Chirurgie de la cataracte uvéitique non infectieuse de l’enfant : bilan des pratiques actuelles en France
| dc.rights.license | open | en_US |
| dc.contributor.author | COSTET, C. | |
| dc.contributor.author | ANDREBE, C. | |
| dc.contributor.author | PAYA, C. | |
| dc.contributor.author | PILLET, P. | |
| dc.contributor.author | RICHER, O. | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | ROUGIER, Marie-Benedicte | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | KOROBELNIK, Jean-Francois
ORCID: 0000-0002-4438-9535 IDREF: 028739272 | |
| dc.contributor.author | COSTE, V. | |
| dc.date.accessioned | 2020-06-15T15:24:40Z | |
| dc.date.available | 2020-06-15T15:24:40Z | |
| dc.date.issued | 2019-05 | |
| dc.identifier.issn | 1773-0597 (Electronic) 0181-5512 (Linking) | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/7934 | |
| dc.description.abstractEn | PURPOSE: To evaluate the medical-surgical management of cataract surgery in children with chronic uveitis in various French pediatric ophthalmology centers. MATERIALS AND METHODS: Two-part study: first, a descriptive observational segment on the evaluation of French practices. A questionnaire was sent to the various pediatric ophthalmologists in France. A second retrospective chart review, including children with non-infectious chronic uveitis who had cataract surgery in the pediatric ophthalmology department of Bordeaux University Hospital from 2008 to 2017. RESULTS: Twenty-one ophthalmologists responded to the questionnaire. Only 23.8% systematically initiated immunosuppressive drugs (aside from corticosteroids) before surgery. A total of 88.2% prescribed oral corticosteroid treatment preoperatively. Eleven surgeons administered intravenous corticosteroid boluses during the surgery, and primary lens implantation is the most common method used in 95.2%. A total of 76.2% initiated oral steroid therapy after surgery. Postoperatively, all surgeons started local therapy with high-dose corticosteroids. At one year, 100% achieved improvement of visual acuity greater than or equal to 2 lines. On our service, 10 eyes (7 children) underwent cataract surgery. Seven were treated with systemic immunosuppressive drugs (aside from corticosteroids) and 80% of cases received oral corticosteroid therapy a few days before surgery. An intravenous corticosteroid bolus was administered preoperatively in 8 cases, and primary lens implantation was performed in 100% of cases. Postoperatively, 5 children received oral corticosteroid treatment. All were treated with local high dose steroids. At one year, the mean best-corrected visual acuity was 0.18 LogMar (0-0.7, SD: 0.25). CONCLUSION: When performed with an aggressive anti-inflammatory protocol, cataract surgery leads to a good visual outcome in selected children with chronic uveitis. | |
| dc.language.iso | FR | en_US |
| dc.subject.en | LEHA | |
| dc.title | Chirurgie de la cataracte uvéitique non infectieuse de l’enfant : bilan des pratiques actuelles en France | |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1016/j.jfo.2018.09.008 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 30975438 | en_US |
| bordeaux.journal | Journal Français D'Ophtalmologie | en_US |
| bordeaux.page | 441-450 | en_US |
| bordeaux.volume | 42 | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.issue | 5 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.team | LEHA_BPH | |
| bordeaux.team | LEHA_BPH | |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| hal.identifier | hal-03212388 | |
| hal.version | 1 | |
| hal.date.transferred | 2021-04-29T13:27:45Z | |
| hal.export | true | |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.title=Chirurgie%20de%20la%20cataracte%20uv%C3%A9itique%20non%20infectieuse%20de%20l%E2%80%99enfant%20:%20bilan%20des%20pratiques%20actuelles%20en%20France&rft.atitle=Chirurgie%20de%20la%20cataracte%20uv%C3%A9itique%20non%20infectieuse%20de%20l%E2%80%99enfant%20:%20bilan%20des%20pratiques%20actuelles%20en%20France&rft.jtitle=Journal%20Fran%C3%A7ais%20D'Ophtalmologie&rft.date=2019-05&rft.volume=42&rft.issue=5&rft.spage=441-450&rft.epage=441-450&rft.eissn=1773-0597%20(Electronic)%200181-5512%20(Linking)&rft.issn=1773-0597%20(Electronic)%200181-5512%20(Linking)&rft.au=COSTET,%20C.&ANDREBE,%20C.&PAYA,%20C.&PILLET,%20P.&RICHER,%20O.&rft.genre=article |
Files in this item
| Files | Size | Format | View |
|---|---|---|---|
|
There are no files associated with this item. |
|||