[Outcomes of cataract surgery in patients with Fuchs endothelial corneal dystrophy]. / Chirurgie de cataracte seule chez le patient porteur d'une dystrophie endothéliale de Fuchs.

PURPOSE: While endothelial keratoplasty has become the standard treatment for Fuchs dystrophy, the strategy for first-line surgery in patients with associated cataract is still debated. The purpose of this study was to evaluate the surgical outcomes of eyes with Fuchs endothelial corneal dystrophy (FECD) undergoing phacoemulsification alone, to ascertain preoperative factors that predict the need for endothelial keratoplasty (EK). METHODS: Single-center retrospective study. Cataract surgery alone was performed in 64 eyes of 50 patients with FECD. This decision was made if the patient did not have morning blur, the central corneal thickness (CCT) was below 630 microns, and endothelial cells were visible in the periphery. RESULTS: Mean follow-up was 21 months (range 5-55 months). The mean preoperative CCT was 571±43µm. 6 months after surgery, it was 584±52µm (P=0.12). During follow-up, 14 eyes (22%) required an EK because of poor visual outcome after cataract surgery alone. Mean pre-operative CCT of these eyes (595±23µm) was significantly higher than eyes that did not require EK during follow-up (564±45µm, P=0.022). Over 570 microns, 34% of eyes required an endothelial keratoplasty after the cataract surgery alone. CONCLUSIONS: CCT below 630µm associated with the absence of morning blur are preoperative criteria allowing 78.1% eyes with FECD to obtain good visual outcomes after cataract surgery alone. In these eyes, EK can therefore be avoided while ensuring good results.

Follicular growth monitoring in the female cat during estrus.

Follicular growth in the feline ovary is usually detected indirectly, through behavior observation, vaginal smears, or more invasively, by estradiol assay in blood. This study was designed to describe follicular dynamics by transabdominal ultrasonography. Secondly, the stage of follicular growth was associated to behavioral and vaginal changes. Ovarian ultrasonography was performed during nine anovulatory and 12 ovulatory cycles. Forty-eight follicles were followed during anovulatory cycles: on the first day of estrus behavior, 4.8 ± 0.2 follicles (2 to 7 per female) of 2.3 ± 0.01 mm mean diameter were present. Follicular growth continued at a rate of 0.2 ± 0.04 mm per day. At least one follicle in the cohort reached a diameter greater than 3.0 mm. Maximal follicular growth (when one follicle of the cohort reached the maximal diameter observed for the whole estrus) was reached 3.8 ± 0.3 days after the onset of estrus with the largest follicle reaching a diameter of 3.5 ± 0.04 mm. Growth of the various follicles within a cohort was not exactly synchronous. When no ovulation took place, the follicular diameter decreased by 0.1 ± 0.01 mm per day until the end of estrus. The first day after the end of behavioral estrus, the diameter of the largest follicle in each cohort was 2.7 ± 0.05 mm. No correlation was found between follicular development and either vaginal smear characteristics, or time elapsed since the onset of estrus. When ovulations were mechanically induced after one follicle had reached 3.0 mm in diameter, artificial insemination produced normal pregnancy rate and litter size: four pregnant females out of nine, and 2 to 4 kittens per litter. Ultrasonography proved thus to allow the monitoring of follicular growth in the female cat, with low correlation with behavior and vaginal smear modifications. Further studies are needed to evaluate the interest of an ultrasonographic ovarian follow-up to determine the optimal moment for ovulation induction prior to artificial insemination.

Factors associated with upper respiratory tract disease caused by feline herpesvirus, feline calicivirus, Chlamydophila felis and Bordetella bronchiseptica in cats: experience from 218 European catteries.

A full history of the management practices and the prevalence of upper respiratory tract disease (URTD) at 218 rescue shelters, breeding establishments and private households with five or more cats was recorded. Oropharyngeal and conjunctival swabs and blood samples were taken from 1748 cats. The prevalences of feline herpesvirus (FHV), feline calicivirus (FCV), Chlamydophila felis and Bordetella bronchiseptica were determined by PCR on swab samples. An ELISA was applied to determine the prevalence of antibodies to B. bronchiseptica. The rates of detection by PCR of each pathogen in the cats in catteries with and without ongoing URTD were, respectively, FHV 16 per cent and 8 per cent; FCV 47 per cent and 29 per cent; C. felis 10 per cent and 3 per cent; and B. bronchiseptica 5 per cent and 1.3 per cent; the seroprevalences of B. bronchiseptica were 61 per cent and 41 per cent, respectively. There was evidence that FHV, FCV and B. bronchiseptica played a role in URTD. The risk factors associated with the disease were less than excellent hygiene, contact with dogs with URTD, and larger numbers of cats in the cattery or household.

Evaluation of the efficacy of oral lufenuron combined with topical enilconazole for the management of dermatophytosis in catteries.

The efficacy of oral lufenuron, a chitin synthetase inhibitor, combined with topical enilconazole, was evaluated for the management of Microsporum canis infection in 100 cats housed in two catteries in France. The cats were treated with weekly rinses with enilconazole (0.2 per cent) for four weeks and, in each cattery, one group (A) was also treated with micronised griseofulvin (25 mg/kg administered orally twice a day for five weeks) and a second group (B) was treated with 60 mg/kg lufenuron administered orally once on day 0 and again after 30 days. All the cats were examined individually for cutaneous lesions and mycological cultures were made when the treatment began and after 15, 30, 60 and 90 days. In the first cattery, the cats' clinical scores after 30 and 60 days were significantly lower in group B than in group A. In both catteries and both treatment groups, the mean number of fungal colonies decreased rapidly during the first 15 days of treatment, remained stable for the following 45 days but increased from day 60 to the end of the experiment on day 90.