[Giant apocrine hydrocystoma of the internal canthus]. / Hidrocystome apocrine géant du canthus interne.

Hydrocystoma is a benign tumor whose development involves the sudoriferous eccrine or apocrine glands. We report the case of a giant apocrine hydrocystoma in a 70-year-old female diabetic patient. The tumor's natural progression over 10 years and its volume caused significant functional and aesthetic damage. This article discusses the radiological, clinical, anatomopathological, and therapeutic aspects of this tumor. The case is original in the tumor's location, size, and its double visual and lachrymal functional involvement as well as its aesthetic damage.

[Congenital retinal macrovessel associated with central serous retinopathy]. / Macrovaisseau rétinien congénital associé à une choriorétinite séreuse centrale.

Retinal macrovessel is a rare disease. Since the first description in 1869 by Mauthner, fewer than 30 cases have been reported. We report a case of congenital retinal macrovessel in a 28-year-old patient with no pathological history. The patient consulted for functional macular syndrome (decreased visual acuity, central scotoma). In the right eye, the ophthalmologic examination found a visual acuity of ten over ten and serous detachment of the macular area. Examination of the left eye demonstrated the temporal vein crossing the macular area, without hemorrhage or exudates. Fluorescein angiography confirmed the diagnosis of bilateral central serous chorioretinitis with a congenital retinal macrovessel without leakage or arteriovenous anastomosis. Progression was marked by a disappearance of central serous retinopathy and visual recovery to ten over ten. In light of a literature review, we discuss the clinical classification of this disease and its developmental profile. The etiology of congenital retinal macrovessel is unknown. The diagnosis is clinical; its course is characterized by its stability. Its combination with central serous retinopathy is a fortuitous coincidence more than an individualized clinical form.

[Sneddon Syndrome and antiphospholipid antibodyies: an etiology of later al homonymous hemianopia]. / Syndrome de Sneddon et anticorps anti-phospholipides: une étiologie d'hémianopsie latérale homonyme.

Sneddon's syndrome is a particular and rare entity that mostly affects young women and whose diagnosis is based on the coexistence of a cuteaneous livedo and a cerebrovascular ischemic attack. It had be considered as being an expression of an occlusive vasculitis or of antiphospholipid antibody syndrome. We report the case of a 20-year-old female, who had developed a left homonymous hemianopia after ischemic encephalopathy. Visual field examination confirmed the presence of a complete left homonymous hemianopia. Cerebral Magnetic Resonance Imaging revealed right occipital cerebrovascular ischemic lesions. Sneddon's syndrome diagnosis was considered on the presence of cutaneous livedo reticularis and associated cerebral ischemic events. With medical treatment, a small functional improvement could be noticed but without net improvement in the visual field defect.