORTS: Unilateral ex-opythalmos was the first and most frequent sign. Ultrasonographic and immunological thyroid abnormalities were frequent but of questionable significance. Thyroid hormone levels continued to remain normal. The orbital CT-scan, used to screen for infra-clinical exophthalmos, evidenced focal or diffuse hypertrophy of the extraocular muscles and normal tendon insertions. More than 3 years after diagnosis, only one patient developed overt Graves' disease and clinical signs resolved spontaneously in one other. DISCUSSION: In mild to moderate forms of euthyroid Grave's disease, therapeutic abstention is advisable. Corticosteroids and orbital radiotherapy are interesting options in functionally disabling forms. Decompressive surgery is rarely needed.

[Sun and skin and eye protection]. / Soleil et photoprotection cutanée et oculaire.

Overexposure to sunlight during travel can have harmful short- and long-term effects on the eyes and skin. Cutaneous effects include premature aging, actinic keratosis, and cancer. The eye is highly sensitive to invisible radiation, especially ultraviolet rays which can damage the crystalline lens and cornea. Retinal lesions usually involve the macula on which rays of the visible spectrum come to focus. Various natural and artificial methods can be used for sun protection. Limiting sun exposure is advisable for all. Sunscreens should be used to attenuate the effects of sun and not to prolong exposure. Fair-skinned subjects, especially those with numerous nevi, must use total sunscreen preparations starting from birth. Eye protection is necessary for everyone but especially young children, aphakic subjects, and patients presenting congenital or acquired retinal lesions. Dark lenses with a category 2 protection rating according to European Economic Community standards are recommended in tropical areas.

[Management of presbyopic hyperopes by centered presbyLASIK]. / Prise en charge de patients hypermétropes presbytes par chirurgie cornéenne de type presbylasik centré.

PURPOSE: To evaluate efficacy and patient satisfaction of presbyopic hyperopes treated with centered PresbyLASIK (multifocality centered on near vision) by the SUPRACOR technique (Technolas Perfect Vision). MATERIALS AND METHODS: This is a retrospective study carried out at Percy Army Teaching Hospital from September 2011 through September 2013. Fifty-nine eyes of 29 patients were included and underwent PresbyLASIK. Study parameters included uncorrected binocular distance (DVA) and near (NVA) visual acuity, aberrometry, central corneal curvature by corneal topography (bump), and patient satisfaction (questionnaire). RESULTS: Mean uncorrected binocular visual acuity was found to be 0.09 logmar for DVA and 0.22 for NVA on post-operative day one, 0.04 logmar for DVA and 0.17 for NVA at 1 month post-operatively, 0.15 logmar for DVA and 0.19 for NVA at 3 months post-operatively, and -0.02 logmar for DVA and 0.18 for NVA at 6 months post-operatively. Mean central corneal curvature was found to be 2.56±0.9 diopters. There were significantly more higher-order aberrations in the central 5mm post-operatively (P<0.01). Among the patients undergoing bilateral SUPRACOR LASIK, 79% were entirely satisfied with the surgery, and all patients would recommend the procedure to their family and friends. Eighty-six percent of these patients acheived total spectacle independence at distance and near. CONCLUSION: SUPRACOR PresbyLASIK is a method of choice in overcoming spectacle dependence in presbyopic hyperopes.