Liste des publications
Publications du département d'ophtalmologie
Bienvenue sur la page dédiée aux publications scientifiques du département d'ophtalmologie du centre médical des Aravis. Notre équipe médicale s'investit activement dans la recherche et l'innovation afin d'améliorer constamment la prise en charge de nos patients. Nos travaux portent sur un large éventail de thématiques, notamment :
Domaines d'expertise
- Les maladies de la cornée, telles que le kératocône, et les techniques chirurgicales associées (greffe de cornée, etc.).
- Les pathologies rétiniennes, comme la DMLA ou le décollement de la rétine, avec une expertise particulière dans les traitements par injections intravitréennes et la chirurgie vitréo-rétinienne.
- L'épidémiologie et la santé publique en ophtalmologie, en utilisant des bases de données nationales pour analyser les tendances et les facteurs de risque de différentes maladies oculaires.
- L'impact des technologies numériques sur la santé oculaire, notamment l'utilisation de la télémédecine pour le dépistage de la rétinopathie diabétique.
Nous sommes fiers de partager ici nos contributions à l'avancement des connaissances en ophtalmologie. N'hésitez pas à consulter nos publications pour en savoir plus sur nos domaines d'expertise et nos recherches en cours.
2024
Mehta, Hemal; Gabrielle, Pierre-Henry; Hashimoto, Yohei; Kibret, Getiye Dejenu; Arnold, Jennifer; Guillaumie, Tremeur; Kheir, Wajiha Jurdi; Kok, Gerhard; Vujosevic, Stela; O'Toole, Louise; Mangelschots, Els; Jaross, Nandor; Ceklic, Lala; Daien, Vincent; Viola, Francesco; Squirrell, David; Lavid, Francisco Javier; Creuzot-Garcher, Catherine; Barthelmes, Daniel; Gillies, Mark; Group, Fight Retinal Blindness! Study
One-year anti-VEGF therapy outcomes in diabetic macular edema based on treatment intensity: Data from the Fight Retinal Blindness! Registry Article de journal
Dans: Ophthalmol. Retina, vol. 8, no. 9, p. 872–879, 2024.
Résumé | BibTeX | Étiquettes: Anti-VEGF; Diabetic macular edema; Pro re nata; Real-world evidence; Treat-and-extend
@article{Mehta2024-mq,
title = {One-year anti-VEGF therapy outcomes in diabetic macular edema
based on treatment intensity: Data from the Fight Retinal
Blindness! Registry},
author = {Hemal Mehta and Pierre-Henry Gabrielle and Yohei Hashimoto and Getiye Dejenu Kibret and Jennifer Arnold and Tremeur Guillaumie and Wajiha Jurdi Kheir and Gerhard Kok and Stela Vujosevic and Louise O'Toole and Els Mangelschots and Nandor Jaross and Lala Ceklic and Vincent Daien and Francesco Viola and David Squirrell and Francisco Javier Lavid and Catherine Creuzot-Garcher and Daniel Barthelmes and Mark Gillies and Fight Retinal Blindness! Study Group},
year = {2024},
date = {2024-09-01},
journal = {Ophthalmol. Retina},
volume = {8},
number = {9},
pages = {872–879},
publisher = {Elsevier BV},
abstract = {PURPOSE: To compare one-year outcomes of eyes with diabetic
macular edema (DME) treated in routine clinical practice based
on the proportion of visits where intravitreal vascular
endothelial growth factor (VEGF) inhibitor injections were
delivered. DESIGN: Cohort study PARTICIPANTS: There were 2288
treatment-naïve eyes with DME starting intravitreal VEGF
inhibitor therapy from 31 October 2015 to 31 October 2021 from
the Fight Retinal Blindness! international outcomes registry.
METHODS: Eyes were grouped according to the proportion of visits
at which an injection was received, Group A with less than the median of 67% (n=1172) versus Group B with greater than the median (n=1116). MAIN OUTCOME MEASURE: Mean visual acuity (VA)
change after 12 months of treatment. RESULTS: The mean (95%
confidence interval [CI]) VA change after 12 months of treatment
was 3.6 (2.8, 4.4) letters for eyes in Group A versus 5.2 (4.4, 5.9) letters for eyes in Group B (p=0.005). The mean (95% CI)
central subfield thickness (CST) change was -69 (-76, -61)
μm and -85 (-92, -78) μm for eyes in Group A versus Group B, respectively (p=0.002). A moderate positive correlation
was observed between the number of injections received over 12
months of treatment and the change in VA (p<0.001).
Additionally, eyes that received more injections had a
moderately greater CST reduction. CONCLUSIONS: This registry
analysis found that overall VA and anatomic outcomes tended to
be better in DME eyes treated at a greater proportion of visits
in the first year of intravitreal VEGF inhibitor therapy.},
keywords = {Anti-VEGF; Diabetic macular edema; Pro re nata; Real-world evidence; Treat-and-extend},
pubstate = {published},
tppubtype = {article}
}
macular edema (DME) treated in routine clinical practice based
on the proportion of visits where intravitreal vascular
endothelial growth factor (VEGF) inhibitor injections were
delivered. DESIGN: Cohort study PARTICIPANTS: There were 2288
treatment-naïve eyes with DME starting intravitreal VEGF
inhibitor therapy from 31 October 2015 to 31 October 2021 from
the Fight Retinal Blindness! international outcomes registry.
METHODS: Eyes were grouped according to the proportion of visits
at which an injection was received, Group A with less than the median of 67% (n=1172) versus Group B with greater than the median (n=1116). MAIN OUTCOME MEASURE: Mean visual acuity (VA)
change after 12 months of treatment. RESULTS: The mean (95%
confidence interval [CI]) VA change after 12 months of treatment
was 3.6 (2.8, 4.4) letters for eyes in Group A versus 5.2 (4.4, 5.9) letters for eyes in Group B (p=0.005). The mean (95% CI)
central subfield thickness (CST) change was -69 (-76, -61)
μm and -85 (-92, -78) μm for eyes in Group A versus Group B, respectively (p=0.002). A moderate positive correlation
was observed between the number of injections received over 12
months of treatment and the change in VA (p<0.001).
Additionally, eyes that received more injections had a
moderately greater CST reduction. CONCLUSIONS: This registry
analysis found that overall VA and anatomic outcomes tended to
be better in DME eyes treated at a greater proportion of visits
in the first year of intravitreal VEGF inhibitor therapy.
Mathis, Thibaud; Baudin, Florian; Mariet, Anne-Sophie; Augustin, Sébastien; Bricout, Marion; Przegralek, Lauriane; Roubeix, Christophe; Benzenine, Éric; Blot, Guillaume; Nous, Caroline; Kodjikian, Laurent; Mauget-Faÿsse, Martine; Sahel, José-Alain; Plevin, Robin; Zeitz, Christina; Delarasse, Cécile; Guillonneau, Xavier; Creuzot-Garcher, Catherine; Quantin, Catherine; Hunot, Stéphane; Sennlaub, Florian
DRD2 activation inhibits choroidal neovascularization in patients with Parkinson's disease and age-related macular degeneration Article de journal
Dans: J. Clin. Invest., vol. 134, no. 17, 2024.
Résumé | Liens | BibTeX | Étiquettes: Neurodegeneration; Neuroscience; Ophthalmology; Parkinson disease; Retinopathy
@article{Mathis2024-mh,
title = {DRD2 activation inhibits choroidal neovascularization in patients with Parkinson's disease and age-related macular degeneration},
author = {Thibaud Mathis and Florian Baudin and Anne-Sophie Mariet and Sébastien Augustin and Marion Bricout and Lauriane Przegralek and Christophe Roubeix and Éric Benzenine and Guillaume Blot and Caroline Nous and Laurent Kodjikian and Martine Mauget-Faÿsse and José-Alain Sahel and Robin Plevin and Christina Zeitz and Cécile Delarasse and Xavier Guillonneau and Catherine Creuzot-Garcher and Catherine Quantin and Stéphane Hunot and Florian Sennlaub},
url = {https://annecy-ophtalmo.fr/wp-content/uploads/2024/10/jci-134-174199.pdf},
year = {2024},
date = {2024-07-01},
urldate = {2024-07-01},
journal = {J. Clin. Invest.},
volume = {134},
number = {17},
publisher = {American Society for Clinical Investigation},
abstract = {Neovascular age-related macular degeneration (nAMD) remains a
major cause of visual impairment and puts considerable burden on
patients and health care systems. l-DOPA-treated Parkinson's
disease (PD) patients have been shown to be partially protected
from nAMD, but the mechanism remains unknown. Using murine
models that combine
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced
(MPTP-induced) PD and laser-induced nAMD with standard PD
treatment of l-DOPA/DOPA-decarboxylase inhibitor or specific
dopamine receptor inhibitors, we here demonstrate that l-DOPA
treatment-induced increase of dopamine-mediated dopamine
receptor D2 (DRD2) signaling inhibits choroidal
neovascularization independently of MPTP-associated
nigrostriatal pathway lesion. Analyzing a retrospective cohort
of more than 200,000 patients with nAMD receiving anti-VEGF
treatment from the French nationwide insurance database, we show
that DRD2 agonist-treated PD patients have a significantly
delayed age of onset of nAMD and reduced need for anti-VEGF
therapies, similar to the effects of the l-DOPA treatment. While
providing a mechanistic explanation for an intriguing
epidemiological observation, our findings suggest that systemic
DRD2 agonists might constitute an adjuvant therapy to delay and
reduce the need for anti-VEGF therapy in patients with nAMD.},
keywords = {Neurodegeneration; Neuroscience; Ophthalmology; Parkinson disease; Retinopathy},
pubstate = {published},
tppubtype = {article}
}
major cause of visual impairment and puts considerable burden on
patients and health care systems. l-DOPA-treated Parkinson's
disease (PD) patients have been shown to be partially protected
from nAMD, but the mechanism remains unknown. Using murine
models that combine
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced
(MPTP-induced) PD and laser-induced nAMD with standard PD
treatment of l-DOPA/DOPA-decarboxylase inhibitor or specific
dopamine receptor inhibitors, we here demonstrate that l-DOPA
treatment-induced increase of dopamine-mediated dopamine
receptor D2 (DRD2) signaling inhibits choroidal
neovascularization independently of MPTP-associated
nigrostriatal pathway lesion. Analyzing a retrospective cohort
of more than 200,000 patients with nAMD receiving anti-VEGF
treatment from the French nationwide insurance database, we show
that DRD2 agonist-treated PD patients have a significantly
delayed age of onset of nAMD and reduced need for anti-VEGF
therapies, similar to the effects of the l-DOPA treatment. While
providing a mechanistic explanation for an intriguing
epidemiological observation, our findings suggest that systemic
DRD2 agonists might constitute an adjuvant therapy to delay and
reduce the need for anti-VEGF therapy in patients with nAMD.
Mathis, Thibaud; Baudin, Florian; Mariet, Anne-Sophie; Augustin, Sébastien; Bricout, Marion; Przegralek, Lauriane; Roubeix, Christophe; Benzenine, Éric; Blot, Guillaume; Nous, Caroline; Kodjikian, Laurent; Mauget-Faÿsse, Martine; Sahel, José-Alain; Plevin, Robin; Zeitz, Christina; Delarasse, Cécile; Guillonneau, Xavier; Creuzot-Garcher, Catherine; Quantin, Catherine; Hunot, Stéphane; Sennlaub, Florian
DRD2 activation inhibits choroidal neovascularization in patients with Parkinson's disease and age-related macular degeneration Article de journal
Dans: J. Clin. Invest., vol. 134, no. 17, 2024.
Résumé | BibTeX | Étiquettes: Neurodegeneration; Neuroscience; Ophthalmology; Parkinson disease; Retinopathy
@article{Mathis2024-ch,
title = {DRD2 activation inhibits choroidal neovascularization in
patients with Parkinson's disease and age-related macular
degeneration},
author = {Thibaud Mathis and Florian Baudin and Anne-Sophie Mariet and Sébastien Augustin and Marion Bricout and Lauriane Przegralek and Christophe Roubeix and Éric Benzenine and Guillaume Blot and Caroline Nous and Laurent Kodjikian and Martine Mauget-Faÿsse and José-Alain Sahel and Robin Plevin and Christina Zeitz and Cécile Delarasse and Xavier Guillonneau and Catherine Creuzot-Garcher and Catherine Quantin and Stéphane Hunot and Florian Sennlaub},
year = {2024},
date = {2024-07-01},
journal = {J. Clin. Invest.},
volume = {134},
number = {17},
publisher = {American Society for Clinical Investigation},
abstract = {Neovascular age-related macular degeneration (nAMD) remains a
major cause of visual impairment and puts considerable burden on
patients and health care systems. l-DOPA-treated Parkinson's
disease (PD) patients have been shown to be partially protected
from nAMD, but the mechanism remains unknown. Using murine
models that combine
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced
(MPTP-induced) PD and laser-induced nAMD with standard PD
treatment of l-DOPA/DOPA-decarboxylase inhibitor or specific
dopamine receptor inhibitors, we here demonstrate that l-DOPA
treatment-induced increase of dopamine-mediated dopamine
receptor D2 (DRD2) signaling inhibits choroidal
neovascularization independently of MPTP-associated
nigrostriatal pathway lesion. Analyzing a retrospective cohort
of more than 200,000 patients with nAMD receiving anti-VEGF
treatment from the French nationwide insurance database, we show
that DRD2 agonist-treated PD patients have a significantly
delayed age of onset of nAMD and reduced need for anti-VEGF
therapies, similar to the effects of the l-DOPA treatment. While
providing a mechanistic explanation for an intriguing
epidemiological observation, our findings suggest that systemic
DRD2 agonists might constitute an adjuvant therapy to delay and
reduce the need for anti-VEGF therapy in patients with nAMD.},
keywords = {Neurodegeneration; Neuroscience; Ophthalmology; Parkinson disease; Retinopathy},
pubstate = {published},
tppubtype = {article}
}
major cause of visual impairment and puts considerable burden on
patients and health care systems. l-DOPA-treated Parkinson's
disease (PD) patients have been shown to be partially protected
from nAMD, but the mechanism remains unknown. Using murine
models that combine
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced
(MPTP-induced) PD and laser-induced nAMD with standard PD
treatment of l-DOPA/DOPA-decarboxylase inhibitor or specific
dopamine receptor inhibitors, we here demonstrate that l-DOPA
treatment-induced increase of dopamine-mediated dopamine
receptor D2 (DRD2) signaling inhibits choroidal
neovascularization independently of MPTP-associated
nigrostriatal pathway lesion. Analyzing a retrospective cohort
of more than 200,000 patients with nAMD receiving anti-VEGF
treatment from the French nationwide insurance database, we show
that DRD2 agonist-treated PD patients have a significantly
delayed age of onset of nAMD and reduced need for anti-VEGF
therapies, similar to the effects of the l-DOPA treatment. While
providing a mechanistic explanation for an intriguing
epidemiological observation, our findings suggest that systemic
DRD2 agonists might constitute an adjuvant therapy to delay and
reduce the need for anti-VEGF therapy in patients with nAMD.
Vaitinadapoulé, Hanielle; Poinard, Sylvain; He, Zhiguo; Pascale-Hamri, Alina; Thomas, Justin; Gain, Philippe; Thuret, Jean-Yves; Mascarelli, Frédéric; Thuret, Gilles; (FFSG), French Fuchs Study Group
Nanotopography by chromatic confocal microscopy of the endothelium in Fuchs endothelial corneal dystrophy, pseudophakic bullous keratopathy and healthy corneas Article de journal
Dans: Br. J. Ophthalmol., vol. 108, no. 8, p. 1184–1192, 2024.
Résumé | BibTeX | Étiquettes: Cornea; Dystrophy; Imaging; Pathology; Physiology
@article{Vaitinadapoule2024-fz,
title = {Nanotopography by chromatic confocal microscopy of the
endothelium in Fuchs endothelial corneal dystrophy, pseudophakic
bullous keratopathy and healthy corneas},
author = {Hanielle Vaitinadapoulé and Sylvain Poinard and Zhiguo He and Alina Pascale-Hamri and Justin Thomas and Philippe Gain and Jean-Yves Thuret and Frédéric Mascarelli and Gilles Thuret and French Fuchs Study Group (FFSG)},
year = {2024},
date = {2024-07-01},
journal = {Br. J. Ophthalmol.},
volume = {108},
number = {8},
pages = {1184–1192},
publisher = {BMJ},
abstract = {AIM: To investigate the interest of chromatic confocal
microscopy (CCM) to characterise guttae in Fuchs endothelial
corneal dystrophy (FECD). METHODS: Descemet's membranes (DM)
were obtained during endothelial keratoplasty in patients with
FECD and pseudophakic bullous keratopathy (PBK). They were
compared with healthy samples obtained from body donation to
science. Samples were fixed in 0.5% paraformaldehyde and flat
mounted. Surface roughness of DMs was quantified using CCM and
the AltiMap software that provided the maximum peak (Sp) and
valley (Sv) heights, the mean square roughness (Rq) and the
asymmetry coefficient (Ssk). RESULTS: The physiological
roughness of healthy samples was characterised by an Rq of
0.12$±$0.05 µm, which was two times rougher than in PBK (Rq=0.06$±$0.03 µm), but both were still flat with a
symmetrical distribution between peaks and valleys (Ssk close to},
keywords = {Cornea; Dystrophy; Imaging; Pathology; Physiology},
pubstate = {published},
tppubtype = {article}
}
microscopy (CCM) to characterise guttae in Fuchs endothelial
corneal dystrophy (FECD). METHODS: Descemet's membranes (DM)
were obtained during endothelial keratoplasty in patients with
FECD and pseudophakic bullous keratopathy (PBK). They were
compared with healthy samples obtained from body donation to
science. Samples were fixed in 0.5% paraformaldehyde and flat
mounted. Surface roughness of DMs was quantified using CCM and
the AltiMap software that provided the maximum peak (Sp) and
valley (Sv) heights, the mean square roughness (Rq) and the
asymmetry coefficient (Ssk). RESULTS: The physiological
roughness of healthy samples was characterised by an Rq of
0.12$±$0.05 µm, which was two times rougher than in PBK (Rq=0.06$±$0.03 µm), but both were still flat with a
symmetrical distribution between peaks and valleys (Ssk close to
Garcher, Catherine P Creuzot; Massin, Pascale; Srour, Mayer; Baudin, Florian; Dot, Corinne; Nghiem-Buffet, Sylvia; Girmens, Jean-Francois; Collin, Cedric; Ponthieux, Anne; Delcourt, Cecile
Management of diabetic macular oedema in France from 2012 to 2018: The nationwide LANDSCAPE study Article de journal
Dans: Acta Ophthalmol., vol. 102, no. 4, p. e548–e556, 2024.
Résumé | BibTeX | Étiquettes: anti-VEGF; diabetic macular oedema; management; real-world; treatment
@article{Creuzot_Garcher2024-wm,
title = {Management of diabetic macular oedema in France from 2012 to
2018: The nationwide LANDSCAPE study},
author = {Catherine P Creuzot Garcher and Pascale Massin and Mayer Srour and Florian Baudin and Corinne Dot and Sylvia Nghiem-Buffet and Jean-Francois Girmens and Cedric Collin and Anne Ponthieux and Cecile Delcourt},
year = {2024},
date = {2024-06-01},
journal = {Acta Ophthalmol.},
volume = {102},
number = {4},
pages = {e548–e556},
publisher = {Wiley},
abstract = {OBJECTIVE: To describe the management of diabetic macular oedema
(DME) patients from the entire French population between 2012
and 2018. METHODS: In this retrospective longitudinal study, we
identified adults treated for DME from the French population
using the exhaustive French National Health Information database
(SNDS), and an algorithm based on diagnosis and procedure codes,
and reimbursed treatments. RESULTS: Between 2012 and 2018, we
identified 53 584 treated DME patients, who were followed for up
to 7 years from DME treatment initiation. Optical coherence
tomography (OCT) became the predominant imaging tool to diagnose
DME. Only 14% of patients consulted a diabetologist or
endocrinologist in the 3 months prior to initiating DME
treatment, whereas 84% consulted a general practitioner. The
percentage of patients consulting an ophthalmologist declined
over time, from 97% of patients in Year 1 (median of 9
consultations), to 46% in Year 7 (median of 7 consultations).
The median DME treatment duration with an anti-VEGF and/or
dexamethasone implant treatment was 9 months; 54% of patients
had a treatment duration less than 1 year. First-line treatment
was more common with ranibizumab (55% of patients) than with
aflibercept (30%), or dexamethasone implant (15%). About 25%
of patients who initiated anti-VEGF treatment switched treatment
at least once, while 30% of patients who initiated
dexamethasone implant switched to anti-VEGF treatment at least
once. CONCLUSIONS: French DME patients seem well-monitored by
their ophthalmologist, but median DME treatment duration was
just 9 months. These results emphasise the challenge to manage
and treat patients with DME over the long term.},
keywords = {anti-VEGF; diabetic macular oedema; management; real-world; treatment},
pubstate = {published},
tppubtype = {article}
}
(DME) patients from the entire French population between 2012
and 2018. METHODS: In this retrospective longitudinal study, we
identified adults treated for DME from the French population
using the exhaustive French National Health Information database
(SNDS), and an algorithm based on diagnosis and procedure codes,
and reimbursed treatments. RESULTS: Between 2012 and 2018, we
identified 53 584 treated DME patients, who were followed for up
to 7 years from DME treatment initiation. Optical coherence
tomography (OCT) became the predominant imaging tool to diagnose
DME. Only 14% of patients consulted a diabetologist or
endocrinologist in the 3 months prior to initiating DME
treatment, whereas 84% consulted a general practitioner. The
percentage of patients consulting an ophthalmologist declined
over time, from 97% of patients in Year 1 (median of 9
consultations), to 46% in Year 7 (median of 7 consultations).
The median DME treatment duration with an anti-VEGF and/or
dexamethasone implant treatment was 9 months; 54% of patients
had a treatment duration less than 1 year. First-line treatment
was more common with ranibizumab (55% of patients) than with
aflibercept (30%), or dexamethasone implant (15%). About 25%
of patients who initiated anti-VEGF treatment switched treatment
at least once, while 30% of patients who initiated
dexamethasone implant switched to anti-VEGF treatment at least
once. CONCLUSIONS: French DME patients seem well-monitored by
their ophthalmologist, but median DME treatment duration was
just 9 months. These results emphasise the challenge to manage
and treat patients with DME over the long term.
