[Ocular manifestation in GAPO syndrome. Report of the first tunisian case]. / Les manifestations ophtalmologiques du syndrome de GAPO. Premier cas tunisien.

GAPO syndrome is a rare autosomal recessive disorder whose main manifestations are: growth retardation, alopecia, pseudoanodontia and optic atrophy. We report here the ophthalmological findings in a 12-year-old Tunisian boy suffering from typical GAPO syndrome.

[Ambulatory cataract surgery]. / La chirurgie de la cataracte en ambulatoire.

UNLABELLED: The purpose of this study is to show the result of outpatient cataract surgery and its differences or advantages with inpatient cataract surgery. PATIENTS AND METHODS: The retrospective study concern 722 consecutives patients collected from June 1995 till May 1997; 388 underwent outpatient cataract surgery and 384 underwent inpatient cataract surgery. RESULTS: There were non significant difference between the two groups in type of cataract surgery. Immediate postoperative complications and final visual acuity did not show any significant difference in both groups. CONCLUSION: This analysis shows the great advantages of this simple surgical procedure such an increase in cataract operation leading to a decrease of patients in waiting list.

[Behçet disease in children. 3 Tunisian cases and review of the literature]. / La maladie de Behçet de l'enfant. A propos de 3 observations tunisiennes et revue de la littérature.

OBJECTIVE: To describe epidemiological, clinical and evolutive features of ophthalmological involvment of Behçet disease in children in tunisian patients. PATIENTS AND METHODS: In a retrospective study from 1990 to 1996, we collected three observations in children in 130 recorded cases of Behçet disease. Patients have been explored by a complete ophthalmologic staging and are treated and followed in our institution for theirs oculars problems. RESULTS: The three children, all males, aged from 12 to 13 years, represented 2.3% of all the Behçet disease diagnosed during the same period. Oral and/or genital aphtosis are present in all 3 cases and cutaneous or articular involvement is seen in 2 patients. Ocular Behçet disease involvement, bilateral in all the cases, is dominated by uveitis (posterior in 3 patients or anterior in 2) complicated by macular edema in 3 cases and cataract or pseudo-trou in 1 case. CONCLUSION: Behçet disease in children is characterized by the frequency of familial forms and articular involvement. The most characteristic ocular feature is represented by the posterior uveitis with a visual prognosis poor in short term. Specific criteria of Behçet disease is necessary for children for a early and best identification.

[Treatment of late leaking of filtering bullae]. / Le traitement des fuites tardives des bulles de filtration.

Leaking filtering blebs must be repaired immediately to avoid major complications such as hypotony and endophtalmitis. We report four cases of leaking filtering blebs occurring between one to six years after trabeculectomy. Revealing signs were hypotony in two cases and athalamia in two cases. Patching was done in one case and conjunctival reinforcement by rotation of conjunctival flap in 2 cases and free conjunctival graft in one case. Leaking disappeared in all the cases. Normal intraocular pressure (10-12 mmHg) was obtained in all cases except one which was achieved by rotation of conjunctival flap and complicated by retraction of conjunctiva. Conjunctival reinforcement without exicion of the bleb is an easy technique and respect the filtration site. Major complication in our patients is retraction of conjunctival flap which can be avoided by: exicion of Tenon, good fixation to the cornea, and free conjunctival graft.