[Multifocal choroiditis associated with herpes zoster ophthalmicus. Apropos of a case]. / Choroïdite multifocale associée à un zona ophtalmique. A propos d'une observation.

We describe a patient with multifocal choroidal lesions affecting the midperipheral fundus, with an atrophic and scattered punched-out pale aspect. Lesions were discovered seven months after an ipsilateral herpes zoster ophthalmicus. Fluorescein angiography findings exhibited a delay of choroidal injection and late moderate staining during the venous phase. The etiological arguments refer to a previous herpes zoster infection. The pathogeny would involve an occlusion of posterior ciliary arteries, lesions of posterior ciliary nerves and/or direct cytopathogenic involvement of chorioretina by neurotropic virus from ciliary ganglion.

[Clinical study of 12 cases of malignant non-Hodgkin's lymphoma of the orbital region]. / Etude clinique de 12 lymphomes malins non-hodgkiniens de la région orbitaire.

Over an 8-year period in the Departments of Hematology, Ophthalmology and Internal Medicine of our hospital, 12 cases of orbital and adnexal malignant non-Hodgkin's lymphoma were reported. Diagnostic elements varied, including local tumefaction, watering eyes, uveitis, and unexplained, long-term fever. Nine patients had primary paraocular lymphomas involving either orbital structures, the lacrimal gland or the eyeball, but after appropriate staging, the disease was found to be disseminated in 5; the 3 other cases were secondary orbital lymphomas. Intermediate or high grade histological types were predominant (9 patients) in our series. Radiation therapy, alone or combined (5 patients) with chemotherapy, was administered in 8 cases; other treatments consisted of chemotherapy (2 cases) or steroids (2 cases). Evolution was poor, with only 4 patients surviving at 34-180 months of follow-up. The main prognostic factors were tumor stage and histological grade. The clinical characteristics of this group are compared to those reported in the literature.

[Role of nasolacrimal intubation in the treatment of lacrimation caused by congenital lacrimal duct obstruction in infants]. / Place de l'intubation lacrymonasale dans le traitement du larmoiement par obstruction congénitale des voies lacrymales du nourrisson.

We report a study of a series of 83 cases of congenital nasolacrimal duct obstruction treated with monocanaliculonasal or bicanaliculonasal silicone intubation. Efficacy, complications, as well as the duration of the placement of the probes were studied. The analysis of the various factors of this series (age of the infants at the time of intubation, duration and type of intubation, complications) demonstrated the superiority of short-term monocanaliculonasal intubation (about four weeks) compared to longer intubation.

Radiologic and echocardiographic patterns of 98 cases of atrial septal defect without other defects (isolated atrial septal defect).

We collected 98 cases of single atrial septal defect. Analytical study of the pulmonary vasculature and the shape of the heart allowed us to differentiate 71 cases of pulmonary hypervascularity with increased cardiothoracic index and an appearance of right ventricular dilatation. The left inferior segment was usually straight, but sometimes convex, with a great curvature including the middle left segment. Apart from these 71 typical cases, there were 18 cases of incomplete patterns, 7 cases of atypical patterns with a convex left inferior segment with a small curvature and two normal cases (normal shape of the heart and normal vasculature). - Echocardiography was performed in 35 cases. It was valuable in 34 cases and established the diagnosis each time the X-ray picture was uncertain. Increase of the ratio of the telediastolic diameter of the right to left ventricle is almost constant and the septal motion is paradoxical in 79% of all cases. - Post-operative change was characterized from the radiological point of view by rapid return to normal of the pulmonary vascularity, followed by decrease of the cardiothoracic index, while the modifications of the shape of the left middle and inferior segment regress slowly and incompletely. As for echocardiography there is constant decrease of the ratio of the telediastolic diameter of the right to left ventricle, while the septal motion returns to normal in 79% of all cases.