2023
Garcher, Catherine P Creuzot; Srour, Mayer; Baudin, Florian; Dot, Corinne; Nghiem-Buffet, Sylvia; Girmens, Jean-Francois; Collin, Cedric; Ponthieux, Anne; Delcourt, Cécile
Management of neovascular age-related macular degeneration treatment in France from 2008-2018: The nationwide LANDSCAPE study Article de journal
Dans: Ophthalmol. Ther., vol. 12, no. 5, p. 2687–2701, 2023.
Résumé | BibTeX | Étiquettes: Anti-VEGF; Neovascular age-related macular degeneration; Real-world management; Syst{è}me National des Donn{é}es de Sant{é}
@article{Creuzot_Garcher2023-bx,
title = {Management of neovascular age-related macular degeneration
treatment in France from 2008-2018: The nationwide LANDSCAPE
study},
author = {Catherine P Creuzot Garcher and Mayer Srour and Florian Baudin and Corinne Dot and Sylvia Nghiem-Buffet and Jean-Francois Girmens and Cedric Collin and Anne Ponthieux and Cécile Delcourt},
year = {2023},
date = {2023-10-01},
journal = {Ophthalmol. Ther.},
volume = {12},
number = {5},
pages = {2687–2701},
abstract = {INTRODUCTION: The aim of this study was to describe the
management of neovascular age-related macular degeneration (nAMD)
in French patients between 2008 and 2018. METHODS: This was a
retrospective longitudinal cohort study using exhaustive
nationwide health records from the French National Health
Information database. Enrollment criteria were adults aged $geq$
50 years, nAMD diagnosis, or reimbursement for nAMD treatments
(anti-vascular epithelial growth factor [VEGF] injection or
dynamic phototherapy with verteporfin). Exclusion criteria were
high myopia, diagnosis of other retinal diseases, and treatments
for other macular diseases (dexamethasone implant, laser). Main
outcome measures were consumption of medical care and nAMD
treatments per calendar year and number of years of follow-up.
RESULTS: Between 2008 and 2018, we identified 342,961 patients
who have been treated for nAMD. Median duration of
ophthalmological follow-up exceeded 7 years (90 months). The
median annual number of ophthalmology consultations decreased
from nine visits in year 1 after treatment initiation to four
visits from year 7 onwards. The median duration of nAMD treatment
was 10.1 months for all patients, with 48.5% of patients
undergoing treatment for < 1 year. Only 24.4% of patients had
maintained treatment at year 11. Patients remaining under
treatment had a median of four anti-VEGF treatments per year
throughout the 10-year study period. Ranibizumab was the more
common first-line treatment (67.5% of patients) compared to
aflibercept (32.4%). About 20% of patients who initiated
treatment switched treatment at least once. CONCLUSIONS:
LANDSCAPE provides exhaustive nationwide data on the real-world
management of nAMD in France over a 10-year period. Further
investigation into short treatment duration is required,
especially in terms of understanding its relation to visual
outcomes.},
keywords = {Anti-VEGF; Neovascular age-related macular degeneration; Real-world management; Syst{è}me National des Donn{é}es de Sant{é}},
pubstate = {published},
tppubtype = {article}
}
management of neovascular age-related macular degeneration (nAMD)
in French patients between 2008 and 2018. METHODS: This was a
retrospective longitudinal cohort study using exhaustive
nationwide health records from the French National Health
Information database. Enrollment criteria were adults aged $geq$
50 years, nAMD diagnosis, or reimbursement for nAMD treatments
(anti-vascular epithelial growth factor [VEGF] injection or
dynamic phototherapy with verteporfin). Exclusion criteria were
high myopia, diagnosis of other retinal diseases, and treatments
for other macular diseases (dexamethasone implant, laser). Main
outcome measures were consumption of medical care and nAMD
treatments per calendar year and number of years of follow-up.
RESULTS: Between 2008 and 2018, we identified 342,961 patients
who have been treated for nAMD. Median duration of
ophthalmological follow-up exceeded 7 years (90 months). The
median annual number of ophthalmology consultations decreased
from nine visits in year 1 after treatment initiation to four
visits from year 7 onwards. The median duration of nAMD treatment
was 10.1 months for all patients, with 48.5% of patients
undergoing treatment for < 1 year. Only 24.4% of patients had
maintained treatment at year 11. Patients remaining under
treatment had a median of four anti-VEGF treatments per year
throughout the 10-year study period. Ranibizumab was the more
common first-line treatment (67.5% of patients) compared to
aflibercept (32.4%). About 20% of patients who initiated
treatment switched treatment at least once. CONCLUSIONS:
LANDSCAPE provides exhaustive nationwide data on the real-world
management of nAMD in France over a 10-year period. Further
investigation into short treatment duration is required,
especially in terms of understanding its relation to visual
outcomes.
Baudin, Florian; Benzenine, Eric; Mariet, Anne-Sophie; Ghezala, Inès Ben; Daien, Vincent; Gabrielle, Pierre-Henry; Quantin, Catherine; Creuzot-Garcher, Catherine P
Impact of COVID-19 lockdown on surgical procedures for retinal detachment in France: a national database study Article de journal
Dans: Br. J. Ophthalmol., vol. 107, no. 4, p. 565–569, 2023.
Résumé | BibTeX | Étiquettes: COVID-19; epidemiology; retina
@article{Baudin2023-gs,
title = {Impact of COVID-19 lockdown on surgical procedures for retinal
detachment in France: a national database study},
author = {Florian Baudin and Eric Benzenine and Anne-Sophie Mariet and Inès Ben Ghezala and Vincent Daien and Pierre-Henry Gabrielle and Catherine Quantin and Catherine P Creuzot-Garcher},
year = {2023},
date = {2023-04-01},
journal = {Br. J. Ophthalmol.},
volume = {107},
number = {4},
pages = {565–569},
publisher = {BMJ},
abstract = {BACKGROUND/AIMS: The COVID-19 crisis and the decisions made
regarding population lockdown may have changed patient care. We
aimed to investigate the incidence rate of rhegmatogenous
retinal detachment (RRD) cases during the COVID-19 lockdown
period. METHODS: In this nationwide database study, we
identified hospital and clinic admissions of French residents
for a first episode of RRD in France from 2017 to the lockdown
period in 2020. The monthly hospital incidence rates of RRD
procedures per 100 000 inhabitants before, during and after
lockdown were computed for the whole country. Finally, we
assessed the influence of viral incidence on the RRD incidence
rate, comparing two regions with highly contrasting viral
penetration. RESULTS: From January to July, the average monthly
national hospital incidence rate of RRD decreased from a mean of
2.59/100 000 inhabitants during 2017-2019 to 1.57/100 000
inhabitants in 2020. Compared with 2019, during the 8-week
lockdown period in 2020, a 41.6% decrease in the number of RRD
procedures was observed (p<0.001) with the weekly incidence of
RRD decreasing from 0.63/100 000 inhabitants in 2019 to 0.36/100
000 inhabitants. During the 4-month post-lockdown period, no
increased activity related to postponed procedures was observed.
No difference was found in the rate of RRD surgery when
comparing two regions with highly contrasting viral incidence.
CONCLUSION: Containment may have been responsible for a decrease
in the number of surgical procedures for RRD, without any
compensating post-lockdown activity in France. These results
might help increase awareness of the management of RRD
emergencies.},
keywords = {COVID-19; epidemiology; retina},
pubstate = {published},
tppubtype = {article}
}
regarding population lockdown may have changed patient care. We
aimed to investigate the incidence rate of rhegmatogenous
retinal detachment (RRD) cases during the COVID-19 lockdown
period. METHODS: In this nationwide database study, we
identified hospital and clinic admissions of French residents
for a first episode of RRD in France from 2017 to the lockdown
period in 2020. The monthly hospital incidence rates of RRD
procedures per 100 000 inhabitants before, during and after
lockdown were computed for the whole country. Finally, we
assessed the influence of viral incidence on the RRD incidence
rate, comparing two regions with highly contrasting viral
penetration. RESULTS: From January to July, the average monthly
national hospital incidence rate of RRD decreased from a mean of
2.59/100 000 inhabitants during 2017-2019 to 1.57/100 000
inhabitants in 2020. Compared with 2019, during the 8-week
lockdown period in 2020, a 41.6% decrease in the number of RRD
procedures was observed (p<0.001) with the weekly incidence of
RRD decreasing from 0.63/100 000 inhabitants in 2019 to 0.36/100
000 inhabitants. During the 4-month post-lockdown period, no
increased activity related to postponed procedures was observed.
No difference was found in the rate of RRD surgery when
comparing two regions with highly contrasting viral incidence.
CONCLUSION: Containment may have been responsible for a decrease
in the number of surgical procedures for RRD, without any
compensating post-lockdown activity in France. These results
might help increase awareness of the management of RRD
emergencies.
Hurand, Victoire; Ducloyer, Jean-Baptiste; Baudin, Florian; Aho, Serge; Weber, Michel; Kodjikian, Laurent; Devin, François; Gabrielle, Pierre-Henry; Creuzot-Garcher, Catherine; Massin, Pascale; Net, CFSR Research
IMPACT study: Impact of adherence to anti-VEGF intravitreal injections for macular disease during COVID 19-related confinement in France Article de journal
Dans: Acta Ophthalmol., vol. 101, no. 1, p. 91–99, 2023.
Résumé | BibTeX | Étiquettes: COVID-19; intravitreal injection; nAMD; visual acuity
@article{Hurand2023-gc,
title = {IMPACT study: Impact of adherence to anti-VEGF intravitreal
injections for macular disease during COVID 19-related
confinement in France},
author = {Victoire Hurand and Jean-Baptiste Ducloyer and Florian Baudin and Serge Aho and Michel Weber and Laurent Kodjikian and François Devin and Pierre-Henry Gabrielle and Catherine Creuzot-Garcher and Pascale Massin and CFSR Research Net},
year = {2023},
date = {2023-02-01},
journal = {Acta Ophthalmol.},
volume = {101},
number = {1},
pages = {91–99},
publisher = {Wiley},
abstract = {PURPOSE: The aim of this study was to evaluate the impact of
adherence to French coronavirus disease 2019 (COVID 19)-related
guidelines for intravitreal injection (IVI) practice on the
visual outcomes of patients treated with anti-vascular
endothelial growth factor (VEGF) agents for macular diseases
during the first lockdown period. METHODS: Observational
multicentre study including all patients from 18 centres with an
IVI initially planned during the lockdown. Visual acuity (VA,
ETDRS) was recorded at 1 and 4 months after lockdown. French
COVID 19-related guidelines recommended maintaining IVI
practice. We defined three groups of patients: A, adherent to
guidelines; NA+, non-adherent with delayed IVIs; and NA-,
non-adherent without IVIs performed during the lockdown. Risk
factors for non-adherence and visual loss were studied. RESULTS:
A total of 3020 eyes of 3020 patients, aged 77.8 $±$ 11.6
years, 59.8% women, were included. 59.3% were
non-adherent(46.7% NA+, 12.6% NA-). A smaller decrease in VA
at 4 months was observed in the A group than the NA+ and NA-
group (-0.2 $±$ 6.7, -0.3 $±$ 6.9 and -1.5 $±$ 6.9,
respectively [p < 0.001]). Factors associated with non-adherence
were in multivariable analysis, older age, hospital practice,
low-density population areas, high viral incidence areas, longer
intervals between injection and treat and extent protocol.
Factors associated with visual loss at 4 months in multivariable
analysis were, being in the NA- group, older age, T&E and fixed
regimens. CONCLUSION: Strict adherence to guidelines was
associated with better visual outcome, although most of our
patients did not attend as planned. Identification of patients
at risk could help in the future in case of a new pandemic
lockdown.},
keywords = {COVID-19; intravitreal injection; nAMD; visual acuity},
pubstate = {published},
tppubtype = {article}
}
adherence to French coronavirus disease 2019 (COVID 19)-related
guidelines for intravitreal injection (IVI) practice on the
visual outcomes of patients treated with anti-vascular
endothelial growth factor (VEGF) agents for macular diseases
during the first lockdown period. METHODS: Observational
multicentre study including all patients from 18 centres with an
IVI initially planned during the lockdown. Visual acuity (VA,
ETDRS) was recorded at 1 and 4 months after lockdown. French
COVID 19-related guidelines recommended maintaining IVI
practice. We defined three groups of patients: A, adherent to
guidelines; NA+, non-adherent with delayed IVIs; and NA-,
non-adherent without IVIs performed during the lockdown. Risk
factors for non-adherence and visual loss were studied. RESULTS:
A total of 3020 eyes of 3020 patients, aged 77.8 $±$ 11.6
years, 59.8% women, were included. 59.3% were
non-adherent(46.7% NA+, 12.6% NA-). A smaller decrease in VA
at 4 months was observed in the A group than the NA+ and NA-
group (-0.2 $±$ 6.7, -0.3 $±$ 6.9 and -1.5 $±$ 6.9,
respectively [p < 0.001]). Factors associated with non-adherence
were in multivariable analysis, older age, hospital practice,
low-density population areas, high viral incidence areas, longer
intervals between injection and treat and extent protocol.
Factors associated with visual loss at 4 months in multivariable
analysis were, being in the NA- group, older age, T&E and fixed
regimens. CONCLUSION: Strict adherence to guidelines was
associated with better visual outcome, although most of our
patients did not attend as planned. Identification of patients
at risk could help in the future in case of a new pandemic
lockdown.
Carré, Chloé; Baudin, Florian; Buteau, Bénédicte; Martine, Lucy; Grégoire, Stéphane; Vasku, Glenda; Berdeaux, Olivier; Béduneau, Arnaud; Pellequer, Yann; Jamoussi, Jasmine; Desrumeaux, Catherine; Aho, Serge; Bron, Alain-Marie; Acar, Niyazi; Creuzot-Garcher, Catherine; Gabrielle, Pierre Henri
Effects of topical docosahexaenoic acid on postoperative fibrosis in an animal model of glaucoma filtration surgery Article de journal
Dans: Acta Ophthalmol., vol. 101, no. 1, p. e61–e68, 2023.
Résumé | BibTeX | Étiquettes: docosahexaenoic acid; fibrosis; glaucoma; glaucoma surgery
@article{Carre2023-te,
title = {Effects of topical docosahexaenoic acid on postoperative
fibrosis in an animal model of glaucoma filtration surgery},
author = {Chloé Carré and Florian Baudin and Bénédicte Buteau and Lucy Martine and Stéphane Grégoire and Glenda Vasku and Olivier Berdeaux and Arnaud Béduneau and Yann Pellequer and Jasmine Jamoussi and Catherine Desrumeaux and Serge Aho and Alain-Marie Bron and Niyazi Acar and Catherine Creuzot-Garcher and Pierre Henri Gabrielle},
year = {2023},
date = {2023-02-01},
journal = {Acta Ophthalmol.},
volume = {101},
number = {1},
pages = {e61–e68},
publisher = {Wiley},
abstract = {PURPOSE: The aim of this study was to evaluate docosahexaenoic
acid (DHA) as a potential antifibrotic agent after glaucoma
filtration surgery (GFS) in rats. METHODS: A total of 36
10-week-old Brown Norway rats underwent GFS. Animals were
equally divided into three groups: a control group, a DHA group
and a mitomycin C (MMC) group. Intraocular pressure (IOP) was
measured using a dynamic rebound tonometer, and a photograph of
the surgical site was taken on days 1, 3, 7, 10, 14 and 17. The
incorporation of DHA into fibroblasts was evaluated by gas
chromatography. The expression of alfa-smooth muscle actin
(α-SMA) and Smad proteins was assessed by Western
blotting. RESULTS: IOP decreased after surgery in animals from
the three groups on day 1 after surgery. Over time, IOP remained
lower in the DHA and MMC groups than in the control group
(median [interquartile range] 8.0 [7.0-8.0] and 8.0 [7.3-8.0]
mmHg vs. 9.0 [8.0-9.0] mmHg, respectively; p < 0.001). Bleb area
in the DHA and MMC groups remained larger than that of the
control group from day 7 to day 14 (3.9 [2.9-5.2] and 3.5 [2.3-4.4] mm2 vs. 2.3 [2.0-2.8] mm2 , respectively; p = 0.0021).
We did not observe any change in DHA concentrations in the
fibroblasts of the DHA group compared with the other groups.
CONCLUSION: The impact of DHA on IOP and bleb area was similar
to that of MMC. The mechanisms of action of DHA in rat eye
fibroblasts deserve further investigation.},
keywords = {docosahexaenoic acid; fibrosis; glaucoma; glaucoma surgery},
pubstate = {published},
tppubtype = {article}
}
acid (DHA) as a potential antifibrotic agent after glaucoma
filtration surgery (GFS) in rats. METHODS: A total of 36
10-week-old Brown Norway rats underwent GFS. Animals were
equally divided into three groups: a control group, a DHA group
and a mitomycin C (MMC) group. Intraocular pressure (IOP) was
measured using a dynamic rebound tonometer, and a photograph of
the surgical site was taken on days 1, 3, 7, 10, 14 and 17. The
incorporation of DHA into fibroblasts was evaluated by gas
chromatography. The expression of alfa-smooth muscle actin
(α-SMA) and Smad proteins was assessed by Western
blotting. RESULTS: IOP decreased after surgery in animals from
the three groups on day 1 after surgery. Over time, IOP remained
lower in the DHA and MMC groups than in the control group
(median [interquartile range] 8.0 [7.0-8.0] and 8.0 [7.3-8.0]
mmHg vs. 9.0 [8.0-9.0] mmHg, respectively; p < 0.001). Bleb area
in the DHA and MMC groups remained larger than that of the
control group from day 7 to day 14 (3.9 [2.9-5.2] and 3.5 [2.3-4.4] mm2 vs. 2.3 [2.0-2.8] mm2 , respectively; p = 0.0021).
We did not observe any change in DHA concentrations in the
fibroblasts of the DHA group compared with the other groups.
CONCLUSION: The impact of DHA on IOP and bleb area was similar
to that of MMC. The mechanisms of action of DHA in rat eye
fibroblasts deserve further investigation.
2022
Ghezala, Inès Ben; Mariet, Anne-Sophie; Benzenine, Eric; Gabrielle, Pierre-Henry; Baudin, Florian; Quantin, Catherine; Creuzot-Garcher, Catherine
Incidence of rhegmatogenous retinal detachment following macular surgery in France between 2006 and 2016 Article de journal
Dans: Am. J. Ophthalmol., vol. 243, p. 91–97, 2022.
@article{Ben_Ghezala2022-nl,
title = {Incidence of rhegmatogenous retinal detachment following macular
surgery in France between 2006 and 2016},
author = {Inès Ben Ghezala and Anne-Sophie Mariet and Eric Benzenine and Pierre-Henry Gabrielle and Florian Baudin and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-11-01},
journal = {Am. J. Ophthalmol.},
volume = {243},
pages = {91–97},
publisher = {Elsevier BV},
abstract = {PURPOSE: To report the incidence of postoperative rhegmatogenous
retinal detachment after macular surgery in France between 2006
and 2016, and identify associated factors. DESIGN: Nationwide,
population-based, cohort study. METHODS: All surgical procedures
for an epiretinal membrane or a macular hole performed in France
from January 1, 2006 to October 31, 2016 were identified in the
French national administrative database (Programme de
Médicalisation des Systèmes d'Information). The
incidence of rhegmatogenous retinal detachment occurring within
90 days of a macular surgical procedure was investigated.
RESULTS: From January 1, 2006 to October 31, 2016, 152,034
macular surgical procedures for epiretinal membranes or macular
holes were recorded in France. Of these, 3605 cases of
rhegmatogenous retinal detachment occurring within 90 days of
the procedure were found. The incidence of rhegmatogenous
retinal detachment was 2.37% overall, 1.95% for epiretinal
membrane surgery, and 3.43% for macular hole surgery. In
multivariable Poisson regression analysis, rhegmatogenous
retinal detachment was associated with macular hole surgery
(incidence rate ratio [IRR], 1.76; 95% CI, 1.63-1.90; P <
.001), history of cataract extraction in the previous year (IRR, 1.20; 95% CI, 1.08-1.34; P = .001), age <60 years (P < .001),
and male sex (IRR, 1.63; 95% CI, 1.51-1.76; P < .001).
CONCLUSIONS: The incidence of rhegmatogenous retinal detachment
within 90 days of macular surgery was 2.37% overall in France
between 2006 and 2016, and it was higher for macular hole
surgery than for epiretinal membrane surgery.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
retinal detachment after macular surgery in France between 2006
and 2016, and identify associated factors. DESIGN: Nationwide,
population-based, cohort study. METHODS: All surgical procedures
for an epiretinal membrane or a macular hole performed in France
from January 1, 2006 to October 31, 2016 were identified in the
French national administrative database (Programme de
Médicalisation des Systèmes d'Information). The
incidence of rhegmatogenous retinal detachment occurring within
90 days of a macular surgical procedure was investigated.
RESULTS: From January 1, 2006 to October 31, 2016, 152,034
macular surgical procedures for epiretinal membranes or macular
holes were recorded in France. Of these, 3605 cases of
rhegmatogenous retinal detachment occurring within 90 days of
the procedure were found. The incidence of rhegmatogenous
retinal detachment was 2.37% overall, 1.95% for epiretinal
membrane surgery, and 3.43% for macular hole surgery. In
multivariable Poisson regression analysis, rhegmatogenous
retinal detachment was associated with macular hole surgery
(incidence rate ratio [IRR], 1.76; 95% CI, 1.63-1.90; P <
.001), history of cataract extraction in the previous year (IRR, 1.20; 95% CI, 1.08-1.34; P = .001), age <60 years (P < .001),
and male sex (IRR, 1.63; 95% CI, 1.51-1.76; P < .001).
CONCLUSIONS: The incidence of rhegmatogenous retinal detachment
within 90 days of macular surgery was 2.37% overall in France
between 2006 and 2016, and it was higher for macular hole
surgery than for epiretinal membrane surgery.
