[Exophthalmos. Diagnostic orientation].
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Biomedical subjects
Publications and source records attributed to A Ducasse.
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We report two observations of malignant gastric and pancreatic tumors with choroid metastasis. Clinical course was rapidly and spontaneously unfavorable.
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We present the case of a 72 year-old-woman with recurrent periocular inflamatory mass caused by an infection with Dirofilaria repens. The zoonotic infection is spreading by mosquito vectors from dogs to humans. Residence in endemic areas (ex-USSR, Italy, Sri Lanka, Southeastern United States) should always be suspected in patients with this type of symptomatology. The treatment is curative by the extraction of the pseudotumoral mass.
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During a study performed to estimate the prevalence and evolution of ophthalmologic symptoms in Graves' disease, we examined 85 patients suffering from diffuse hyperfunctional goiter, which was recently discovered. Forty-seven of these patients came back to the one year ophthalmologic control examination. The patients classed 1 in the Nospecs at first examination rarely remained in the same class either worsening or ameliorating. The worsening or amelioration were independent from the treatment employed for hyperthyroidism and from the results of this treatment. The patients classed 0 in the Nospecs mostly remained in the same class. The patients in which first examination discovered more severe signs and especially inflammatory signs (eyelid oedema for example) should be carefully followed up.
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The authors report the results of a prospective study, conducted between March 1990 and March 1991, on 85 patients suffering from Graves' disease, who were systematically examined to evaluate the prevalence of ophthalmopathy in Graves' disease. They were graded according to the Nospecs classification: 32 patients had no ophthalmopathy; 21 had only eyelid retraction (grade I in the Nospecs); 32 had a real ophthalmopathy (Grade II) or more in the Nospecs: 27 patients had signs of inflammation (grade II), that were often minor, 14 patients a moderate or intermediate exophtalmos (grade III), 4 patients had corneal injuries (grade V). The authors discuss the problems caused by this classification.
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The authors report a case of transient myopia with closed angle following the administration of Aspirin and Deturgylone. This treatment was prescribed because of a probably Hantaan virus infection.
The authors report 3 cases of uveal melanoma, appeared on young women: 20, 23 and 28 years old. The melanomas were localized on the iris, the ciliary body and on the choroid. The authors studied the different notions of the literature about happened age of these lesions.
The authors report the different types of mutilating surgery: evisceration, enucleation and exenteration, realized at Reims C.H.R., between 1983 and 1988. The authors specify the causes leaded on the anatomical waste of the eye ball.
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A study about 44 retinal detachments showed 44 cases of retinal detachment due to desinsertions at the ora serrata, including all etiologies. We found that most of the cases were young people (80% before 40 years old), and male and functional results were relatively poor (60%). In "idiopathic" cases and due to the ocular contusions, the rates of good anatomic results were respectively 86% and 95%, and visual acuity was improved in 70% and 81% of the eyes.