[Physiopathology of uveitis. I. Mechanisms].
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Biomedical subjects
Publications and source records attributed to R Campinchi.
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Among malignant tumor of the orbit in children, rhabdomyosarcoma remains the most frequent; it should be suspected on any unilateral exophthalmia. Twenty cases have been treated in the "Institut Gustave Roussy" (1960--1975). It can be shown with polychimiotherapy and a better coordination in timing of the other therapies, the survival rate improved clearly. In addition, since 1972 more localized forms have been treated. In the future, the survival rate is supposed to improve yet, if the diagnosis is made earlier. In such conditions a recovery with few inconveniences may be expected. Exenteration is an important mutilation and do not supply a better protection. A secondary inucleation due to complications of radio-therapy is not an exception. However a prothesis will be possible later.
Sectors have a double interest in an extraocular muscle palsy: to avoid the diplopia and to aid the reeducation of palsied muscles. Patient can alternatively wear the two types of glasses with sectors. Authors decrease sector's size when motility improves. They are stopped if regression, and in other cases, patients can wait surgical time with maximum comfort. Clinical examples are presented: VI, III and IV cranial nerve palsies and generalized diplopia.
We are showing a protocol to survey the treatment by APS, with a computer equipment that enable us to examine very shortly the central field of vision and the ERG; but that least investigation can be EOG or a PEV, according to the toxic pathology we are studying.
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