Ghezala, Inès Ben; Mariet, Anne-Sophie; Benzenine, Eric; Gabrielle, Pierre-Henry; Baudin, Florian; Quantin, Catherine; Creuzot-Garcher, Catherine
Incidence of rhegmatogenous retinal detachment following macular surgery in France between 2006 and 2016 Article de journal
Dans: Am. J. Ophthalmol., vol. 243, p. 91–97, 2022.
@article{Ben_Ghezala2022-vy,
title = {Incidence of rhegmatogenous retinal detachment following macular
surgery in France between 2006 and 2016},
author = {Inès Ben Ghezala and Anne-Sophie Mariet and Eric Benzenine and Pierre-Henry Gabrielle and Florian Baudin and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-11-01},
journal = {Am. J. Ophthalmol.},
volume = {243},
pages = {91–97},
publisher = {Elsevier BV},
abstract = {PURPOSE: To report the incidence of postoperative rhegmatogenous
retinal detachment after macular surgery in France between 2006
and 2016, and identify associated factors. DESIGN: Nationwide,
population-based, cohort study. METHODS: All surgical procedures
for an epiretinal membrane or a macular hole performed in France
from January 1, 2006 to October 31, 2016 were identified in the
French national administrative database (Programme de
Médicalisation des Systèmes d'Information). The
incidence of rhegmatogenous retinal detachment occurring within
90 days of a macular surgical procedure was investigated.
RESULTS: From January 1, 2006 to October 31, 2016, 152,034
macular surgical procedures for epiretinal membranes or macular
holes were recorded in France. Of these, 3605 cases of
rhegmatogenous retinal detachment occurring within 90 days of
the procedure were found. The incidence of rhegmatogenous
retinal detachment was 2.37% overall, 1.95% for epiretinal
membrane surgery, and 3.43% for macular hole surgery. In
multivariable Poisson regression analysis, rhegmatogenous
retinal detachment was associated with macular hole surgery
(incidence rate ratio [IRR], 1.76; 95% CI, 1.63-1.90; P <
.001), history of cataract extraction in the previous year (IRR, 1.20; 95% CI, 1.08-1.34; P = .001), age <60 years (P < .001),
and male sex (IRR, 1.63; 95% CI, 1.51-1.76; P < .001).
CONCLUSIONS: The incidence of rhegmatogenous retinal detachment
within 90 days of macular surgery was 2.37% overall in France
between 2006 and 2016, and it was higher for macular hole
surgery than for epiretinal membrane surgery.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
retinal detachment after macular surgery in France between 2006
and 2016, and identify associated factors. DESIGN: Nationwide,
population-based, cohort study. METHODS: All surgical procedures
for an epiretinal membrane or a macular hole performed in France
from January 1, 2006 to October 31, 2016 were identified in the
French national administrative database (Programme de
Médicalisation des Systèmes d'Information). The
incidence of rhegmatogenous retinal detachment occurring within
90 days of a macular surgical procedure was investigated.
RESULTS: From January 1, 2006 to October 31, 2016, 152,034
macular surgical procedures for epiretinal membranes or macular
holes were recorded in France. Of these, 3605 cases of
rhegmatogenous retinal detachment occurring within 90 days of
the procedure were found. The incidence of rhegmatogenous
retinal detachment was 2.37% overall, 1.95% for epiretinal
membrane surgery, and 3.43% for macular hole surgery. In
multivariable Poisson regression analysis, rhegmatogenous
retinal detachment was associated with macular hole surgery
(incidence rate ratio [IRR], 1.76; 95% CI, 1.63-1.90; P <
.001), history of cataract extraction in the previous year (IRR, 1.20; 95% CI, 1.08-1.34; P = .001), age <60 years (P < .001),
and male sex (IRR, 1.63; 95% CI, 1.51-1.76; P < .001).
CONCLUSIONS: The incidence of rhegmatogenous retinal detachment
within 90 days of macular surgery was 2.37% overall in France
between 2006 and 2016, and it was higher for macular hole
surgery than for epiretinal membrane surgery.
Baudin, Florian; Benzenine, Eric; Mariet, Anne-Sophie; Ghezala, Inès Ben; Bron, Alain M; Daien, Vincent; Gabrielle, Pierre-Henry; Quantin, Catherine; Creuzot-Garcher, Catherine
Topical antibiotic prophylaxis and intravitreal injections: Impact on the incidence of acute endophthalmitis-A nationwide study in France from 2009 to 2018 Article de journal
Dans: Pharmaceutics, vol. 14, no. 10, p. 2133, 2022.
Résumé | BibTeX | Étiquettes: IVT; antibiotics; endophthalmitis; intravitreal injection
@article{Baudin2022-mg,
title = {Topical antibiotic prophylaxis and intravitreal injections:
Impact on the incidence of acute endophthalmitis-A nationwide
study in France from 2009 to 2018},
author = {Florian Baudin and Eric Benzenine and Anne-Sophie Mariet and Inès Ben Ghezala and Alain M Bron and Vincent Daien and Pierre-Henry Gabrielle and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-10-01},
journal = {Pharmaceutics},
volume = {14},
number = {10},
pages = {2133},
publisher = {MDPI AG},
abstract = {Background: The dramatic increase in intravitreal injections
(IVTs) has been accompanied by a greater need for safer
procedures. The ongoing debate about topical antibiotic
prophylaxis after IVTs emphasizes the importance of large-scale
studies. We aimed to study the role of topical antibiotic
prophylaxis in reducing the risk of acute endophthalmitis after
IVTs. Methods: Population-based cohort study, in France, from
2009 to 2018, including all French patients receiving IVTs of
corticosteroids or anti-VEGF agents. Results: A total of
5,291,420 IVTs were performed on 605,434 patients. The rate of
topical antibiotic prophylaxis after IVTs progressively
decreased during the study period, with a sharp drop in 2014
(from 84.6% in 2009 to 27.4% in 2018). Acute endophthalmitis occurred in 1274 cases (incidence rate = 0.0241%). Although
antibiotic prophylaxis did not alter the risk of endophthalmitis (p = 0.06), univariate analysis showed an increased risk after
fluoroquinolone and aminoglycoside prophylaxis. This increased
risk was not found in multivariate analysis. However, we
observed an increased risk related to the use of fixed
combinations of fluoroquinolones and aminoglycosides with corticosteroids (IRR = 1.89; 95% CI = 1.57-2.27%, antibiotics
combined with corticosteroids). Conclusion: These results are
consistent with the literature. Endophthalmitis rates after IVTs
did not decrease with topical antibiotic prophylaxis. The use of
a combination of antibiotics and corticosteroids doubles the
risk of endophthalmitis and should be avoided. Avoiding
antibiotic prophylaxis would reduce the costs and the potential
risks of antibiotic resistance.},
keywords = {IVT; antibiotics; endophthalmitis; intravitreal injection},
pubstate = {published},
tppubtype = {article}
}
(IVTs) has been accompanied by a greater need for safer
procedures. The ongoing debate about topical antibiotic
prophylaxis after IVTs emphasizes the importance of large-scale
studies. We aimed to study the role of topical antibiotic
prophylaxis in reducing the risk of acute endophthalmitis after
IVTs. Methods: Population-based cohort study, in France, from
2009 to 2018, including all French patients receiving IVTs of
corticosteroids or anti-VEGF agents. Results: A total of
5,291,420 IVTs were performed on 605,434 patients. The rate of
topical antibiotic prophylaxis after IVTs progressively
decreased during the study period, with a sharp drop in 2014
(from 84.6% in 2009 to 27.4% in 2018). Acute endophthalmitis occurred in 1274 cases (incidence rate = 0.0241%). Although
antibiotic prophylaxis did not alter the risk of endophthalmitis (p = 0.06), univariate analysis showed an increased risk after
fluoroquinolone and aminoglycoside prophylaxis. This increased
risk was not found in multivariate analysis. However, we
observed an increased risk related to the use of fixed
combinations of fluoroquinolones and aminoglycosides with corticosteroids (IRR = 1.89; 95% CI = 1.57-2.27%, antibiotics
combined with corticosteroids). Conclusion: These results are
consistent with the literature. Endophthalmitis rates after IVTs
did not decrease with topical antibiotic prophylaxis. The use of
a combination of antibiotics and corticosteroids doubles the
risk of endophthalmitis and should be avoided. Avoiding
antibiotic prophylaxis would reduce the costs and the potential
risks of antibiotic resistance.
Creuzot-Garcher, Catherine; Massin, Pascale; Srour, Mayer; Baudin, Florian; Dot, Corinne; Nghiem-Buffet, Sylvia; Girmens, Jean-Francois; Collin, Cedric; Ponthieux, Anne; Delcourt, Cecile
Epidemiology of treated diabetes ocular complications in France 2008-2018-the LANDSCAPE French nationwide study Article de journal
Dans: Pharmaceutics, vol. 14, no. 11, p. 2330, 2022.
Résumé | BibTeX | Étiquettes: France; diabetic macular edema; diabetic retinopathy; drug consumption; incidence; nationwide study; prevalence
@article{Creuzot-Garcher2022-ro,
title = {Epidemiology of treated diabetes ocular complications in France
2008-2018-the LANDSCAPE French nationwide study},
author = {Catherine Creuzot-Garcher and Pascale Massin and Mayer Srour and Florian Baudin and Corinne Dot and Sylvia Nghiem-Buffet and Jean-Francois Girmens and Cedric Collin and Anne Ponthieux and Cecile Delcourt},
year = {2022},
date = {2022-10-01},
journal = {Pharmaceutics},
volume = {14},
number = {11},
pages = {2330},
publisher = {MDPI AG},
abstract = {AIM: LANDSCAPE aimed to estimate the annual incidence and
prevalence of treated diabetic macular edema (DME) and
proliferative diabetic retinopathy (PDR) between 2008 and 2018.
METHODS: This French nationwide observational study used data
from the French National Health Insurance Databases covering
99% of the French population. Data about healthcare consumption
were used to identify adults treated with anti-VEGFs or
dexamethasone implants (for DME) and with pan-retinal
photocoagulation (for PDR). All French patients newly treated
between 2008 and 2018 were included. Incidence and prevalence of
treated DME and PDR were estimated for the age-matched general
population and the population with diabetes in France.
Sociodemographic characteristics and medical history were
described in both populations. RESULTS: We identified 53,584
treated DME patients and 127,273 treated PDR patients between
2008 and 2018, and 11,901 DME and 11,996 PDR new incident
patients in 2018. The treated DME incidence in 2018 was 2.5 per
10,000 in the general population and 37.3 per 10,000 in the
population with diabetes. Prevalence in 2018 was 9.5 and 143.7
per 10,000 in the respective populations. Treated PDR incidence
in 2018 was 2.3 per 10,000 in the general population and 31.2
per 10,000 in the population with diabetes. Prevalence in 2018
was 19.9 and 270.3 per 10,000 in the respective populations.
Incidence and prevalence were not age-dependent. Incidence of
treated PDR incidence was relatively stable from 2008-2018.
Incidence of treated DME incidence rose from 2012-2018, probably
due to widening access to newly available treatments, such as
anti-VEGFs. CONCLUSIONS: We provide exhaustive nationwide data
on the incidence and prevalence of treated diabetic ocular
complications in France over a 10-year period.},
keywords = {France; diabetic macular edema; diabetic retinopathy; drug consumption; incidence; nationwide study; prevalence},
pubstate = {published},
tppubtype = {article}
}
prevalence of treated diabetic macular edema (DME) and
proliferative diabetic retinopathy (PDR) between 2008 and 2018.
METHODS: This French nationwide observational study used data
from the French National Health Insurance Databases covering
99% of the French population. Data about healthcare consumption
were used to identify adults treated with anti-VEGFs or
dexamethasone implants (for DME) and with pan-retinal
photocoagulation (for PDR). All French patients newly treated
between 2008 and 2018 were included. Incidence and prevalence of
treated DME and PDR were estimated for the age-matched general
population and the population with diabetes in France.
Sociodemographic characteristics and medical history were
described in both populations. RESULTS: We identified 53,584
treated DME patients and 127,273 treated PDR patients between
2008 and 2018, and 11,901 DME and 11,996 PDR new incident
patients in 2018. The treated DME incidence in 2018 was 2.5 per
10,000 in the general population and 37.3 per 10,000 in the
population with diabetes. Prevalence in 2018 was 9.5 and 143.7
per 10,000 in the respective populations. Treated PDR incidence
in 2018 was 2.3 per 10,000 in the general population and 31.2
per 10,000 in the population with diabetes. Prevalence in 2018
was 19.9 and 270.3 per 10,000 in the respective populations.
Incidence and prevalence were not age-dependent. Incidence of
treated PDR incidence was relatively stable from 2008-2018.
Incidence of treated DME incidence rose from 2012-2018, probably
due to widening access to newly available treatments, such as
anti-VEGFs. CONCLUSIONS: We provide exhaustive nationwide data
on the incidence and prevalence of treated diabetic ocular
complications in France over a 10-year period.
Ghezala, Inès Ben; Mariet, Anne-Sophie; Benzenine, Eric; Bardou, Marc; Bron, Alain Marie; Gabrielle, Pierre-Henry; Baudin, Florian; Quantin, Catherine; Creuzot-Garcher, Catherine
Association between obstetric complications and intravitreal anti-vascular endothelial growth factor agents or intravitreal corticosteroids Article de journal
Dans: J. Pers. Med., vol. 12, no. 9, p. 1374, 2022.
Résumé | BibTeX | Étiquettes: anti-vascular endothelial growth factor; corticosteroid; drug safety; intravitreal injection; obstetric complication; pharmacoepidemiology; pregnancy
@article{Ben_Ghezala2022-ir,
title = {Association between obstetric complications and intravitreal
anti-vascular endothelial growth factor agents or intravitreal
corticosteroids},
author = {Inès Ben Ghezala and Anne-Sophie Mariet and Eric Benzenine and Marc Bardou and Alain Marie Bron and Pierre-Henry Gabrielle and Florian Baudin and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-08-01},
journal = {J. Pers. Med.},
volume = {12},
number = {9},
pages = {1374},
publisher = {MDPI AG},
abstract = {This nationwide population-based cohort study aimed to describe
the use of intravitreal injections (IVTs) of anti-vascular
endothelial growth factor (anti-VEGF) agents and corticosteroids
in pregnant women in France and to report on the incidence of
obstetric and neonatal complications. All pregnant women in
France who received any anti-VEGF or corticosteroid IVT during
pregnancy or in the month preceding pregnancy from 1 January
2009 to 31 December 2018 were identified in the national
medico-administrative databases. Between 2009 and 2018, there
were 5,672,921 IVTs performed in France. Among these IVTs, 228
anti-VEGF or corticosteroid IVTs were administered to 139 women
during their pregnancy or in the month preceding their
pregnancy. Spontaneous abortion or the medical termination of
pregnancy occurred in 10 women (16.1%) who received anti-VEGF
agents and in one (3.1%) of the women who received corticosteroids (p = 0.09). This is the first national cohort
study of pregnant women treated with anti-VEGF or corticosteroid
IVTs. We found a high incidence of obstetric complications in
pregnant women treated with anti-VEGF or corticosteroid IVTs but
could not demonstrate a statistically significant association
between the intravitreal agents and these complications. These
agents should continue to be used with great caution in pregnant
women.},
keywords = {anti-vascular endothelial growth factor; corticosteroid; drug safety; intravitreal injection; obstetric complication; pharmacoepidemiology; pregnancy},
pubstate = {published},
tppubtype = {article}
}
the use of intravitreal injections (IVTs) of anti-vascular
endothelial growth factor (anti-VEGF) agents and corticosteroids
in pregnant women in France and to report on the incidence of
obstetric and neonatal complications. All pregnant women in
France who received any anti-VEGF or corticosteroid IVT during
pregnancy or in the month preceding pregnancy from 1 January
2009 to 31 December 2018 were identified in the national
medico-administrative databases. Between 2009 and 2018, there
were 5,672,921 IVTs performed in France. Among these IVTs, 228
anti-VEGF or corticosteroid IVTs were administered to 139 women
during their pregnancy or in the month preceding their
pregnancy. Spontaneous abortion or the medical termination of
pregnancy occurred in 10 women (16.1%) who received anti-VEGF
agents and in one (3.1%) of the women who received corticosteroids (p = 0.09). This is the first national cohort
study of pregnant women treated with anti-VEGF or corticosteroid
IVTs. We found a high incidence of obstetric complications in
pregnant women treated with anti-VEGF or corticosteroid IVTs but
could not demonstrate a statistically significant association
between the intravitreal agents and these complications. These
agents should continue to be used with great caution in pregnant
women.
Ghezala, Inès Ben; Mariet, Anne Sophie; Benzenine, Eric; Gabrielle, Pierre-Henry; Baudin, Florian; Bron, Alain M; Quantin, Catherine; Creuzot-Garcher, Catherine P
Incidence of rhegmatogenous retinal detachment in France from 2010 to 2016: seasonal and geographical variations Article de journal
Dans: Br. J. Ophthalmol., vol. 106, no. 8, p. 1093–1097, 2022.
Résumé | BibTeX | Étiquettes: epidemiology; retina; treatment surgery
@article{Ben_Ghezala2022-xr,
title = {Incidence of rhegmatogenous retinal detachment in France from
2010 to 2016: seasonal and geographical variations},
author = {Inès Ben Ghezala and Anne Sophie Mariet and Eric Benzenine and Pierre-Henry Gabrielle and Florian Baudin and Alain M Bron and Catherine Quantin and Catherine P Creuzot-Garcher},
year = {2022},
date = {2022-08-01},
journal = {Br. J. Ophthalmol.},
volume = {106},
number = {8},
pages = {1093–1097},
abstract = {AIMS: To investigate the annual and monthly hospital incidence
rate of rhegmatogenous retinal detachments (RRDs) from 2010 to
2016 in France at the national and regional levels. METHODS: In
this nationwide database study, we identified hospital and clinic
admissions of French residents for a first episode of RRD in
France during 2010-2016 from the national administrative
database. The annual and monthly hospital incidence rates of RRD
per 100 000 population were calculated for the whole country and
for each region. RESULTS: The average annual national hospital
incidence rate of RRD was 21.97$±$1.04 per 100 000 population.
The annual national hospital incidence rate of RRD was the lowest
in 2010 (20.91 per 100 000 population) after which it increased
until 2015 (23.55 per 100 000 population). The average monthly
national RRD hospital incidence rate was the highest in June
(2.03$±$0.12 per 100 000 population) and the lowest in August
(1.60$±$0.09). The average annual age-standardised and
sex-standardised regional hospital incidence rate was the highest
in Guadeloupe and Pays de la Loire (28.30$±$2.74 and
26.13$±$0.84 per 100 000 population, respectively) and the
lowest in French Guiana and Martinique (15.51$±$3.50 and
17.29$±$2.12 per 100 000 population, respectively).
CONCLUSIONS: The average annual national hospital incidence rate
of RRD increased from 2010 to 2015. The hospital incidence rate
of RRD seemed to vary according to season and geographical
location.},
keywords = {epidemiology; retina; treatment surgery},
pubstate = {published},
tppubtype = {article}
}
rate of rhegmatogenous retinal detachments (RRDs) from 2010 to
2016 in France at the national and regional levels. METHODS: In
this nationwide database study, we identified hospital and clinic
admissions of French residents for a first episode of RRD in
France during 2010-2016 from the national administrative
database. The annual and monthly hospital incidence rates of RRD
per 100 000 population were calculated for the whole country and
for each region. RESULTS: The average annual national hospital
incidence rate of RRD was 21.97$±$1.04 per 100 000 population.
The annual national hospital incidence rate of RRD was the lowest
in 2010 (20.91 per 100 000 population) after which it increased
until 2015 (23.55 per 100 000 population). The average monthly
national RRD hospital incidence rate was the highest in June
(2.03$±$0.12 per 100 000 population) and the lowest in August
(1.60$±$0.09). The average annual age-standardised and
sex-standardised regional hospital incidence rate was the highest
in Guadeloupe and Pays de la Loire (28.30$±$2.74 and
26.13$±$0.84 per 100 000 population, respectively) and the
lowest in French Guiana and Martinique (15.51$±$3.50 and
17.29$±$2.12 per 100 000 population, respectively).
CONCLUSIONS: The average annual national hospital incidence rate
of RRD increased from 2010 to 2015. The hospital incidence rate
of RRD seemed to vary according to season and geographical
location.
Merad, Malik; Vérité, Fabien; Baudin, Florian; Ghezala, Inès Ben; Meillon, Cyril; Bron, Alain Marie; Arnould, Louis; Eid, Pétra; Creuzot-Garcher, Catherine; Gabrielle, Pierre-Henry
Cystoid macular edema after rhegmatogenous retinal detachment repair with pars Plana vitrectomy: Rate, risk factors, and outcomes Article de journal
Dans: J. Clin. Med., vol. 11, no. 16, p. 4914, 2022.
Résumé | BibTeX | Étiquettes: cystoid macular edema; pars plana vitrectomy; rhegmatogenous retinal detachment; spectral-domain optical coherence tomography; vitreoretinal surgery
@article{Merad2022-my,
title = {Cystoid macular edema after rhegmatogenous retinal detachment
repair with pars Plana vitrectomy: Rate, risk factors, and
outcomes},
author = {Malik Merad and Fabien Vérité and Florian Baudin and Inès Ben Ghezala and Cyril Meillon and Alain Marie Bron and Louis Arnould and Pétra Eid and Catherine Creuzot-Garcher and Pierre-Henry Gabrielle},
year = {2022},
date = {2022-08-01},
journal = {J. Clin. Med.},
volume = {11},
number = {16},
pages = {4914},
publisher = {MDPI AG},
abstract = {(1) Background: The aim was to describe the rate and outcomes of
cystoid macular edema (CME) after pars plana vitrectomy (PPV)
for primary rhegmatogenous retinal detachment (RRD) and to
identify risk factors and imaging characteristics. (2) Methods:
A retrospective consecutive case study was conducted over a
5-year period among adult patients who underwent PPV for primary
RRD repair. The main outcome measure was the rate of CME at 12
months following PPV. (3) Results: Overall, 493 eyes were
included. The CME rate was 28% (93 patients) at 12 months. In
multivariate analysis, eyes with worse presenting visual acuity (VA) (odds ratio [OR], 1.55; 95% CI, 1.07-2.25; p = 0.02) and
grade C proliferative vitreoretinopathy (PVR) (OR, 2.88; 95% CI, 1.04-8.16; p = 0.04) were more at risk of developing CME 1
year after PPV. Endolaser retinopexy was associated with a
greater risk of CME than cryotherapy retinopexy (OR, 3.06; 95% CI, 1.33-7.84; p = 0.01). Eyes undergoing cataract surgery
within 6 months of the initial RRD repair were more likely to develop CME at 12 months (OR, 1.96; 95% CI, 1.06-3.63; p =
0.03). (4) Conclusions: CME is a common complication after PPV
for primary RRD repair. Eyes with worse presenting VA, severe
PVR at initial presentation, endolaser retinopexy, and cataract
surgery within 6 months of initial RRD repair were risk factors
for postoperative CME at 12 months.},
keywords = {cystoid macular edema; pars plana vitrectomy; rhegmatogenous retinal detachment; spectral-domain optical coherence tomography; vitreoretinal surgery},
pubstate = {published},
tppubtype = {article}
}
cystoid macular edema (CME) after pars plana vitrectomy (PPV)
for primary rhegmatogenous retinal detachment (RRD) and to
identify risk factors and imaging characteristics. (2) Methods:
A retrospective consecutive case study was conducted over a
5-year period among adult patients who underwent PPV for primary
RRD repair. The main outcome measure was the rate of CME at 12
months following PPV. (3) Results: Overall, 493 eyes were
included. The CME rate was 28% (93 patients) at 12 months. In
multivariate analysis, eyes with worse presenting visual acuity (VA) (odds ratio [OR], 1.55; 95% CI, 1.07-2.25; p = 0.02) and
grade C proliferative vitreoretinopathy (PVR) (OR, 2.88; 95% CI, 1.04-8.16; p = 0.04) were more at risk of developing CME 1
year after PPV. Endolaser retinopexy was associated with a
greater risk of CME than cryotherapy retinopexy (OR, 3.06; 95% CI, 1.33-7.84; p = 0.01). Eyes undergoing cataract surgery
within 6 months of the initial RRD repair were more likely to develop CME at 12 months (OR, 1.96; 95% CI, 1.06-3.63; p =
0.03). (4) Conclusions: CME is a common complication after PPV
for primary RRD repair. Eyes with worse presenting VA, severe
PVR at initial presentation, endolaser retinopexy, and cataract
surgery within 6 months of initial RRD repair were risk factors
for postoperative CME at 12 months.
Arnould, Louis; Haddad, Déa; Baudin, Florian; Gabrielle, Pierre-Henry; Sarossy, Marc; Bron, Alain M; Aliahmad, Behzad; Creuzot-Garcher, Catherine
Repeatability and reproducibility of retinal fractal dimension measured with swept-source optical coherence tomography angiography in healthy eyes: A proof-of-concept study Article de journal
Dans: Diagnostics (Basel), vol. 12, no. 7, p. 1769, 2022.
Résumé | BibTeX | Étiquettes: deep retinal capillary plexus; fractal dimension; healthy volunteers; retina; superficial retinal capillary plexus; swept-source OCT angiography; vascular imaging
@article{Arnould2022-jn,
title = {Repeatability and reproducibility of retinal fractal dimension
measured with swept-source optical coherence tomography
angiography in healthy eyes: A proof-of-concept study},
author = {Louis Arnould and Déa Haddad and Florian Baudin and Pierre-Henry Gabrielle and Marc Sarossy and Alain M Bron and Behzad Aliahmad and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-07-01},
journal = {Diagnostics (Basel)},
volume = {12},
number = {7},
pages = {1769},
publisher = {MDPI AG},
abstract = {The retinal vascular network fractal dimension (FD) could be a
promising imaging biomarker. Our objective was to evaluate its
repeatability and reproducibility in healthy eyes. A
cross-sectional study was undertaken with young, healthy
volunteers who had no reported cardiac risk factors or ocular
disease history. For each participant, three SS-OCTA images (12
$times$ 12 mm) were acquired using the Plex Elite 9000 (Carl
Zeiss Meditec AG, Jena, Germany) by two ophthalmologists.
Automated segmentation was obtained from both the superficial
and deep capillary plexuses. FD was estimated by box counting.
The intraclass correlation coefficients (ICC) were used as
measures for repeatability and reproducibility. A total of 43
eyes of healthy volunteers were included. The mean $±$
standard deviation (SD) age was 30 $±$ 6.2 years. The results
show good repeatability. The ICC was 0.722 (95% CI,
0.541-0.839) in the superficial capillary plexus and 0.828 (95%
CI, 0.705-0.903) in the deep capillary plexus. For
reproducibility, the ICC was 0.651 (95% CI, 0.439-0.795) and
0.363 (95% CI, 0.073-0.596) at the superficial and deep
capillary plexus, respectively. In this study, the FD of the
vascular network measured via SS-OCTA showed good repeatability
and reproducibility in healthy participants.},
keywords = {deep retinal capillary plexus; fractal dimension; healthy volunteers; retina; superficial retinal capillary plexus; swept-source OCT angiography; vascular imaging},
pubstate = {published},
tppubtype = {article}
}
promising imaging biomarker. Our objective was to evaluate its
repeatability and reproducibility in healthy eyes. A
cross-sectional study was undertaken with young, healthy
volunteers who had no reported cardiac risk factors or ocular
disease history. For each participant, three SS-OCTA images (12
$times$ 12 mm) were acquired using the Plex Elite 9000 (Carl
Zeiss Meditec AG, Jena, Germany) by two ophthalmologists.
Automated segmentation was obtained from both the superficial
and deep capillary plexuses. FD was estimated by box counting.
The intraclass correlation coefficients (ICC) were used as
measures for repeatability and reproducibility. A total of 43
eyes of healthy volunteers were included. The mean $±$
standard deviation (SD) age was 30 $±$ 6.2 years. The results
show good repeatability. The ICC was 0.722 (95% CI,
0.541-0.839) in the superficial capillary plexus and 0.828 (95%
CI, 0.705-0.903) in the deep capillary plexus. For
reproducibility, the ICC was 0.651 (95% CI, 0.439-0.795) and
0.363 (95% CI, 0.073-0.596) at the superficial and deep
capillary plexus, respectively. In this study, the FD of the
vascular network measured via SS-OCTA showed good repeatability
and reproducibility in healthy participants.
Ducray, V; Baudin, F; Bosredon, Q; Theillac, V; Creuzot-Garcher, C; Arnould, L
Syndrome de fluide dans l'interface secondaire à un traumatisme contusif chez un patient aux antécédents de chirurgie réfractive par femtoLASIK Article de journal
Dans: J. Fr. Ophtalmol., vol. 45, no. 6, p. e265–e267, 2022.
BibTeX | Étiquettes:
@article{Ducray2022-mg,
title = {Syndrome de fluide dans l'interface secondaire à un
traumatisme contusif chez un patient aux antécédents de
chirurgie réfractive par femtoLASIK},
author = {V Ducray and F Baudin and Q Bosredon and V Theillac and C Creuzot-Garcher and L Arnould},
year = {2022},
date = {2022-06-01},
journal = {J. Fr. Ophtalmol.},
volume = {45},
number = {6},
pages = {e265–e267},
publisher = {Elsevier BV},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Chauvet, Thomas; Labattut, Ludovic; Colombi, Romain; Baudin, Florian; Baulot, Emmanuel; Martz, Pierre
Arthroscopic Trillat technique for chronic post-traumatic anterior shoulder instability: outcomes at 2 years of follow-up Article de journal
Dans: J. Shoulder Elbow Surg., vol. 31, no. 6, p. e270–e278, 2022.
Résumé | BibTeX | Étiquettes: Shoulder; Trillat; arthroscopy; bone block; conjoined tendon; instability
@article{Chauvet2022-ob,
title = {Arthroscopic Trillat technique for chronic post-traumatic
anterior shoulder instability: outcomes at 2 years of follow-up},
author = {Thomas Chauvet and Ludovic Labattut and Romain Colombi and Florian Baudin and Emmanuel Baulot and Pierre Martz},
year = {2022},
date = {2022-06-01},
journal = {J. Shoulder Elbow Surg.},
volume = {31},
number = {6},
pages = {e270–e278},
publisher = {Elsevier BV},
abstract = {BACKGROUND: The purpose of this study was to assess the outcomes
of a new arthroscopic Trillat technique at a 2-year follow-up.
Our current hypothesis was that this technique could be used for
the effective treatment of chronic post-traumatic unidirectional
anterior shoulder instability, and that the recurrence and
complication rates, external rotation, and functional outcomes
would be as good as those of the reference technique. METHODS:
Between April 2012 and August 2016, all patients older than 16
years who underwent the arthroscopic Trillat technique for
unidirectional chronic post-traumatic anterior shoulder
instability at the Dijon University Hospital (France), after the
failure of well-conducted medical and rehabilitation treatment
with at least 24 months of follow-up, were included. Criteria
for noninclusion were association with posterior and/or inferior
instabilities, voluntary instabilities, and glenoid bone loss
greater than 20%. Patients attended follow-up with their
surgeon before the intervention, in the immediate postoperative
period, at 6 weeks, 3 and 6 months, and then by an independent
observer for the last evaluation. Patients were then examined
clinically with scores such as Constant, Rowe and Walch-Duplay
scores, and subjective shoulder value, for shoulder range of
motion, and radiographically (anteroposterior and Lamy's lateral
x-rays of the operated shoulder). RESULTS: Forty-nine patients
and 52 shoulders were included, with a mean follow-up of 40
months (range, 24-71 months). The recurrence rate of instability
was 3.8% (2 of 52). No conversion to arthrotomy was necessary.
No intraoperative complications, postoperative neurological
lesions, or sepsis were observed. The mean Constant score was
92.1 (77.5-100) points, Walch-Duplay 82.9 (40-100), Rowe 81.73
(5-100), and subjective shoulder value 86.1 (50-100) at the last
follow-up. The arm at side external rotation limitation averaged
8.4° (-25° to 40°) and the external rotation with 90° arm
abduction limitation 0.34° (-5° to 15°). Forty-one patients
(79%) resumed their sports activity at the same level. Fifty
patients (96%) were satisfied to very satisfied. One patient
developed nonunion of the coracoid process and subsequently
underwent a Latarjet procedure with a good outcome. CONCLUSIONS:
The arthroscopic Trillat procedure offers good outcomes as a
first-line treatment for chronic anterior post-traumatic
glenohumeral instability. It should be excluded in cases of
glenoid loss greater than 20%.},
keywords = {Shoulder; Trillat; arthroscopy; bone block; conjoined tendon; instability},
pubstate = {published},
tppubtype = {article}
}
of a new arthroscopic Trillat technique at a 2-year follow-up.
Our current hypothesis was that this technique could be used for
the effective treatment of chronic post-traumatic unidirectional
anterior shoulder instability, and that the recurrence and
complication rates, external rotation, and functional outcomes
would be as good as those of the reference technique. METHODS:
Between April 2012 and August 2016, all patients older than 16
years who underwent the arthroscopic Trillat technique for
unidirectional chronic post-traumatic anterior shoulder
instability at the Dijon University Hospital (France), after the
failure of well-conducted medical and rehabilitation treatment
with at least 24 months of follow-up, were included. Criteria
for noninclusion were association with posterior and/or inferior
instabilities, voluntary instabilities, and glenoid bone loss
greater than 20%. Patients attended follow-up with their
surgeon before the intervention, in the immediate postoperative
period, at 6 weeks, 3 and 6 months, and then by an independent
observer for the last evaluation. Patients were then examined
clinically with scores such as Constant, Rowe and Walch-Duplay
scores, and subjective shoulder value, for shoulder range of
motion, and radiographically (anteroposterior and Lamy's lateral
x-rays of the operated shoulder). RESULTS: Forty-nine patients
and 52 shoulders were included, with a mean follow-up of 40
months (range, 24-71 months). The recurrence rate of instability
was 3.8% (2 of 52). No conversion to arthrotomy was necessary.
No intraoperative complications, postoperative neurological
lesions, or sepsis were observed. The mean Constant score was
92.1 (77.5-100) points, Walch-Duplay 82.9 (40-100), Rowe 81.73
(5-100), and subjective shoulder value 86.1 (50-100) at the last
follow-up. The arm at side external rotation limitation averaged
8.4° (-25° to 40°) and the external rotation with 90° arm
abduction limitation 0.34° (-5° to 15°). Forty-one patients
(79%) resumed their sports activity at the same level. Fifty
patients (96%) were satisfied to very satisfied. One patient
developed nonunion of the coracoid process and subsequently
underwent a Latarjet procedure with a good outcome. CONCLUSIONS:
The arthroscopic Trillat procedure offers good outcomes as a
first-line treatment for chronic anterior post-traumatic
glenohumeral instability. It should be excluded in cases of
glenoid loss greater than 20%.
Baudin, Florian; Benzenine, Eric; Mariet, Anne-Sophie; Ghezala, Inès Ben; Bron, Alain M; Daien, Vincent; Korobelnik, Jean François; Quantin, Catherine; Creuzot-Garcher, Catherine
Epidemiology of acute endophthalmitis after intraocular procedures: A national database study Article de journal
Dans: Ophthalmol. Retina, vol. 6, no. 6, p. 442–449, 2022.
Résumé | BibTeX | Étiquettes: Endophthalmitis; Epidemiology; National database
@article{Baudin2022-es,
title = {Epidemiology of acute endophthalmitis after intraocular
procedures: A national database study},
author = {Florian Baudin and Eric Benzenine and Anne-Sophie Mariet and Inès Ben Ghezala and Alain M Bron and Vincent Daien and Jean François Korobelnik and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-06-01},
journal = {Ophthalmol. Retina},
volume = {6},
number = {6},
pages = {442–449},
publisher = {Elsevier BV},
abstract = {OBJECTIVE: To describe the causes of postoperative acute
endophthalmitis at the national level longitudinally. DESIGN:
Cohort study from 2009 to 2018 in France. PARTICIPANTS: Patients
diagnosed with acute endophthalmitis after intraocular
procedures. METHODS: The French medical-administrative database
was used. Endophthalmitis cases and intraocular procedures were
identified based on billing codes in all French hospitals and
private practices. MAIN OUTCOME MEASURES: The incidence of acute
endophthalmitis within 42 days of the procedure. RESULTS: From
January 1, 2009, to October 31, 2018, 7522 cases of acute
endophthalmitis occurred after 14 438 854 intraocular
procedures. Most cases occurred after standalone cataract
surgery (4808 cases for 7 316 077 procedures; 63.92%), followed
by after intravitreal (IVT) injections (1296 cases for 5 455 631
IVT injections; 17.23%), vitreoretinal surgery (698 for 442 263
procedures; 9.28%), anterior segment surgery (245 cases;
3.26%), combined cataract and vitreoretinal surgery (191 cases;
2.54%), cornea surgery (142 cases; 1.89%), and glaucoma
surgery (80 cases; 1.06%). The overall incidence of acute
endophthalmitis was 1 per 1920 procedures (0.0521%; 95%
confidence interval [CI], 0.0520-0.0522). The surgery with the
highest incidence of endophthalmitis was scleral and globe
surgery, with an incidence of 0.1827% (95% CI, 0.1757-0.1898),
followed by vitreoretinal surgery combined with cataract
surgery, with an incidence of 0.1685% (95% CI, 0.1663-0.1706).
The incidence of endophthalmitis after IVT injections was stable
over the study period, and patients receiving IVT injections
were the oldest, aged 75.4 years (standard deviation, 12.0
years; P < 0.001). The onset of endophthalmitis after IVT
procedures, i.e, after receiving IVT injections or undergoing
vitreoretinal surgery, was earlier than that after the other
procedures (P < 0.001). CONCLUSIONS: The profile of patients
referred for acute endophthalmitis has been evolving over the
past decade, with a decrease in the raw number of
endophthalmitis cases after cataract surgery as opposed to an
increase in the number of patients presenting with
endophthalmitis after IVT injections.},
keywords = {Endophthalmitis; Epidemiology; National database},
pubstate = {published},
tppubtype = {article}
}
endophthalmitis at the national level longitudinally. DESIGN:
Cohort study from 2009 to 2018 in France. PARTICIPANTS: Patients
diagnosed with acute endophthalmitis after intraocular
procedures. METHODS: The French medical-administrative database
was used. Endophthalmitis cases and intraocular procedures were
identified based on billing codes in all French hospitals and
private practices. MAIN OUTCOME MEASURES: The incidence of acute
endophthalmitis within 42 days of the procedure. RESULTS: From
January 1, 2009, to October 31, 2018, 7522 cases of acute
endophthalmitis occurred after 14 438 854 intraocular
procedures. Most cases occurred after standalone cataract
surgery (4808 cases for 7 316 077 procedures; 63.92%), followed
by after intravitreal (IVT) injections (1296 cases for 5 455 631
IVT injections; 17.23%), vitreoretinal surgery (698 for 442 263
procedures; 9.28%), anterior segment surgery (245 cases;
3.26%), combined cataract and vitreoretinal surgery (191 cases;
2.54%), cornea surgery (142 cases; 1.89%), and glaucoma
surgery (80 cases; 1.06%). The overall incidence of acute
endophthalmitis was 1 per 1920 procedures (0.0521%; 95%
confidence interval [CI], 0.0520-0.0522). The surgery with the
highest incidence of endophthalmitis was scleral and globe
surgery, with an incidence of 0.1827% (95% CI, 0.1757-0.1898),
followed by vitreoretinal surgery combined with cataract
surgery, with an incidence of 0.1685% (95% CI, 0.1663-0.1706).
The incidence of endophthalmitis after IVT injections was stable
over the study period, and patients receiving IVT injections
were the oldest, aged 75.4 years (standard deviation, 12.0
years; P < 0.001). The onset of endophthalmitis after IVT
procedures, i.e, after receiving IVT injections or undergoing
vitreoretinal surgery, was earlier than that after the other
procedures (P < 0.001). CONCLUSIONS: The profile of patients
referred for acute endophthalmitis has been evolving over the
past decade, with a decrease in the raw number of
endophthalmitis cases after cataract surgery as opposed to an
increase in the number of patients presenting with
endophthalmitis after IVT injections.
Seydou, Alassane; Arnould, Louis; Gabrielle, Pierre-Henry; Baudin, Florian; Ghezala, Ines Ben; Bron, Alain M; Acar, Niyazi; Creuzot-Garcher, Catherine
Plasma fatty acids pattern and dry eye disease in the elderly: The Montrachet population-based study Article de journal
Dans: Nutrients, vol. 14, no. 11, p. 2290, 2022.
Résumé | BibTeX | Étiquettes: dry eye disease; elderly; epidemiology; fatty acids pattern; lipids; ocular surface; population-based study
@article{Seydou2022-es,
title = {Plasma fatty acids pattern and dry eye disease in the elderly:
The Montrachet population-based study},
author = {Alassane Seydou and Louis Arnould and Pierre-Henry Gabrielle and Florian Baudin and Ines Ben Ghezala and Alain M Bron and Niyazi Acar and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-05-01},
journal = {Nutrients},
volume = {14},
number = {11},
pages = {2290},
publisher = {MDPI AG},
abstract = {(1) Background: To investigate the association between plasma
fatty acids (FAs) and dry eye disease (DED) in an elderly
population; (2) Methods: We conducted a population-based study,
the Montrachet study, in individuals older than 75 years. DED
was evaluated using the Schirmer I test without anesthesia, tear
film breakup time (TFBUT) measurement and fluorescein corneal
staining. Plasma FAs were measured in fasting blood using gas
chromatography; (3) Results: A total of 740 subjects with a
plasma measurement of 25 FAs were included in this study. The
mean age was 82.2 $±$ 3.7 years, and 62.7% were women. DED
was present in 35.0% of participants. We identified a plasma
FAs pattern positively associated with DED, characterized by low
polyunsaturated fatty acids (PUFAs), high monounsaturated fatty
acids (MUFAs) and low saturated fatty acids (SFAs) levels. After
adjustment for major confounders, individuals in the upper
quartile of the FAs pattern scores compared with those in the
lower quartile were more likely to present DED (OR 2.46 (95% CI 1.51-4.01},
keywords = {dry eye disease; elderly; epidemiology; fatty acids pattern; lipids; ocular surface; population-based study},
pubstate = {published},
tppubtype = {article}
}
fatty acids (FAs) and dry eye disease (DED) in an elderly
population; (2) Methods: We conducted a population-based study,
the Montrachet study, in individuals older than 75 years. DED
was evaluated using the Schirmer I test without anesthesia, tear
film breakup time (TFBUT) measurement and fluorescein corneal
staining. Plasma FAs were measured in fasting blood using gas
chromatography; (3) Results: A total of 740 subjects with a
plasma measurement of 25 FAs were included in this study. The
mean age was 82.2 $±$ 3.7 years, and 62.7% were women. DED
was present in 35.0% of participants. We identified a plasma
FAs pattern positively associated with DED, characterized by low
polyunsaturated fatty acids (PUFAs), high monounsaturated fatty
acids (MUFAs) and low saturated fatty acids (SFAs) levels. After
adjustment for major confounders, individuals in the upper
quartile of the FAs pattern scores compared with those in the
lower quartile were more likely to present DED (OR 2.46 (95% CI 1.51-4.01
Gabrielle, Pierre-Henry; Baudin, Florian; Ghezala, Ines Ben; Meillon, Cyril; Bron, Alain Marie; Arnould, Louis; Creuzot-Garcher, Catherine
Bilateral acute macular neuroretinopathy in a young woman after the first dose of Oxford-AstraZeneca COVID-19 vaccine Article de journal
Dans: Am. J. Ophthalmol. Case Rep., vol. 25, no. 101281, p. 101281, 2022.
Résumé | BibTeX | Étiquettes: AMN; Acute macular neuroretinopathy; COVID-19; Side effect; Vaccination
@article{Gabrielle2022-go,
title = {Bilateral acute macular neuroretinopathy in a young woman after
the first dose of Oxford-AstraZeneca COVID-19 vaccine},
author = {Pierre-Henry Gabrielle and Florian Baudin and Ines Ben Ghezala and Cyril Meillon and Alain Marie Bron and Louis Arnould and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-03-01},
journal = {Am. J. Ophthalmol. Case Rep.},
volume = {25},
number = {101281},
pages = {101281},
publisher = {Elsevier BV},
abstract = {PURPOSE: To report a case of bilateral acute macular
neuroretinopathy following the first dose of Oxford-AstraZeneca
COVID-19 (coronavirus disease 2019) vaccine in a young,
Caucasian, and healthy woman. OBSERVATIONS: A 25-year-old
Caucasian female patient presented to the ophthalmology
department of Dijon University Hospital with a 3-week history of
black spots and paracentral scotoma in both eyes. She had no
past medical history and was using the combined
estrogen-progestin oral contraceptive (COC). These symptoms
occurred 24 h after receiving the first Oxford-AstraZeneca
COVID-19 vaccination dose. The ophthalmologic signs were
preceded a few hours earlier by fever and flu-like symptoms.
Ophthalmologic examination revealed a preserved visual acuity
with a quiet anterior segment and normal fundus in both eyes.
Findings on multimodal retinal imaging, particularly
near-infrared reflectance (NIR) and optical coherence tomography
(OCT) imaging, were classical of an acute macular
neuroretinopathy in both eyes. CONCLUSIONS AND IMPORTANCE:
COVID-19 vaccination is justified as an essential public health
measure. Acute macular neuroretinopathy may occur in patient
receiving a COVID-19 vaccination dose. Further reports are
needed to confirm this association. Physicians should be aware
of this complication and request an eye examination with at
least OCT or NIR imaging in the case of any visual symptoms
after vaccination, notably in young women using COC.},
keywords = {AMN; Acute macular neuroretinopathy; COVID-19; Side effect; Vaccination},
pubstate = {published},
tppubtype = {article}
}
neuroretinopathy following the first dose of Oxford-AstraZeneca
COVID-19 (coronavirus disease 2019) vaccine in a young,
Caucasian, and healthy woman. OBSERVATIONS: A 25-year-old
Caucasian female patient presented to the ophthalmology
department of Dijon University Hospital with a 3-week history of
black spots and paracentral scotoma in both eyes. She had no
past medical history and was using the combined
estrogen-progestin oral contraceptive (COC). These symptoms
occurred 24 h after receiving the first Oxford-AstraZeneca
COVID-19 vaccination dose. The ophthalmologic signs were
preceded a few hours earlier by fever and flu-like symptoms.
Ophthalmologic examination revealed a preserved visual acuity
with a quiet anterior segment and normal fundus in both eyes.
Findings on multimodal retinal imaging, particularly
near-infrared reflectance (NIR) and optical coherence tomography
(OCT) imaging, were classical of an acute macular
neuroretinopathy in both eyes. CONCLUSIONS AND IMPORTANCE:
COVID-19 vaccination is justified as an essential public health
measure. Acute macular neuroretinopathy may occur in patient
receiving a COVID-19 vaccination dose. Further reports are
needed to confirm this association. Physicians should be aware
of this complication and request an eye examination with at
least OCT or NIR imaging in the case of any visual symptoms
after vaccination, notably in young women using COC.
Creuzot-Garcher, Catherine P; Srour, Mayer; Baudin, Florian; Daien, Vincent; Dot, Corinne; Nghiem-Buffet, Sylvia; Girmens, Jean-Francois; Coulombel, Nicolas; Ponthieux, Anne; Delcourt, Cecile
Incidence and prevalence of neovascular age-related macular degeneration in France between 2008 and 2018: The LANDSCAPE study Article de journal
Dans: Ophthalmol. Sci., vol. 2, no. 1, p. 100114, 2022.
Résumé | BibTeX | Étiquettes: age-related macular degeneration; Age-related macular degeneration; France; ICD-10, AMD, International Classification of Diseases, neovascular age-related macular degeneration, Syst{è}me National des Donn{é}es de Sant{é} (National Health Information Database); VEGF, Tenth Revision; Incidence; Neovascular; Prevalence; SNDS, vascular endothelial growth factor; nAMD
@article{Creuzot-Garcher2022-mg,
title = {Incidence and prevalence of neovascular age-related macular
degeneration in France between 2008 and 2018: The LANDSCAPE
study},
author = {Catherine P Creuzot-Garcher and Mayer Srour and Florian Baudin and Vincent Daien and Corinne Dot and Sylvia Nghiem-Buffet and Jean-Francois Girmens and Nicolas Coulombel and Anne Ponthieux and Cecile Delcourt},
year = {2022},
date = {2022-03-01},
journal = {Ophthalmol. Sci.},
volume = {2},
number = {1},
pages = {100114},
publisher = {Elsevier BV},
abstract = {Purpose: This study aimed to estimate the incidence and
prevalence of neovascular age-related macular degeneration
(nAMD) in the French population between 2008 and 2018. Design:
This was a retrospective, longitudinal population study using
health care consumption data from the Système National des
Données de Santé (SNDS; the French National Health
Information Database), which covers approximately 99% of the
French population. Participants: We identified individuals
treated for nAMD from the French population 50 years of age and
older. Identification criteria were nAMD diagnosis or
reimbursement of nAMD treatments (anti-vascular endothelial
growth factor intravitreal injection or dynamic phototherapy
with verteporfin). Exclusion criteria were high myopia,
diagnosis of other retinal diseases, and other treatments for
macular diseases (dexamethasone implant, laser therapy, etc.).
Methods: We calculated incidence and prevalence based on the
age-matched general population in France. Adjustment for age and
sex was also performed for incidence. Main Outcome Measures:
Incidence and prevalence of nAMD in the French population
between 2008 and 2018. Results: Between 2008 and 2018, we
identified 342 961 patients with nAMD (67.5% women). Mean $±$
standard deviation age at nAMD diagnosis or first treatment
increased from 78.8 $±$ 8.1 years in 2008 to 81.2 $±$ 7.9
years in 2018. In 2018, annual incidence was 0.149% and
prevalence was 1.062% for the French population 50 years of age
or older. Incidence was stable over the 10-year period. Annual
incidence increased with age (0.223%, 0.380%, and 0.603% in
those 60 years of age or older, 70 years of age or older, and 80
years of age or older, respectively), with similar trends for
prevalence. No major differences were observed among the 14
regions of France for incidence or prevalence. Neovascular
age-related macular degeneration incidence in 2018 was not
impacted by the availability of primary or ophthalmology care in
patients' localities. Conclusions: The LANDSCAPE study provides
exhaustive nationwide data on incidence and prevalence of nAMD
in France over a 10-year period.},
keywords = {age-related macular degeneration; Age-related macular degeneration; France; ICD-10, AMD, International Classification of Diseases, neovascular age-related macular degeneration, Syst{è}me National des Donn{é}es de Sant{é} (National Health Information Database); VEGF, Tenth Revision; Incidence; Neovascular; Prevalence; SNDS, vascular endothelial growth factor; nAMD},
pubstate = {published},
tppubtype = {article}
}
prevalence of neovascular age-related macular degeneration
(nAMD) in the French population between 2008 and 2018. Design:
This was a retrospective, longitudinal population study using
health care consumption data from the Système National des
Données de Santé (SNDS; the French National Health
Information Database), which covers approximately 99% of the
French population. Participants: We identified individuals
treated for nAMD from the French population 50 years of age and
older. Identification criteria were nAMD diagnosis or
reimbursement of nAMD treatments (anti-vascular endothelial
growth factor intravitreal injection or dynamic phototherapy
with verteporfin). Exclusion criteria were high myopia,
diagnosis of other retinal diseases, and other treatments for
macular diseases (dexamethasone implant, laser therapy, etc.).
Methods: We calculated incidence and prevalence based on the
age-matched general population in France. Adjustment for age and
sex was also performed for incidence. Main Outcome Measures:
Incidence and prevalence of nAMD in the French population
between 2008 and 2018. Results: Between 2008 and 2018, we
identified 342 961 patients with nAMD (67.5% women). Mean $±$
standard deviation age at nAMD diagnosis or first treatment
increased from 78.8 $±$ 8.1 years in 2008 to 81.2 $±$ 7.9
years in 2018. In 2018, annual incidence was 0.149% and
prevalence was 1.062% for the French population 50 years of age
or older. Incidence was stable over the 10-year period. Annual
incidence increased with age (0.223%, 0.380%, and 0.603% in
those 60 years of age or older, 70 years of age or older, and 80
years of age or older, respectively), with similar trends for
prevalence. No major differences were observed among the 14
regions of France for incidence or prevalence. Neovascular
age-related macular degeneration incidence in 2018 was not
impacted by the availability of primary or ophthalmology care in
patients' localities. Conclusions: The LANDSCAPE study provides
exhaustive nationwide data on incidence and prevalence of nAMD
in France over a 10-year period.
Bechet, Lorane; Cabre, Philippe; Merle, Harold
Bruch membrane opening minimum rim width in neuromyelitis optica Article de journal
Dans: J. Neuroophthalmol., vol. 42, no. 1, p. e48–e55, 2022.
@article{Bechet2022-tb,
title = {Bruch membrane opening minimum rim width in neuromyelitis optica},
author = {Lorane Bechet and Philippe Cabre and Harold Merle},
year = {2022},
date = {2022-03-01},
journal = {J. Neuroophthalmol.},
volume = {42},
number = {1},
pages = {e48–e55},
publisher = {Ovid Technologies (Wolters Kluwer Health)},
abstract = {BACKGROUND: Optical coherence tomography (OCT) analyzes the
neurodegeneration in neuromyelitis optica (NMO) and multiple
sclerosis (MS) and quantifies optical atrophy. The retinal nerve
fiber layer (RNFL) and ganglion cell layer (GCL) thickness are
decreased, and this structural change is correlated with visual
function of patients, including contrast vision and visual field
deviation. The main objective of this study was to evaluate the
Bruch membrane opening minimum rim width (BMO) of the patients
with NMO. METHODS: We studied the thickness of the BMO by OCT, in patients with NMO (n = 25; 34 eyes), MS (n = 50; 70 eyes), and a control group (n = 51; 100 eyes). The study evaluated the
structure-function relationship with the correlation between OCT
and visual function: Visual acuity, Pelli-Robson score, Sloan
2.5 and 1.25, color vision, standard automated perimetry (SAP),
and frequency-doubling technology perimetry (FDT). RESULTS: The
average thickness of BMO was significantly reduced in NMO and MS
with or without a history of optic neuritis (ON). Significant
thinning of the average, nasal, and inferonasal BMO in the absence of ON in NMO was found compared with controls (P =
0.022, 0.006, and 0.026, respectively). BMO was strongly
correlated with Pelli-Robson score (P < 0.001), Sloan 2.5 (P < 0.001), and mean deviation of SAP and FDT (P = 0.004). The
sectorial study found a high correlation between the BMO and the
corresponding sector of the visual field. CONCLUSIONS: The BMO
thickness is decreased after ON in NMO and MS. This study showed
an improved ability of BMO over RNFL and GCL to detect
infraclinical impairment in patients with NMO without a history
of optic neuropathy. Like the RNFL and GCL, BMO is well
correlated with visual function, including contrast vision and
visual field deviation.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
neurodegeneration in neuromyelitis optica (NMO) and multiple
sclerosis (MS) and quantifies optical atrophy. The retinal nerve
fiber layer (RNFL) and ganglion cell layer (GCL) thickness are
decreased, and this structural change is correlated with visual
function of patients, including contrast vision and visual field
deviation. The main objective of this study was to evaluate the
Bruch membrane opening minimum rim width (BMO) of the patients
with NMO. METHODS: We studied the thickness of the BMO by OCT, in patients with NMO (n = 25; 34 eyes), MS (n = 50; 70 eyes), and a control group (n = 51; 100 eyes). The study evaluated the
structure-function relationship with the correlation between OCT
and visual function: Visual acuity, Pelli-Robson score, Sloan
2.5 and 1.25, color vision, standard automated perimetry (SAP),
and frequency-doubling technology perimetry (FDT). RESULTS: The
average thickness of BMO was significantly reduced in NMO and MS
with or without a history of optic neuritis (ON). Significant
thinning of the average, nasal, and inferonasal BMO in the absence of ON in NMO was found compared with controls (P =
0.022, 0.006, and 0.026, respectively). BMO was strongly
correlated with Pelli-Robson score (P < 0.001), Sloan 2.5 (P < 0.001), and mean deviation of SAP and FDT (P = 0.004). The
sectorial study found a high correlation between the BMO and the
corresponding sector of the visual field. CONCLUSIONS: The BMO
thickness is decreased after ON in NMO and MS. This study showed
an improved ability of BMO over RNFL and GCL to detect
infraclinical impairment in patients with NMO without a history
of optic neuropathy. Like the RNFL and GCL, BMO is well
correlated with visual function, including contrast vision and
visual field deviation.
Charlot, Anthony; Baudin, Florian; Tessier, Mélanie; Lebrize, Sarah; Hurand, Victoire; Megroian, Déborah; Arnould, Louis; Ben-Ghezala, Inès; Bron, Alain Marie; Gabrielle, Pierre-Henry; Creuzot-Garcher, Catherine
Mobile telemedicine screening for diabetic retinopathy using nonmydriatic fundus photographs in burgundy: 11 years of results Article de journal
Dans: J. Clin. Med., vol. 11, no. 5, p. 1318, 2022.
Résumé | BibTeX | Étiquettes: diabetic retinopathy; screening; telemedicine
@article{Charlot2022-nm,
title = {Mobile telemedicine screening for diabetic retinopathy using
nonmydriatic fundus photographs in burgundy: 11 years of results},
author = {Anthony Charlot and Florian Baudin and Mélanie Tessier and Sarah Lebrize and Victoire Hurand and Déborah Megroian and Louis Arnould and Inès Ben-Ghezala and Alain Marie Bron and Pierre-Henry Gabrielle and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-02-01},
journal = {J. Clin. Med.},
volume = {11},
number = {5},
pages = {1318},
publisher = {MDPI AG},
abstract = {We analyzed the results of mobile screening for diabetic
retinopathy (DR) using retinal photographs, comparing these
results between rural and periurban areas, and before and after
the first national COVID-19 pandemic lockdown. The Burgundy
Union Régionale des Professionnels de Santé (URPS) has
organized an annual DR screening since 2004. The examination,
performed by an orthoptist, consisted of taking the patient′s
history, intraocular pressure measurement, and taking retinal
photographs. After remote transmission, the examinations were
interpreted by participating ophthalmologists at the Dijon
University Hospital. In September 2016, the screening was open
to periurban townships. In 11 years, 10,220 patients were
screened: 1420 patients (13.9%) had DR of any type, with an
average age of 68.5 ($±$11.3) years, and 59.2% were men.
These patients had a statistically significantly higher glycated
hemoglobin level (7.4% vs. 7.0%) and a longer duration of
diabetes (13.8 vs. 9.3 years) than patients without DR. When
comparing rural and periurban areas and periods before and after
the beginning of the COVID-19 pandemic, we did not find any
significant difference in the screening results. The results of
this study are in line with the average findings of similar
studies comparing screening strategies for DR. The early
detection of DR can benefit from mobile telemedicine screening,
identifying a considerable number of patients at an elevated
risk, especially in rural areas where access to ophthalmological
care is limited.},
keywords = {diabetic retinopathy; screening; telemedicine},
pubstate = {published},
tppubtype = {article}
}
retinopathy (DR) using retinal photographs, comparing these
results between rural and periurban areas, and before and after
the first national COVID-19 pandemic lockdown. The Burgundy
Union Régionale des Professionnels de Santé (URPS) has
organized an annual DR screening since 2004. The examination,
performed by an orthoptist, consisted of taking the patient′s
history, intraocular pressure measurement, and taking retinal
photographs. After remote transmission, the examinations were
interpreted by participating ophthalmologists at the Dijon
University Hospital. In September 2016, the screening was open
to periurban townships. In 11 years, 10,220 patients were
screened: 1420 patients (13.9%) had DR of any type, with an
average age of 68.5 ($±$11.3) years, and 59.2% were men.
These patients had a statistically significantly higher glycated
hemoglobin level (7.4% vs. 7.0%) and a longer duration of
diabetes (13.8 vs. 9.3 years) than patients without DR. When
comparing rural and periurban areas and periods before and after
the beginning of the COVID-19 pandemic, we did not find any
significant difference in the screening results. The results of
this study are in line with the average findings of similar
studies comparing screening strategies for DR. The early
detection of DR can benefit from mobile telemedicine screening,
identifying a considerable number of patients at an elevated
risk, especially in rural areas where access to ophthalmological
care is limited.
Hannappe, Marc-Antoine; Baudin, Florian; Mariet, Anne-Sophie; Gabrielle, Pierre-Henri; Arnould, Louis; Bron, Alain M; Creuzot-Garcher, Catherine
Mid-term impact of anti-vascular endothelial growth factor agents on intraocular pressure Article de journal
Dans: J. Clin. Med., vol. 11, no. 4, p. 946, 2022.
Résumé | BibTeX | Étiquettes: anti-VEGF agents; intraocular pressure; intravitreal injection
@article{Hannappe2022-fj,
title = {Mid-term impact of anti-vascular endothelial growth factor
agents on intraocular pressure},
author = {Marc-Antoine Hannappe and Florian Baudin and Anne-Sophie Mariet and Pierre-Henri Gabrielle and Louis Arnould and Alain M Bron and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-02-01},
journal = {J. Clin. Med.},
volume = {11},
number = {4},
pages = {946},
publisher = {MDPI AG},
abstract = {The effect of intraocular injections of anti-vascular
endothelial growth factor (VEGF) on intraocular pressure (IOP)
has not been clearly stated. We extracted data from the
electronic health records at Dijon University Hospital of 750
patients who were unilaterally injected with anti-VEGF agents
between March 2012 and March 2020. These were
treatment-naïve patients who had received at least three
injections of the same treatment (aflibercept, bevacizumab, or
ranibizumab) in one eye only, and had IOP measurements before
and after the injections. Fellow untreated eyes were used as
comparators. A clinically significant IOP rise was determined as
an IOP above 21 mmHg and an increase of at least 6 mmHg compared
to baseline, or the need for IOP-lowering agents. We found an
overall slight increase in IOP between treated and untreated
eyes at 6 months (+0.67 $±$ 3.33 mmHg, 95% confidence
interval 0.33–1.02, p},
keywords = {anti-VEGF agents; intraocular pressure; intravitreal injection},
pubstate = {published},
tppubtype = {article}
}
endothelial growth factor (VEGF) on intraocular pressure (IOP)
has not been clearly stated. We extracted data from the
electronic health records at Dijon University Hospital of 750
patients who were unilaterally injected with anti-VEGF agents
between March 2012 and March 2020. These were
treatment-naïve patients who had received at least three
injections of the same treatment (aflibercept, bevacizumab, or
ranibizumab) in one eye only, and had IOP measurements before
and after the injections. Fellow untreated eyes were used as
comparators. A clinically significant IOP rise was determined as
an IOP above 21 mmHg and an increase of at least 6 mmHg compared
to baseline, or the need for IOP-lowering agents. We found an
overall slight increase in IOP between treated and untreated
eyes at 6 months (+0.67 $±$ 3.33 mmHg, 95% confidence
interval 0.33–1.02, p
2021
Arnould, Louis; Guenancia, Charles; Bourredjem, Abderrahmane; Binquet, Christine; Gabrielle, Pierre-Henry; Eid, Pétra; Baudin, Florian; Kawasaki, Ryo; Cottin, Yves; Creuzot-Garcher, Catherine; Jacquir, Sabir
Prediction of cardiovascular parameters with supervised machine learning from Singapore ``I'' Vessel Assessment and OCT-angiography: A pilot study Article de journal
Dans: Transl. Vis. Sci. Technol., vol. 10, no. 13, p. 20, 2021.
@article{Arnould2021-fl,
title = {Prediction of cardiovascular parameters with supervised machine
learning from Singapore ``I'' Vessel Assessment and
OCT-angiography: A pilot study},
author = {Louis Arnould and Charles Guenancia and Abderrahmane Bourredjem and Christine Binquet and Pierre-Henry Gabrielle and Pétra Eid and Florian Baudin and Ryo Kawasaki and Yves Cottin and Catherine Creuzot-Garcher and Sabir Jacquir},
year = {2021},
date = {2021-11-01},
journal = {Transl. Vis. Sci. Technol.},
volume = {10},
number = {13},
pages = {20},
publisher = {Association for Research in Vision and Ophthalmology (ARVO)},
abstract = {Purpose: Assessment of cardiovascular risk is the keystone of
prevention in cardiovascular disease. The objective of this
pilot study was to estimate the cardiovascular risk score
(American Hospital Association [AHA] risk score, Syntax risk,
and SCORE risk score) with machine learning (ML) model based on
retinal vascular quantitative parameters. Methods: We proposed
supervised ML algorithm to predict cardiovascular parameters in
patients with cardiovascular diseases treated in Dijon
University Hospital using quantitative retinal vascular
characteristics measured with fundus photography and optical
coherence tomography - angiography (OCT-A) scans (alone and
combined). To describe retinal microvascular network, we used
the Singapore ``I'' Vessel Assessment (SIVA), which extracts
vessel parameters from fundus photography and quantitative OCT-A
retinal metrics of superficial retinal capillary plexus.
Results: The retinal and cardiovascular data of 144 patients
were included. This paper presented a high prediction rate of
the cardiovascular risk score. By means of the Naïve Bayes
algorithm and SIVA + OCT-A data, the AHA risk score was
predicted with 81.25% accuracy, the SCORE risk with 75.64%
accuracy, and the Syntax score with 96.53% of accuracy.
Conclusions: Performance of these algorithms demonstrated in
this preliminary study that ML algorithms applied to
quantitative retinal vascular parameters with SIVA software and
OCT-A were able to predict cardiovascular scores with a robust
rate. Quantitative retinal vascular biomarkers with the ML
strategy might provide valuable data to implement predictive
model for cardiovascular parameters. Translational Relevance:
Small data set of quantitative retinal vascular parameters with
fundus and with OCT-A can be used with ML learning to predict
cardiovascular parameters.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
prevention in cardiovascular disease. The objective of this
pilot study was to estimate the cardiovascular risk score
(American Hospital Association [AHA] risk score, Syntax risk,
and SCORE risk score) with machine learning (ML) model based on
retinal vascular quantitative parameters. Methods: We proposed
supervised ML algorithm to predict cardiovascular parameters in
patients with cardiovascular diseases treated in Dijon
University Hospital using quantitative retinal vascular
characteristics measured with fundus photography and optical
coherence tomography - angiography (OCT-A) scans (alone and
combined). To describe retinal microvascular network, we used
the Singapore ``I'' Vessel Assessment (SIVA), which extracts
vessel parameters from fundus photography and quantitative OCT-A
retinal metrics of superficial retinal capillary plexus.
Results: The retinal and cardiovascular data of 144 patients
were included. This paper presented a high prediction rate of
the cardiovascular risk score. By means of the Naïve Bayes
algorithm and SIVA + OCT-A data, the AHA risk score was
predicted with 81.25% accuracy, the SCORE risk with 75.64%
accuracy, and the Syntax score with 96.53% of accuracy.
Conclusions: Performance of these algorithms demonstrated in
this preliminary study that ML algorithms applied to
quantitative retinal vascular parameters with SIVA software and
OCT-A were able to predict cardiovascular scores with a robust
rate. Quantitative retinal vascular biomarkers with the ML
strategy might provide valuable data to implement predictive
model for cardiovascular parameters. Translational Relevance:
Small data set of quantitative retinal vascular parameters with
fundus and with OCT-A can be used with ML learning to predict
cardiovascular parameters.
Baudin, Florian; Deschasse, Clémence; Gabrielle, Pierre-Henry; Berrod, Jean P; Mer, Yannick Le; Arndt, Carl; Tadayoni, Ramin; Delyfer, Marie N; Weber, Michel; Gaucher, David; Saleh, Maher; Chiquet, Christophe; Creuzot-Garcher, Catherine
Functional and anatomical outcomes after successful repair of macula-off retinal detachment: a 12-month follow-up of the DOREFA study Article de journal
Dans: Acta Ophthalmol., vol. 99, no. 7, p. e1190–e1197, 2021.
Résumé | BibTeX | Étiquettes: cystoid macular oedema; external limiting membrane; photoreceptor layer; rhegmatogenous retinal detachment; spectral-domain optical coherence tomography; subretinal fluid; vitreoretinal surgery
@article{Baudin2021-hj,
title = {Functional and anatomical outcomes after successful repair of
macula-off retinal detachment: a 12-month follow-up of the
DOREFA study},
author = {Florian Baudin and Clémence Deschasse and Pierre-Henry Gabrielle and Jean P Berrod and Yannick Le Mer and Carl Arndt and Ramin Tadayoni and Marie N Delyfer and Michel Weber and David Gaucher and Maher Saleh and Christophe Chiquet and Catherine Creuzot-Garcher},
year = {2021},
date = {2021-11-01},
journal = {Acta Ophthalmol.},
volume = {99},
number = {7},
pages = {e1190–e1197},
publisher = {Wiley},
abstract = {PURPOSE: To report visual and anatomical outcomes and determine
predictors of good visual acuity (VA) recovery after macula-off
rhegmatogenous retinal detachment (RD). METHODS: Prospective
multicentre study including 115 eyes from 115 patients
successfully operated on for RD, with assessment of VA and
spectral-domain optical coherence tomography (SD-OCT) macular
images at 1, 3, 6 and 12 months after surgery. RESULTS: Over the
follow-up period, VA significantly improved from median [IQR] 62
[46; 72] ETDRS letters at 1 month to 75 [67; 80] ETDRS letters
at 12 months (p < 0.001) with a concomitant decreased number of
eyes with any SD-OCT lesions (p < 0.001). The presence of
subretinal fluid (SRF) significantly decreased (p < 0.001), as did the number of photoreceptor (PR) layer lesions (p = 0.04).
At 12 months, lesions in the PR layer and poor VA recovery were significantly associated with a longer time to surgery (p =
0.007 and p < 0.001, respectively). The rate of patients without
PR lesions increased from 40.9% at 1 month to 60.0% at 6
months and 73.9% at 12 months (p < 0.001). The incidence of
epiretinal membrane (ERM) significantly increased (p < 0.001),
while cystoid macular oedema (CME) remained stable over time.
Visual acuity (VA) at 3 months postoperatively was a good
reflection of final VA recovery (p < 0.001). CONCLUSION: Visual
acuity (VA) improved in parallel with the decreasing number of
eyes with SD-OCT lesions after macula-off rhegmatogenous RD. A
long time to surgery was the only preoperative factor associated
with poor VA recovery after retinal detachment surgery.},
keywords = {cystoid macular oedema; external limiting membrane; photoreceptor layer; rhegmatogenous retinal detachment; spectral-domain optical coherence tomography; subretinal fluid; vitreoretinal surgery},
pubstate = {published},
tppubtype = {article}
}
predictors of good visual acuity (VA) recovery after macula-off
rhegmatogenous retinal detachment (RD). METHODS: Prospective
multicentre study including 115 eyes from 115 patients
successfully operated on for RD, with assessment of VA and
spectral-domain optical coherence tomography (SD-OCT) macular
images at 1, 3, 6 and 12 months after surgery. RESULTS: Over the
follow-up period, VA significantly improved from median [IQR] 62
[46; 72] ETDRS letters at 1 month to 75 [67; 80] ETDRS letters
at 12 months (p < 0.001) with a concomitant decreased number of
eyes with any SD-OCT lesions (p < 0.001). The presence of
subretinal fluid (SRF) significantly decreased (p < 0.001), as did the number of photoreceptor (PR) layer lesions (p = 0.04).
At 12 months, lesions in the PR layer and poor VA recovery were significantly associated with a longer time to surgery (p =
0.007 and p < 0.001, respectively). The rate of patients without
PR lesions increased from 40.9% at 1 month to 60.0% at 6
months and 73.9% at 12 months (p < 0.001). The incidence of
epiretinal membrane (ERM) significantly increased (p < 0.001),
while cystoid macular oedema (CME) remained stable over time.
Visual acuity (VA) at 3 months postoperatively was a good
reflection of final VA recovery (p < 0.001). CONCLUSION: Visual
acuity (VA) improved in parallel with the decreasing number of
eyes with SD-OCT lesions after macula-off rhegmatogenous RD. A
long time to surgery was the only preoperative factor associated
with poor VA recovery after retinal detachment surgery.
Bechet, Lorane; Atia, Raphaël; Zeitz, Christina; Mohand-Saïd, Saddek; Sahel, José-Alain; Barale, Pierre-Oliver; Audo, Isabelle
Management of a case of Enhanced S-cone syndrome with massive foveoschisis treated with pars plana vitrectomy with silicone oil tamponade Article de journal
Dans: Ophthalmic Genet., vol. 42, no. 5, p. 615–618, 2021.
Résumé | BibTeX | Étiquettes: Enhanced S-cone syndrome; Goldmann Favre syndrome; foveoschisis; vitrectomy
@article{Bechet2021-oc,
title = {Management of a case of Enhanced S-cone syndrome with massive
foveoschisis treated with pars plana vitrectomy with silicone
oil tamponade},
author = {Lorane Bechet and Raphaël Atia and Christina Zeitz and Saddek Mohand-Saïd and José-Alain Sahel and Pierre-Oliver Barale and Isabelle Audo},
year = {2021},
date = {2021-10-01},
journal = {Ophthalmic Genet.},
volume = {42},
number = {5},
pages = {615–618},
publisher = {Informa UK Limited},
abstract = {Introduction: Goldmann Favre Syndrome (GFS) is a vitreoretinal
degenerative disease with macular retinoschisis. The current
treatment of foveoschisis is topical and oral carbonic anhydrase
inhibitors.Case: A 22-year-old male diagnosed with GFS presented
a progressive decrease in vision of the right eye. The optical
coherence tomography showed a significant macular schisis. A
medical treatment with topical and oral carbonic anhydrase
inhibitors was ineffective. We performed a pars plana vitrectomy
and silicone oil placement which led to an improvement of the
visual acuity and a reduction of the foveoschisis.Conclusion: We
describe here the first case of surgical treatment for macular
schisis in a patient with GFS.},
keywords = {Enhanced S-cone syndrome; Goldmann Favre syndrome; foveoschisis; vitrectomy},
pubstate = {published},
tppubtype = {article}
}
degenerative disease with macular retinoschisis. The current
treatment of foveoschisis is topical and oral carbonic anhydrase
inhibitors.Case: A 22-year-old male diagnosed with GFS presented
a progressive decrease in vision of the right eye. The optical
coherence tomography showed a significant macular schisis. A
medical treatment with topical and oral carbonic anhydrase
inhibitors was ineffective. We performed a pars plana vitrectomy
and silicone oil placement which led to an improvement of the
visual acuity and a reduction of the foveoschisis.Conclusion: We
describe here the first case of surgical treatment for macular
schisis in a patient with GFS.
Baudin, Florian; Chemaly, Alicia; Arnould, Louis; Barrénéchea, Elsa; Lestable, Lolita; Bron, Alain M; Creuzot-Garcher, Catherine
Quality-of-life improvement after scleral lens fitting in patients with keratoconus Article de journal
Dans: Eye Contact Lens, vol. 47, no. 9, p. 520–525, 2021.
@article{Baudin2021-fo,
title = {Quality-of-life improvement after scleral lens fitting in
patients with keratoconus},
author = {Florian Baudin and Alicia Chemaly and Louis Arnould and Elsa Barrénéchea and Lolita Lestable and Alain M Bron and Catherine Creuzot-Garcher},
year = {2021},
date = {2021-09-01},
journal = {Eye Contact Lens},
volume = {47},
number = {9},
pages = {520–525},
publisher = {Ovid Technologies (Wolters Kluwer Health)},
abstract = {OBJECTIVES: To assess the quality-of-life improvement after
scleral lens fitting in patients with keratoconus. METHODS: We
conducted a prospective observational study of all consecutive
patients with keratoconus starting scleral lens fitting in 2019,
from January 2 to December 27, at the Dijon University Hospital,
France. Quality of life was assessed before and after wearing
scleral lenses for 3 months through the National Eye Institute
Visual Function Questionnaire 25 (NEI-VFQ 25) questionnaire. We
investigated factors potentially influencing quality of life:
final visual acuity, keratoconus stage, and maximum keratometry
reading. RESULTS: In total, 41 eyes of 24 patients were
successfully fitted with scleral lenses, 92.9% were 18 mm in
diameter and 7.1% were 17 mm. The visual acuity improved by
-0.4$±$0.3 logarithm of the minimum angle of resolution
(P<0.001) after scleral lens fitting. Visual gain increased with
keratometry and keratoconus severity (P<0.001; P<0.01). The
NEI-VFQ 25 score increased by 19.5$±$19.1 points on average
(P<0.001). No association was found between the factors under
study and improvement in quality of life. CONCLUSION: Our study
confirms the functional improvement in patients with keratoconus
fitted with scleral lenses, especially in patients with more
advanced disease. Moreover, it suggests a major role of these
lenses in improving quality of life, independently of the
severity of the disease and the visual gain.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
scleral lens fitting in patients with keratoconus. METHODS: We
conducted a prospective observational study of all consecutive
patients with keratoconus starting scleral lens fitting in 2019,
from January 2 to December 27, at the Dijon University Hospital,
France. Quality of life was assessed before and after wearing
scleral lenses for 3 months through the National Eye Institute
Visual Function Questionnaire 25 (NEI-VFQ 25) questionnaire. We
investigated factors potentially influencing quality of life:
final visual acuity, keratoconus stage, and maximum keratometry
reading. RESULTS: In total, 41 eyes of 24 patients were
successfully fitted with scleral lenses, 92.9% were 18 mm in
diameter and 7.1% were 17 mm. The visual acuity improved by
-0.4$±$0.3 logarithm of the minimum angle of resolution
(P<0.001) after scleral lens fitting. Visual gain increased with
keratometry and keratoconus severity (P<0.001; P<0.01). The
NEI-VFQ 25 score increased by 19.5$±$19.1 points on average
(P<0.001). No association was found between the factors under
study and improvement in quality of life. CONCLUSION: Our study
confirms the functional improvement in patients with keratoconus
fitted with scleral lenses, especially in patients with more
advanced disease. Moreover, it suggests a major role of these
lenses in improving quality of life, independently of the
severity of the disease and the visual gain.
Nguyen, Vuong; Puzo, Martin; Sanchez-Monroy, Jorge; Gabrielle, Pierre-Henry; Garcher, Catherine C; Baudin, Florian; Wolff, Benjamin; Castelnovo, Laurent; Michel, Guillaume; O'Toole, Louise; Barthelmes, Daniel; Gillies, Mark C
Association between anatomical and clinical outcomes of neovascular age-related macular degeneration treated with antivascular endothelial growth factor Article de journal
Dans: Retina, vol. 41, no. 7, p. 1446–1454, 2021.
@article{Nguyen2021-iv,
title = {Association between anatomical and clinical outcomes of
neovascular age-related macular degeneration treated with
antivascular endothelial growth factor},
author = {Vuong Nguyen and Martin Puzo and Jorge Sanchez-Monroy and Pierre-Henry Gabrielle and Catherine C Garcher and Florian Baudin and Benjamin Wolff and Laurent Castelnovo and Guillaume Michel and Louise O'Toole and Daniel Barthelmes and Mark C Gillies},
year = {2021},
date = {2021-07-01},
journal = {Retina},
volume = {41},
number = {7},
pages = {1446–1454},
publisher = {Ovid Technologies (Wolters Kluwer Health)},
abstract = {PURPOSE: Assess the relationship between subretinal fluid
(SRFL), intraretinal fluid, and visual outcomes of neovascular
age-related degeneration in routine clinical practice. METHODS:
Treatment-naive eyes enrolled in the Fight Retinal Blindness!
registry after January 2017 were identified. Lesion activity was
graded at each visit as inactive, active not SRFL only (A-NSRFL
only), or active SRFL only (A-SRFL only). Eyes were grouped
based on initial activity as follows: 1) initially A-NSRFL only
or 2) initially A-SRFL only, and their predominant activity
status over 12 months was as follows: 1) mostly inactive, 2)
mostly A-NSRFL only, or 3) mostly A-SRFL only. RESULTS: Seven
hundred and three eyes were eligible for analysis. Initially
A-NSRFL only had a similar adjusted mean 12-month visual acuity change to initially A-SRFL eyes (5.7 vs. 6.9 letters; P =
0.165), but their final visual acuity was worse (62.5 vs. 67.5 letters at 12 months; P = 0.003). The adjusted mean 12-month
visual acuity change between the predominant activity groups was significantly different (P = 0.005), with mostly inactive (7.6
letters) and mostly A-SRFL only (7.5 letters) eyes gaining more
than mostly A-NSRFL only eyes (3.6 letters). CONCLUSION: Eyes
with SRFL only had similar outcomes at 1 year to eyes that were
mostly inactive. Intraretinal fluid was associated with worse
visual outcomes, highlighting the importance of distinguishing
between intraretinal fluid and SRFL when managing neovascular
age-related degeneration.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
(SRFL), intraretinal fluid, and visual outcomes of neovascular
age-related degeneration in routine clinical practice. METHODS:
Treatment-naive eyes enrolled in the Fight Retinal Blindness!
registry after January 2017 were identified. Lesion activity was
graded at each visit as inactive, active not SRFL only (A-NSRFL
only), or active SRFL only (A-SRFL only). Eyes were grouped
based on initial activity as follows: 1) initially A-NSRFL only
or 2) initially A-SRFL only, and their predominant activity
status over 12 months was as follows: 1) mostly inactive, 2)
mostly A-NSRFL only, or 3) mostly A-SRFL only. RESULTS: Seven
hundred and three eyes were eligible for analysis. Initially
A-NSRFL only had a similar adjusted mean 12-month visual acuity change to initially A-SRFL eyes (5.7 vs. 6.9 letters; P =
0.165), but their final visual acuity was worse (62.5 vs. 67.5 letters at 12 months; P = 0.003). The adjusted mean 12-month
visual acuity change between the predominant activity groups was significantly different (P = 0.005), with mostly inactive (7.6
letters) and mostly A-SRFL only (7.5 letters) eyes gaining more
than mostly A-NSRFL only eyes (3.6 letters). CONCLUSION: Eyes
with SRFL only had similar outcomes at 1 year to eyes that were
mostly inactive. Intraretinal fluid was associated with worse
visual outcomes, highlighting the importance of distinguishing
between intraretinal fluid and SRFL when managing neovascular
age-related degeneration.
Lay, Jackson O; Liyanage, Rohana; Gidden, Jennifer A
The development of a high-resolution mass spectrometry method for ultra-trace analysis of chlorinated dioxins in environmental and biological samples including Viet Nam era veterans Article de journal
Dans: Mass Spectrom. Rev., vol. 40, no. 3, p. 236–254, 2021.
Résumé | BibTeX | Étiquettes: TCDD; dioxin; high resolution mass spectrometry; ultra-trace analysis
@article{Lay2021-bd,
title = {The development of a high-resolution mass spectrometry method
for ultra-trace analysis of chlorinated dioxins in environmental
and biological samples including Viet Nam era veterans},
author = {Jackson O Lay and Rohana Liyanage and Jennifer A Gidden},
year = {2021},
date = {2021-05-01},
journal = {Mass Spectrom. Rev.},
volume = {40},
number = {3},
pages = {236–254},
publisher = {Wiley},
abstract = {Chlorinated dioxins are labeled and recognized by both the World
Health Organization and the United Nations Environmental
Programme (UNEP) as ``persistent organic pollutants''. Their
potential for high toxicity is one of the primary factors behind
intense public and regulatory scrutiny and the need to measure
the compounds at very low limits, specifically the isomer
2,3,7,8-tetrachlorodibenzo-p-dioxin (2,3,7,8-TCDD). This article
highlights the early mass spectrometry methods to investigate,
detect, confirm, and quantify chlorinated dioxins and the
initial applications involving human biomonitoring, as attempts
were made to attribute health effects to TCDD exposure. This
effort represented a complex and difficult scientific response
to the pressing need to investigate expected exposures and
alleged subsequent medical effects, which in the case of the
Viet Nam veterans was being attempted a decade or more after
their exposure. It is noteworthy that this method and its
development touched on delicate issues involving human subjects,
war veterans, environmental contamination, and was difficult not
only scientifically, but for ethical and political reasons as
well. Stable-isotope dilution with analysis by gas
chromatography/high-resolution mass spectrometry (GC/HRMS)
became the method of choice because of its ability to monitor
characteristic ions and isotope ratios to quantify and
qualify/confirm the analyte in the presence of coextracting and
coeluting interferences at these low levels with the highest
possible confidence. This method was rigorously tested and
validated before it was used to discover and monitor levels in
the environment and in various populations at then unprecedented
low levels. These early studies demonstrated the feasibility of
monitoring dioxins in humans even decades after exposure, and
led to the detection of 2,3,7,8-TCDD in the general population
as well as specific overexposed populations. These studies also
provided strong evidence regarding the origins of the
2,3,7,8-isomer in the environment. © 2020 John Wiley
& Sons Ltd. Mass Spec Rev.},
keywords = {TCDD; dioxin; high resolution mass spectrometry; ultra-trace analysis},
pubstate = {published},
tppubtype = {article}
}
Health Organization and the United Nations Environmental
Programme (UNEP) as ``persistent organic pollutants''. Their
potential for high toxicity is one of the primary factors behind
intense public and regulatory scrutiny and the need to measure
the compounds at very low limits, specifically the isomer
2,3,7,8-tetrachlorodibenzo-p-dioxin (2,3,7,8-TCDD). This article
highlights the early mass spectrometry methods to investigate,
detect, confirm, and quantify chlorinated dioxins and the
initial applications involving human biomonitoring, as attempts
were made to attribute health effects to TCDD exposure. This
effort represented a complex and difficult scientific response
to the pressing need to investigate expected exposures and
alleged subsequent medical effects, which in the case of the
Viet Nam veterans was being attempted a decade or more after
their exposure. It is noteworthy that this method and its
development touched on delicate issues involving human subjects,
war veterans, environmental contamination, and was difficult not
only scientifically, but for ethical and political reasons as
well. Stable-isotope dilution with analysis by gas
chromatography/high-resolution mass spectrometry (GC/HRMS)
became the method of choice because of its ability to monitor
characteristic ions and isotope ratios to quantify and
qualify/confirm the analyte in the presence of coextracting and
coeluting interferences at these low levels with the highest
possible confidence. This method was rigorously tested and
validated before it was used to discover and monitor levels in
the environment and in various populations at then unprecedented
low levels. These early studies demonstrated the feasibility of
monitoring dioxins in humans even decades after exposure, and
led to the detection of 2,3,7,8-TCDD in the general population
as well as specific overexposed populations. These studies also
provided strong evidence regarding the origins of the
2,3,7,8-isomer in the environment. © 2020 John Wiley
& Sons Ltd. Mass Spec Rev.
Chemaly, Alicia; Arnould, Louis; Seydou, Alassane; Gabrielle, Pierre-Henry; Baudin, Florian; Acar, Niyazi; Creuzot-Garcher, Catherine
Plasma fatty acids and primary open-angle glaucoma in the elderly: the Montrachet population-based study Article de journal
Dans: BMC Ophthalmol., vol. 21, no. 1, p. 146, 2021.
Résumé | BibTeX | Étiquettes: Elderly; Fatty acids profile; Glaucoma; Montrachet study; Population-based study
@article{Chemaly2021-bt,
title = {Plasma fatty acids and primary open-angle glaucoma in the
elderly: the Montrachet population-based study},
author = {Alicia Chemaly and Louis Arnould and Alassane Seydou and Pierre-Henry Gabrielle and Florian Baudin and Niyazi Acar and Catherine Creuzot-Garcher},
year = {2021},
date = {2021-03-01},
journal = {BMC Ophthalmol.},
volume = {21},
number = {1},
pages = {146},
publisher = {Springer Science and Business Media LLC},
abstract = {BACKGROUND: To compare plasma fatty acids (FAs) between
participants with primary open-angle glaucoma (POAG) and
participants without neuropathy in an elderly population and to
investigate specific FAs pattern in POAG. METHODS: We conducted
a population-based study in participants older than 75 years.
Participants underwent a comprehensive eye examination with
optic nerve photographs, visual field test and optic nerve OCT
with RNFL thickness measurement. Glaucomatous status was defined
according to the International Society for Epidemiologic and
Geographical Ophthalmology classification. Lipids were extracted
from plasma and FAs methylesters prepared and analyzed by gas
chromatography-mass spectrometry. RESULTS: Among the 1153
participants of the Montrachet study 810 were retained for
analysis and 68 had POAG. The mean age was 82.11 $±$ 3.67. In
multivariable analysis FAs levels were not different between POAG participants and controls (P = 0.078). A FAs pattern
characterized by high negative weight of gamma-linoleic acid,
eicosapentaenoic acid polyunsaturated FAs (PUFAs), Cis-7
hexadecenoic acid monounsaturated FAs (MUFAs) and high positive
weight of eicosadienoic acid, docosatetraenoic acid,
docosapentaenoic n-6, alpha linoleic acid PUFAs, eicosenoic acid
MUFAs, margaric acid and behenic acid saturated FAs was
positively associated with POAG. After adjustment for major
confounders, individuals in the upper tertile of FAs pattern
scores compared with those in the lower tertile were more likely to present POAG (OR = 3.09 [95% CI 1.29-7.40] P = 0.013).
CONCLUSIONS: We found no significant difference regarding
isolated plasma FAs between participants with POAG and
participants without neuropathy in elderly but specific FAs
pattern might be associated with POAG.},
keywords = {Elderly; Fatty acids profile; Glaucoma; Montrachet study; Population-based study},
pubstate = {published},
tppubtype = {article}
}
participants with primary open-angle glaucoma (POAG) and
participants without neuropathy in an elderly population and to
investigate specific FAs pattern in POAG. METHODS: We conducted
a population-based study in participants older than 75 years.
Participants underwent a comprehensive eye examination with
optic nerve photographs, visual field test and optic nerve OCT
with RNFL thickness measurement. Glaucomatous status was defined
according to the International Society for Epidemiologic and
Geographical Ophthalmology classification. Lipids were extracted
from plasma and FAs methylesters prepared and analyzed by gas
chromatography-mass spectrometry. RESULTS: Among the 1153
participants of the Montrachet study 810 were retained for
analysis and 68 had POAG. The mean age was 82.11 $±$ 3.67. In
multivariable analysis FAs levels were not different between POAG participants and controls (P = 0.078). A FAs pattern
characterized by high negative weight of gamma-linoleic acid,
eicosapentaenoic acid polyunsaturated FAs (PUFAs), Cis-7
hexadecenoic acid monounsaturated FAs (MUFAs) and high positive
weight of eicosadienoic acid, docosatetraenoic acid,
docosapentaenoic n-6, alpha linoleic acid PUFAs, eicosenoic acid
MUFAs, margaric acid and behenic acid saturated FAs was
positively associated with POAG. After adjustment for major
confounders, individuals in the upper tertile of FAs pattern
scores compared with those in the lower tertile were more likely to present POAG (OR = 3.09 [95% CI 1.29-7.40] P = 0.013).
CONCLUSIONS: We found no significant difference regarding
isolated plasma FAs between participants with POAG and
participants without neuropathy in elderly but specific FAs
pattern might be associated with POAG.
Nové-Josserand, Laurent; Chauvet, Thomas; Baudin, Florian; Godenèche, Arnaud; Collotte, Philippe; Vieira, Thais Dutra; Haritinian, Emil
Subcapularis tendon tear: A structure-based arthroscopic description Article de journal
Dans: Orthop. Traumatol. Surg. Res., vol. 107, no. 1, p. 102757, 2021.
Résumé | BibTeX | Étiquettes: Classification; Histology; Shoulder; Subscapularis tendon; Tear
@article{Nove-Josserand2021-oi,
title = {Subcapularis tendon tear: A structure-based arthroscopic
description},
author = {Laurent Nové-Josserand and Thomas Chauvet and Florian Baudin and Arnaud Godenèche and Philippe Collotte and Thais Dutra Vieira and Emil Haritinian},
year = {2021},
date = {2021-02-01},
journal = {Orthop. Traumatol. Surg. Res.},
volume = {107},
number = {1},
pages = {102757},
publisher = {Elsevier BV},
abstract = {INTRODUCTION: Subscapularis (SSC) tendons differ from
supraspinatus tendons, although both have similar histologic
structure comprising two layers with distinct collagen fiber
organization. HYPOTHESIS: The partial/full-thickness tear
classification for the supraspinatus based on tendon structure
can be applied to the subscapularis tendon on objective
criteria. MATERIAL AND METHODS: The present study used 100 films
of arthroscopic rotator cuff repair involving SSC lesion.
Lesions were reported on 3 objective criteria: horizontal
superior tendon edge visibility, lesser tuberosity bone
exposure, and lateral tendon edge visibility. Combining the
three distinguishes deep, superficial or interstitial partial
tear versus full-thickness tear. Degree of retraction was also
noted. RESULTS: Forty-six of the 73 partial lesions involved the
deep articular layer, which was often retracted, but conserving
the horizontal superior tendon edge and thus misleadingly
suggesting SSC integrity; 23 were interstitial, without
detachment from the lesser tuberosity; 4 involved only the
superficial layer. Full-thickness tears were always retracted,
with loss of horizontal superior tendon edge, visibility of the
lateral tendon edge and presence of comma sign. Inter- and
intra-observer reproducibility was satisfactory. DISCUSSION -
CONCLUSION: Like in superior cuff tear, a structure-based
classification can be made of SSC lesions on objective criteria.
LEVEL OF EVIDENCE: IV.},
keywords = {Classification; Histology; Shoulder; Subscapularis tendon; Tear},
pubstate = {published},
tppubtype = {article}
}
supraspinatus tendons, although both have similar histologic
structure comprising two layers with distinct collagen fiber
organization. HYPOTHESIS: The partial/full-thickness tear
classification for the supraspinatus based on tendon structure
can be applied to the subscapularis tendon on objective
criteria. MATERIAL AND METHODS: The present study used 100 films
of arthroscopic rotator cuff repair involving SSC lesion.
Lesions were reported on 3 objective criteria: horizontal
superior tendon edge visibility, lesser tuberosity bone
exposure, and lateral tendon edge visibility. Combining the
three distinguishes deep, superficial or interstitial partial
tear versus full-thickness tear. Degree of retraction was also
noted. RESULTS: Forty-six of the 73 partial lesions involved the
deep articular layer, which was often retracted, but conserving
the horizontal superior tendon edge and thus misleadingly
suggesting SSC integrity; 23 were interstitial, without
detachment from the lesser tuberosity; 4 involved only the
superficial layer. Full-thickness tears were always retracted,
with loss of horizontal superior tendon edge, visibility of the
lateral tendon edge and presence of comma sign. Inter- and
intra-observer reproducibility was satisfactory. DISCUSSION -
CONCLUSION: Like in superior cuff tear, a structure-based
classification can be made of SSC lesions on objective criteria.
LEVEL OF EVIDENCE: IV.
2020
Maupin, Edouard; Baudin, Florian; Arnould, Louis; Seydou, Allasane; Binquet, Christine; Bron, Alain M; Creuzot-Garcher, Catherine P
Accuracy of the ISNT rule and its variants for differentiating glaucomatous from normal eyes in a population-based study Article de journal
Dans: Br. J. Ophthalmol., vol. 104, no. 10, p. 1412–1417, 2020.
Résumé | BibTeX | Étiquettes: epidemiology; glaucoma
@article{Maupin2020-tv,
title = {Accuracy of the ISNT rule and its variants for differentiating
glaucomatous from normal eyes in a population-based study},
author = {Edouard Maupin and Florian Baudin and Louis Arnould and Allasane Seydou and Christine Binquet and Alain M Bron and Catherine P Creuzot-Garcher},
year = {2020},
date = {2020-10-01},
journal = {Br. J. Ophthalmol.},
volume = {104},
number = {10},
pages = {1412–1417},
publisher = {BMJ},
abstract = {AIMS: To evaluate the accuracy of the ISNT rule (I=inferio},
keywords = {epidemiology; glaucoma},
pubstate = {published},
tppubtype = {article}
}
Chauvet, Thomas; Haritinian, Emil; Baudin, Florian; Collotte, Philippe; Nové-Josserand, Laurent
The invisible MGHL test: Diagnostic value and benefits for the repair of retracted subscapularis tears Article de journal
Dans: Am. J. Sports Med., vol. 48, no. 9, p. 2144–2150, 2020.
Résumé | BibTeX | Étiquettes: diagnostic test; middle glenohumeral ligament; retraction; shoulder; subscapularis; tear
@article{Chauvet2020-ua,
title = {The invisible MGHL test: Diagnostic value and benefits for the
repair of retracted subscapularis tears},
author = {Thomas Chauvet and Emil Haritinian and Florian Baudin and Philippe Collotte and Laurent Nové-Josserand},
year = {2020},
date = {2020-07-01},
journal = {Am. J. Sports Med.},
volume = {48},
number = {9},
pages = {2144–2150},
publisher = {SAGE Publications},
abstract = {BACKGROUND: Some full-thickness subscapularis tendon tears and
partial tears of the deep layer are difficult to characterize,
leading to misdiagnosis. PURPOSE: To evaluate the association
between displacement of the middle glenohumeral ligament (MGHL)
and retracted tears of the subscapularis tendon as a possible
test to improve diagnosis. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: Videos (N = 100) recorded during
arthroscopic rotator cuff repair involving a torn subscapularis
tendon were analyzed retrospectively to assess the association
between the MGHL test (nonvisibility of the MGHL) and other
objective anatomic criteria. The invisible MGHL test was defined
as positive if the MGHL was initially nonvisible in the
beach-chair position and appeared only when the subscapularis
tendon was pulled back into position by using a 30° arthroscope
from the standard posterior portal. The parameters considered
during the initial exploration were (1) visibility of the
horizontal part of the subscapularis tendon; (2) visibility of
the MGHL in its usual position, crossing the superior border of
the subscapularis tendon; (3) exposure of the lateral border of
the subscapularis tendon (full-thickness retracted tear); and
(4) complete or partial exposure of the lesser tuberosity of the
humerus. Tendon retraction was evaluated in 3 stages according
to the Patte classification. RESULTS: The invisible MGHL test
result was positive in 45% of cases. It was positive in 6% of
cases (2 of 31) when there was no subscapularis tendon
retraction and in 62% of cases (43 of 69) when there was
partial or complete retraction (P < .001). The invisible MGHL
test was significantly associated with the width of the tear (P
< .001) and exposure of the lateral border of the subscapularis tendon (full-thickness retracted tea},
keywords = {diagnostic test; middle glenohumeral ligament; retraction; shoulder; subscapularis; tear},
pubstate = {published},
tppubtype = {article}
}
partial tears of the deep layer are difficult to characterize,
leading to misdiagnosis. PURPOSE: To evaluate the association
between displacement of the middle glenohumeral ligament (MGHL)
and retracted tears of the subscapularis tendon as a possible
test to improve diagnosis. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: Videos (N = 100) recorded during
arthroscopic rotator cuff repair involving a torn subscapularis
tendon were analyzed retrospectively to assess the association
between the MGHL test (nonvisibility of the MGHL) and other
objective anatomic criteria. The invisible MGHL test was defined
as positive if the MGHL was initially nonvisible in the
beach-chair position and appeared only when the subscapularis
tendon was pulled back into position by using a 30° arthroscope
from the standard posterior portal. The parameters considered
during the initial exploration were (1) visibility of the
horizontal part of the subscapularis tendon; (2) visibility of
the MGHL in its usual position, crossing the superior border of
the subscapularis tendon; (3) exposure of the lateral border of
the subscapularis tendon (full-thickness retracted tear); and
(4) complete or partial exposure of the lesser tuberosity of the
humerus. Tendon retraction was evaluated in 3 stages according
to the Patte classification. RESULTS: The invisible MGHL test
result was positive in 45% of cases. It was positive in 6% of
cases (2 of 31) when there was no subscapularis tendon
retraction and in 62% of cases (43 of 69) when there was
partial or complete retraction (P < .001). The invisible MGHL
test was significantly associated with the width of the tear (P
< .001) and exposure of the lateral border of the subscapularis tendon (full-thickness retracted tea
Bhandari, Sanjeeb; Nguyen, Vuong; Fraser-Bell, Samantha; Mehta, Hemal; Viola, Francesco; Baudin, Florian; Gabrielle, Pierre-Henry; Creuzot-Garcher, Catherine; Gillies, Mark; Barthelmes, Daniel
Ranibizumab or aflibercept for diabetic macular edema: Comparison of 1-year outcomes from the Fight Retinal Blindness! Registry Article de journal
Dans: Ophthalmology, vol. 127, no. 5, p. 608–615, 2020.
@article{Bhandari2020-xm,
title = {Ranibizumab or aflibercept for diabetic macular edema:
Comparison of 1-year outcomes from the Fight Retinal Blindness!
Registry},
author = {Sanjeeb Bhandari and Vuong Nguyen and Samantha Fraser-Bell and Hemal Mehta and Francesco Viola and Florian Baudin and Pierre-Henry Gabrielle and Catherine Creuzot-Garcher and Mark Gillies and Daniel Barthelmes},
year = {2020},
date = {2020-05-01},
journal = {Ophthalmology},
volume = {127},
number = {5},
pages = {608–615},
publisher = {Elsevier BV},
abstract = {PURPOSE: Both ranibizumab and aflibercept improved vision and
decreased macular thickness in eyes with diabetic macular edema
(DME) in clinical trials. This study compared the 12-month
treatment outcomes of each drug in routine clinical practice.
DESIGN: Retrospective analysis of data from the prospectively
designed observational Fight Retinal Blindness! registry.
PARTICIPANTS: Treatment-naive eyes tracked in the registry that
initiated treatment with either ranibizumab (0.5 mg) or
aflibercept (2 mg) for DME from December 1, 2013, through June
1, 2018. METHODS: Visual acuity (VA) was analyzed at 12 months
in all eyes (completers, noncompleters, and eyes that switched
treatment). MAIN OUTCOME MEASURES: The primary outcome was the
mean change in VA from baseline to 12 months. RESULTS: We identified 383 eyes (ranibizuma},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
decreased macular thickness in eyes with diabetic macular edema
(DME) in clinical trials. This study compared the 12-month
treatment outcomes of each drug in routine clinical practice.
DESIGN: Retrospective analysis of data from the prospectively
designed observational Fight Retinal Blindness! registry.
PARTICIPANTS: Treatment-naive eyes tracked in the registry that
initiated treatment with either ranibizumab (0.5 mg) or
aflibercept (2 mg) for DME from December 1, 2013, through June
1, 2018. METHODS: Visual acuity (VA) was analyzed at 12 months
in all eyes (completers, noncompleters, and eyes that switched
treatment). MAIN OUTCOME MEASURES: The primary outcome was the
mean change in VA from baseline to 12 months. RESULTS: We identified 383 eyes (ranibizuma
Ghezala, Inès Ben; Mariet, Anne-Sophie; Benzenine, Eric; Bron, Alain M; Baudin, Florian; Daien, Vincent; Korobelnik, Jean-François; Quantin, Catherine; Creuzot-Garcher, Catherine
Incidence of acute postoperative endophthalmitis following macular surgery in France between 2006 and 2016 Article de journal
Dans: Acta Ophthalmol., vol. 98, no. 3, p. e333–e338, 2020.
Résumé | BibTeX | Étiquettes: endophthalmitis; epidemiology; epiretinal membrane; macular hole; pars plana vitrectomy; transconjunctival sutureless vitrectomy
@article{Ben_Ghezala2020-ex,
title = {Incidence of acute postoperative endophthalmitis following
macular surgery in France between 2006 and 2016},
author = {Inès Ben Ghezala and Anne-Sophie Mariet and Eric Benzenine and Alain M Bron and Florian Baudin and Vincent Daien and Jean-François Korobelnik and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2020},
date = {2020-05-01},
journal = {Acta Ophthalmol.},
volume = {98},
number = {3},
pages = {e333–e338},
publisher = {Wiley},
abstract = {PURPOSE: To report the incidence of acute postoperative
endophthalmitis (POE) after macular surgery in France between
2006 and 2016 and to identify associated factors. METHODS: This
retrospective database study included all hospital discharge
records involving a surgical procedure for an epiretinal
membrane or a macular hole in France from January 2006 to
October 2016. Acute POE was identified by two codes in the tenth
edition of the International Classification of Diseases within
42 days of a macular surgical procedure in the French national
administrative database. RESULTS: In France, 152 034 macular
surgical procedures for epiretinal membranes or macular holes
were recorded from 1 January 2006 to 31 October 2016. Suspected
acute POE was reported in 381 cases. The incidence of POE was
0.25% overall, 0.30% for epiretinal membrane surgery and
0.14% for macular hole surgery. In multivariable Poisson
regression analysis, epiretinal membrane surgery was associated
with POE [incidence rate ratio (IRR), 2.24; 95% CI, 1.62-3.11;
p < 0.001]. For epiretinal membrane surgery, the 2010-2011
period was significantly associated with a higher risk of POE (IRR, 1.66; 95% CI, 1.13-2.42; p = 0.03). CONCLUSION: The
incidence of POE after macular surgery was 0.25% overall in
France between 2006 and 2016 and twice higher for epiretinal
membrane surgery than for macular hole surgery. For epiretinal
surgery only, the incidence of POE was higher in 2010-2011
(period of the switch to transconjunctival vitrectomy) than in
the rest of the study period.},
keywords = {endophthalmitis; epidemiology; epiretinal membrane; macular hole; pars plana vitrectomy; transconjunctival sutureless vitrectomy},
pubstate = {published},
tppubtype = {article}
}
endophthalmitis (POE) after macular surgery in France between
2006 and 2016 and to identify associated factors. METHODS: This
retrospective database study included all hospital discharge
records involving a surgical procedure for an epiretinal
membrane or a macular hole in France from January 2006 to
October 2016. Acute POE was identified by two codes in the tenth
edition of the International Classification of Diseases within
42 days of a macular surgical procedure in the French national
administrative database. RESULTS: In France, 152 034 macular
surgical procedures for epiretinal membranes or macular holes
were recorded from 1 January 2006 to 31 October 2016. Suspected
acute POE was reported in 381 cases. The incidence of POE was
0.25% overall, 0.30% for epiretinal membrane surgery and
0.14% for macular hole surgery. In multivariable Poisson
regression analysis, epiretinal membrane surgery was associated
with POE [incidence rate ratio (IRR), 2.24; 95% CI, 1.62-3.11;
p < 0.001]. For epiretinal membrane surgery, the 2010-2011
period was significantly associated with a higher risk of POE (IRR, 1.66; 95% CI, 1.13-2.42; p = 0.03). CONCLUSION: The
incidence of POE after macular surgery was 0.25% overall in
France between 2006 and 2016 and twice higher for epiretinal
membrane surgery than for macular hole surgery. For epiretinal
surgery only, the incidence of POE was higher in 2010-2011
(period of the switch to transconjunctival vitrectomy) than in
the rest of the study period.
Guillemin, M; Blanc, J; Baudin, F; Haddad, D; Bron, A M; Creuzot-Garcher, C
Kystes péripupillaires bilatéraux chez un patient de 30 ans Article de journal
Dans: J. Fr. Ophtalmol., vol. 43, no. 4, p. 373–375, 2020.
BibTeX | Étiquettes:
@article{Guillemin2020-uw,
title = {Kystes péripupillaires bilatéraux chez un patient de 30
ans},
author = {M Guillemin and J Blanc and F Baudin and D Haddad and A M Bron and C Creuzot-Garcher},
year = {2020},
date = {2020-04-01},
journal = {J. Fr. Ophtalmol.},
volume = {43},
number = {4},
pages = {373–375},
publisher = {Elsevier BV},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Arnould, L; Guenancia, C; Gabrielle, P-H; Pitois, S; Baudin, F; Pommier, T; Zeller, M; Bron, A M; Creuzot-Garcher, C; Cottin, Y
Influence of cardiac hemodynamic variables on retinal vessel density measurement on optical coherence tomography angiography in patients with myocardial infarction Article de journal
Dans: J. Fr. Ophtalmol., vol. 43, no. 3, p. 216–221, 2020.
Résumé | BibTeX | Étiquettes: Cardiovascular disease; R{é}tine, Infarction infarctus du myocarde; Maladie cardiaque ath{é}roscl{é}rotique; OCT angiographie; Retina, Myocardial infarction, OCT angiography
@article{Arnould2020-bo,
title = {Influence of cardiac hemodynamic variables on retinal vessel
density measurement on optical coherence tomography angiography
in patients with myocardial infarction},
author = {L Arnould and C Guenancia and P-H Gabrielle and S Pitois and F Baudin and T Pommier and M Zeller and A M Bron and C Creuzot-Garcher and Y Cottin},
year = {2020},
date = {2020-03-01},
journal = {J. Fr. Ophtalmol.},
volume = {43},
number = {3},
pages = {216–221},
publisher = {Elsevier BV},
abstract = {INTRODUCTION: Quantitative measurements of retinal
microvasculature by optical coherence tomography angiography
(OCT-A) have been used to assess cardiovascular risk profile.
However, to date, there are no studies focusing on OCT-A imaging
in the setting of the altered hemodynamic status found in
high-risk cardiovascular patients. METHODS: To determine the
potential association between retinal vascular density on OCT-A
and a comprehensive battery of hemodynamic variables in patients
with myocardial infarction (MI) using data from the acute phase
and at 3 months follow-up after cardiac rehabilitation. This
prospective longitudinal study included patients who presented
with MI in the cardiology intensive care unit at Dijon
University Hospital. Main outcomes and measurements were retinal
vessel density on OCT-A, hemodynamic status based on left
ventricular ejection fraction (LVEF), and indexed cardiac output
during the acute phase of myocardial infarction and at 3 months
follow-up. RESULTS: Overall, 30 patients were included in this
pilot study. The median (IQR) age was 64 years (55-71) with 87%
men. At admission, the mean (SD) LVEF was 53% (11), and the
mean indexed cardiac output was 2.70 (0.83) L/min/m2. On OCT-A,
the mean inner retinal vascular density was 19.09 (2.80) mm-1.
No significant association was found between retinal vascular
density and hemodynamic variables. CONCLUSION: We found no
significant association between retinal vascular density on
OCT-A and hemodynamic variables in the acute phase of a
myocardial infarction or after 3 months of cardiac
rehabilitation. Therefore, OCT-A findings do not seem to be
influenced by the hemodynamic changes associated with myocardial
infarction.},
keywords = {Cardiovascular disease; R{é}tine, Infarction infarctus du myocarde; Maladie cardiaque ath{é}roscl{é}rotique; OCT angiographie; Retina, Myocardial infarction, OCT angiography},
pubstate = {published},
tppubtype = {article}
}
microvasculature by optical coherence tomography angiography
(OCT-A) have been used to assess cardiovascular risk profile.
However, to date, there are no studies focusing on OCT-A imaging
in the setting of the altered hemodynamic status found in
high-risk cardiovascular patients. METHODS: To determine the
potential association between retinal vascular density on OCT-A
and a comprehensive battery of hemodynamic variables in patients
with myocardial infarction (MI) using data from the acute phase
and at 3 months follow-up after cardiac rehabilitation. This
prospective longitudinal study included patients who presented
with MI in the cardiology intensive care unit at Dijon
University Hospital. Main outcomes and measurements were retinal
vessel density on OCT-A, hemodynamic status based on left
ventricular ejection fraction (LVEF), and indexed cardiac output
during the acute phase of myocardial infarction and at 3 months
follow-up. RESULTS: Overall, 30 patients were included in this
pilot study. The median (IQR) age was 64 years (55-71) with 87%
men. At admission, the mean (SD) LVEF was 53% (11), and the
mean indexed cardiac output was 2.70 (0.83) L/min/m2. On OCT-A,
the mean inner retinal vascular density was 19.09 (2.80) mm-1.
No significant association was found between retinal vascular
density and hemodynamic variables. CONCLUSION: We found no
significant association between retinal vascular density on
OCT-A and hemodynamic variables in the acute phase of a
myocardial infarction or after 3 months of cardiac
rehabilitation. Therefore, OCT-A findings do not seem to be
influenced by the hemodynamic changes associated with myocardial
infarction.
2019
Gabrielle, Pierre-Henry; Seydou, Alassane; Arnould, Louis; Acar, Niyazi; Devilliers, Hervé; Baudin, Florian; Ghezala, Ines Ben; Binquet, Christine; Bron, Alain Marie; Creuzot-Garcher, Catherine
Subretinal drusenoid deposits in the elderly in a population-based study (the Montrachet study) Article de journal
Dans: Invest. Ophthalmol. Vis. Sci., vol. 60, no. 14, p. 4838–4848, 2019.
@article{Gabrielle2019-ki,
title = {Subretinal drusenoid deposits in the elderly in a
population-based study (the Montrachet study)},
author = {Pierre-Henry Gabrielle and Alassane Seydou and Louis Arnould and Niyazi Acar and Hervé Devilliers and Florian Baudin and Ines Ben Ghezala and Christine Binquet and Alain Marie Bron and Catherine Creuzot-Garcher},
year = {2019},
date = {2019-11-01},
journal = {Invest. Ophthalmol. Vis. Sci.},
volume = {60},
number = {14},
pages = {4838–4848},
publisher = {Association for Research in Vision and Ophthalmology (ARVO)},
abstract = {Purpose: The aim of this study was to investigate the prevalence
of subretinal drusenoid deposits (SDD) and to identify
associated factors in an elderly population. Methods: The
participants of the population-based Montrachet study underwent
an exhaustive ophthalmologic examination, including color fundus
photography and macular spectral domain-optical coherence
tomography (SD-OCT), coupled with infrared reflectance imaging.
The presence of SDD and other age-related macular degeneration
lesions, according to the European Eye Epidemiology SD-OCT
classification of macular diseases, and subfoveal choroidal
thickness were recorded. Moreover, the association of SDD and
both clinical and demographic factors as well as plasma levels
of vitamin E and lutein/zeaxanthin (L/Z) were analyzed. Results:
The mean age of patients was 82.3 $±$ 3.8 years and 62.7% were female. The prevalence of SDD was 18.1% (n = 205) in the subjects with at least one eye interpretable (n = 1135). In
multivariate analysis, SDD was positively associated with
increasing age (OR, 4.6; 95% CI, 2.8-7.7; P 85 years), female sex (OR, 1.7; 95% CI, 1.2-2.4; P = 0.005), and plasma L/Z level (OR, 1.2; 95% CI, 1.0-1.5; P = 0.039), and negatively
associated with lipid-lowering drugs use (OR, 0.5; 95% CI, 0.3-0.9; P = 0.014 for statin medications) and subfoveal choroidal thickness (OR, 0.8; 95% CI, 0.7-0.9; P = 0.002).
Conclusions: The prevalence of SDD was high in subjects older
than 75 years, more frequent in women, and was associated with a
thinner choroid. The association with lipid-lowering drugs
deserves further investigation.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
of subretinal drusenoid deposits (SDD) and to identify
associated factors in an elderly population. Methods: The
participants of the population-based Montrachet study underwent
an exhaustive ophthalmologic examination, including color fundus
photography and macular spectral domain-optical coherence
tomography (SD-OCT), coupled with infrared reflectance imaging.
The presence of SDD and other age-related macular degeneration
lesions, according to the European Eye Epidemiology SD-OCT
classification of macular diseases, and subfoveal choroidal
thickness were recorded. Moreover, the association of SDD and
both clinical and demographic factors as well as plasma levels
of vitamin E and lutein/zeaxanthin (L/Z) were analyzed. Results:
The mean age of patients was 82.3 $±$ 3.8 years and 62.7% were female. The prevalence of SDD was 18.1% (n = 205) in the subjects with at least one eye interpretable (n = 1135). In
multivariate analysis, SDD was positively associated with
increasing age (OR, 4.6; 95% CI, 2.8-7.7; P 85 years), female sex (OR, 1.7; 95% CI, 1.2-2.4; P = 0.005), and plasma L/Z level (OR, 1.2; 95% CI, 1.0-1.5; P = 0.039), and negatively
associated with lipid-lowering drugs use (OR, 0.5; 95% CI, 0.3-0.9; P = 0.014 for statin medications) and subfoveal choroidal thickness (OR, 0.8; 95% CI, 0.7-0.9; P = 0.002).
Conclusions: The prevalence of SDD was high in subjects older
than 75 years, more frequent in women, and was associated with a
thinner choroid. The association with lipid-lowering drugs
deserves further investigation.
Bechet, L; Merle, H
Des microkystes maculaires chez une enfant atteinte de neuromyélite optique : à propos d'un cas Article de journal
Dans: J. Fr. Ophtalmol., vol. 42, no. 4, p. e187–e191, 2019.
BibTeX | Étiquettes:
@article{Bechet2019-vx,
title = {Des microkystes maculaires chez une enfant atteinte de
neuromyélite optique : à propos d'un cas},
author = {L Bechet and H Merle},
year = {2019},
date = {2019-04-01},
journal = {J. Fr. Ophtalmol.},
volume = {42},
number = {4},
pages = {e187–e191},
publisher = {Elsevier BV},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Bechet, Lorane; Hage, Rabih; Vest, Agathe; Jean-Charles, Albert; Merle, Harold
Fovea Plana in a 9-year-old boy presenting with decreased vision in the left eye Article de journal
Dans: Am. J. Case Rep., vol. 20, p. 537–541, 2019.
@article{Bechet2019-ql,
title = {Fovea Plana in a 9-year-old boy presenting with decreased vision
in the left eye},
author = {Lorane Bechet and Rabih Hage and Agathe Vest and Albert Jean-Charles and Harold Merle},
year = {2019},
date = {2019-04-01},
journal = {Am. J. Case Rep.},
volume = {20},
pages = {537–541},
publisher = {International Scientific Information, Inc.},
abstract = {BACKGROUND Foveal hypoplasia (FH) is a congenital disorder,
generally associated with other conditions. CASE REPORT A
9-year-old boy presented with moderately decreased vision in the
left eye. Fundus examination showed an absence of macular
reflection and no foveal pit was seen on optical coherence
tomography. Fluorescein angiography demonstrated the absence of
a foveal avascular zone. CONCLUSIONS This is a rare case of a
unilateral fovea plana associated with a visual impairment.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
generally associated with other conditions. CASE REPORT A
9-year-old boy presented with moderately decreased vision in the
left eye. Fundus examination showed an absence of macular
reflection and no foveal pit was seen on optical coherence
tomography. Fluorescein angiography demonstrated the absence of
a foveal avascular zone. CONCLUSIONS This is a rare case of a
unilateral fovea plana associated with a visual impairment.
2018
Baudin, Florian; Benzenine, Eric; Mariet, Anne-Sophie; Bron, Alain M; Daien, Vincent; cois Korobelnik, Jean Franc; Quantin, Catherine; Creuzot-Garcher, Catherine
Association of acute endophthalmitis with intravitreal injections of corticosteroids or anti-vascular growth factor agents in a nationwide study in France Article de journal
Dans: JAMA Ophthalmol., vol. 136, no. 12, p. 1352–1358, 2018.
@article{Baudin2018-da,
title = {Association of acute endophthalmitis with intravitreal
injections of corticosteroids or anti-vascular growth factor
agents in a nationwide study in France},
author = {Florian Baudin and Eric Benzenine and Anne-Sophie Mariet and Alain M Bron and Vincent Daien and Jean Franc cois Korobelnik and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2018},
date = {2018-12-01},
journal = {JAMA Ophthalmol.},
volume = {136},
number = {12},
pages = {1352–1358},
publisher = {American Medical Association (AMA)},
abstract = {Importance: The number of patients affected by retinal diseases
treated with intravitreal injections (IVTs) has resulted in a
rapidly growing number of procedures. One of the worst
complications after these injections is endophthalmitis.
Objective: To evaluate the incidence of acute endophthalmitis
after IVTs of corticosteroids or anti-vascular endothelial
growth factor (anti-VEGF) agents. Design, Setting, and
Participants: This population-based cohort study included
patients undergoing IVTs from January 1, 2012, through December
31, 2015, in France. Data were acquired from the French
medical-administrative database (Système National
d'Information Inter-Régime de l'Assurance Maladie), which
collects hospitalization discharge abstracts and out-of-hospital
care information for the whole country. Data were analyzed from
March through July 2017. Exposures: Intravitreal injections of
corticosteroid or anti-VEGF agents. Main Outcomes and Measures:
Incidence of acute endophthalmitis within 6 weeks after IVT by
means of billing codes from a national database. Results: During
the study period, 1 811 977 IVTs of corticosteroids or anti-VEGF
agents performed on 254 927 patients (60.4% female; median age,
79 years [interquartile range, 70-85 years]) were analyzed. A
total of 444 acute endophthalmitis cases (crude incidence,
0.0245%) were recorded. In multivariable analysis, which did
not include adjustment for when the endophthalmitis occurred
during the study period, the risk of endophthalmitis was lower
in male patients (incidence rate ratio [IRR], 0.78; 95% CI, 0.63-0.96; P = .02), higher for corticosteroids than for
anti-VEGF agents (IRR, 3.21; 95% CI, 2.33-4.44; P < .001), and
higher for nonprefilled syringes of anti-VEGF medications than
prefilled syringes for ranibizumab (IRR, 1.63; 95% CI,
1.15-2.30) and aflibercept (IRR, 1.82; 95% CI, 1.25-2.66; P <
.001). Conclusions and Relevance: The findings from this study
of a nationwide database appear to have confirmed the low
incidence rate of acute endophthalmitis after IVTs of
corticosteroids or anti-VEGF agents. Although an association may
not necessarily indicate a cause and effect, the risk for acute
endophthalmitis after IVTs appeared to be higher for
corticosteroids compared with anti-VEGF agents, while a lower
risk of endophthalmitis appeared to be found with prefilled
syringes of anti-VEGF medications.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
treated with intravitreal injections (IVTs) has resulted in a
rapidly growing number of procedures. One of the worst
complications after these injections is endophthalmitis.
Objective: To evaluate the incidence of acute endophthalmitis
after IVTs of corticosteroids or anti-vascular endothelial
growth factor (anti-VEGF) agents. Design, Setting, and
Participants: This population-based cohort study included
patients undergoing IVTs from January 1, 2012, through December
31, 2015, in France. Data were acquired from the French
medical-administrative database (Système National
d'Information Inter-Régime de l'Assurance Maladie), which
collects hospitalization discharge abstracts and out-of-hospital
care information for the whole country. Data were analyzed from
March through July 2017. Exposures: Intravitreal injections of
corticosteroid or anti-VEGF agents. Main Outcomes and Measures:
Incidence of acute endophthalmitis within 6 weeks after IVT by
means of billing codes from a national database. Results: During
the study period, 1 811 977 IVTs of corticosteroids or anti-VEGF
agents performed on 254 927 patients (60.4% female; median age,
79 years [interquartile range, 70-85 years]) were analyzed. A
total of 444 acute endophthalmitis cases (crude incidence,
0.0245%) were recorded. In multivariable analysis, which did
not include adjustment for when the endophthalmitis occurred
during the study period, the risk of endophthalmitis was lower
in male patients (incidence rate ratio [IRR], 0.78; 95% CI, 0.63-0.96; P = .02), higher for corticosteroids than for
anti-VEGF agents (IRR, 3.21; 95% CI, 2.33-4.44; P < .001), and
higher for nonprefilled syringes of anti-VEGF medications than
prefilled syringes for ranibizumab (IRR, 1.63; 95% CI,
1.15-2.30) and aflibercept (IRR, 1.82; 95% CI, 1.25-2.66; P <
.001). Conclusions and Relevance: The findings from this study
of a nationwide database appear to have confirmed the low
incidence rate of acute endophthalmitis after IVTs of
corticosteroids or anti-VEGF agents. Although an association may
not necessarily indicate a cause and effect, the risk for acute
endophthalmitis after IVTs appeared to be higher for
corticosteroids compared with anti-VEGF agents, while a lower
risk of endophthalmitis appeared to be found with prefilled
syringes of anti-VEGF medications.
Vest, A; Jean-Charles, A; Bechet, L; Plasse, N; Paul, N; Merle, H
Une dégénérescence marginale de Terrien chez une enfant de 6 ans : à propos d'un cas Article de journal
Dans: J. Fr. Ophtalmol., vol. 41, no. 9, p. e433–e435, 2018.
BibTeX | Étiquettes:
@article{Vest2018-va,
title = {Une dégénérescence marginale de Terrien chez une
enfant de 6 ans : à propos d'un cas},
author = {A Vest and A Jean-Charles and L Bechet and N Plasse and N Paul and H Merle},
year = {2018},
date = {2018-11-01},
journal = {J. Fr. Ophtalmol.},
volume = {41},
number = {9},
pages = {e433–e435},
publisher = {Elsevier BV},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Faroux, Laurent; Blanpain, Thierry; Nazeyrollas, Pierre; Tassan-Mangina, Sophie; Heroguelle, Virginie; Tourneux, Christophe; Baudin, Florian; Metz, Damien
Reduction in exposure of interventional cardiologists to ionising radiation over a 10-year period Article de journal
Dans: Int. J. Cardiol., vol. 259, p. 57–59, 2018.
Résumé | BibTeX | Étiquettes: Cardiac catheterization; Coronary artery; Radiation risk
@article{Faroux2018-uj,
title = {Reduction in exposure of interventional cardiologists to ionising
radiation over a 10-year period},
author = {Laurent Faroux and Thierry Blanpain and Pierre Nazeyrollas and Sophie Tassan-Mangina and Virginie Heroguelle and Christophe Tourneux and Florian Baudin and Damien Metz},
year = {2018},
date = {2018-05-01},
journal = {Int. J. Cardiol.},
volume = {259},
pages = {57–59},
abstract = {Exposure of operators to ionising radiation in interventional
cardiology has likely diminished, but data confirming the
magnitude of the reduction are lacking. The aim of this study was
to compare the dose of radiation received by interventional
cardiology operators at 11 years interval (2006 vs 2017). The
study population comprised all interventional coronary procedures
performed by a single operator in one catheterization laboratory
(cathlab) of a large university hospital in north-eastern France.
Exposure was compared between two periods, namely period 1 (from
October 2005 to March 2006) and period 2 (from March 2017 to June
2017). The primary endpoint was the dose of radiation received by
the operator, measured using an electronic dosimeter placed on
the operator's left arm. In 2017, the dose of radiation received
by the operators was, on average, 95% lower than the dose
received in 2006 (p < 0.0001), even though the average
fluoroscopy time increased by 73% over the same period (p <
0.0001). By multivariable analysis including body mass index,
fluoroscopy time and performance of at least one (1) coronary
angioplasty, the reduction in the operator's exposure to
radiation remained significant. The dose of radiation received by
interventional cardiology operators has decreased by 95% over
the last ten years.},
keywords = {Cardiac catheterization; Coronary artery; Radiation risk},
pubstate = {published},
tppubtype = {article}
}
cardiology has likely diminished, but data confirming the
magnitude of the reduction are lacking. The aim of this study was
to compare the dose of radiation received by interventional
cardiology operators at 11 years interval (2006 vs 2017). The
study population comprised all interventional coronary procedures
performed by a single operator in one catheterization laboratory
(cathlab) of a large university hospital in north-eastern France.
Exposure was compared between two periods, namely period 1 (from
October 2005 to March 2006) and period 2 (from March 2017 to June
2017). The primary endpoint was the dose of radiation received by
the operator, measured using an electronic dosimeter placed on
the operator's left arm. In 2017, the dose of radiation received
by the operators was, on average, 95% lower than the dose
received in 2006 (p < 0.0001), even though the average
fluoroscopy time increased by 73% over the same period (p <
0.0001). By multivariable analysis including body mass index,
fluoroscopy time and performance of at least one (1) coronary
angioplasty, the reduction in the operator's exposure to
radiation remained significant. The dose of radiation received by
interventional cardiology operators has decreased by 95% over
the last ten years.
Faroux, Laurent; Blanpain, Thierry; Nazeyrollas, Pierre; Tassan-Mangina, Sophie; Heroguelle, Virginie; Tourneux, Christophe; Baudin, Florian; Metz, Damien
Effect of modern dose-reduction technology on the exposure of interventional cardiologists to radiation in the catheterization laboratory Article de journal
Dans: JACC Cardiovasc. Interv., vol. 11, no. 2, p. 222–223, 2018.
BibTeX | Étiquettes:
@article{Faroux2018-lx,
title = {Effect of modern dose-reduction technology on the exposure of
interventional cardiologists to radiation in the catheterization
laboratory},
author = {Laurent Faroux and Thierry Blanpain and Pierre Nazeyrollas and Sophie Tassan-Mangina and Virginie Heroguelle and Christophe Tourneux and Florian Baudin and Damien Metz},
year = {2018},
date = {2018-01-01},
journal = {JACC Cardiovasc. Interv.},
volume = {11},
number = {2},
pages = {222–223},
publisher = {Elsevier BV},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2017
Barrenechea, E; Deschasse, C; Baudin, F; Bron, A M; Garcher, C Creuzot
Retinal phacomas in tuberous sclerosis in a 18-year old patient Article de journal
Dans: J. Fr. Ophtalmol., vol. 40, no. 10, p. 898–900, 2017.
BibTeX | Étiquettes:
@article{Barrenechea2017-ou,
title = {Retinal phacomas in tuberous sclerosis in a 18-year old patient},
author = {E Barrenechea and C Deschasse and F Baudin and A M Bron and C Creuzot Garcher},
year = {2017},
date = {2017-12-01},
journal = {J. Fr. Ophtalmol.},
volume = {40},
number = {10},
pages = {898–900},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Deschasse, C; Baudin, F; Gabrielle, P H; Bron, A M; Creuzot-Garcher, C
Spasme du dilatateur pupillaire ou pupille en têtard Article de journal
Dans: J. Fr. Ophtalmol., vol. 40, no. 6, p. 522–523, 2017.
BibTeX | Étiquettes:
@article{Deschasse2017-ak,
title = {Spasme du dilatateur pupillaire ou pupille en têtard},
author = {C Deschasse and F Baudin and P H Gabrielle and A M Bron and C Creuzot-Garcher},
year = {2017},
date = {2017-06-01},
journal = {J. Fr. Ophtalmol.},
volume = {40},
number = {6},
pages = {522–523},
publisher = {Elsevier BV},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2013
Bonnin, Nicolas; Cornut, Pierre-Loïc; Chaise, Florian; Labeille, Elodie; Manificat, Helene Janin; Feldman, Audrey; Perard, Laurent; Bacin, Franck; Chiambaretta, Frédéric; Burillon, Carole
Spontaneous closure of macular holes secondary to posterior uveitis: case series and a literature review Article de journal
Dans: J. Ophthalmic Inflamm. Infect., vol. 3, no. 1, p. 34, 2013.
@article{Bonnin2013-ei,
title = {Spontaneous closure of macular holes secondary to posterior
uveitis: case series and a literature review},
author = {Nicolas Bonnin and Pierre-Loïc Cornut and Florian Chaise and Elodie Labeille and Helene Janin Manificat and Audrey Feldman and Laurent Perard and Franck Bacin and Frédéric Chiambaretta and Carole Burillon},
year = {2013},
date = {2013-02-01},
journal = {J. Ophthalmic Inflamm. Infect.},
volume = {3},
number = {1},
pages = {34},
publisher = {Springer Nature},
abstract = {The occurrence of a macular hole due to posterior uveitis is
infrequently reported. We report the evolution of three cases of
macular holes secondary to posterior segment inflammation. A
complete inflammatory and infectious assessment found one case
of toxocariasis, one of sarcoidosis, and one of syphilis. After
medical etiological treatment, macular hole closure was rapidly
obtained in all the cases and confirmed by spectral domain optic
coherence tomography, with visual acuity improvement. Fibrous
scarring developed in two cases, and foveal photoreceptor
complex normalization was observed in the sarcoidosis case.
These observations demonstrate that macular holes secondary to
posterior uveitis frequently resolve without surgical
intervention and so could be underdiagnosed if the patient is
not evaluated at the time of onset before spontaneous hole
closure.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
infrequently reported. We report the evolution of three cases of
macular holes secondary to posterior segment inflammation. A
complete inflammatory and infectious assessment found one case
of toxocariasis, one of sarcoidosis, and one of syphilis. After
medical etiological treatment, macular hole closure was rapidly
obtained in all the cases and confirmed by spectral domain optic
coherence tomography, with visual acuity improvement. Fibrous
scarring developed in two cases, and foveal photoreceptor
complex normalization was observed in the sarcoidosis case.
These observations demonstrate that macular holes secondary to
posterior uveitis frequently resolve without surgical
intervention and so could be underdiagnosed if the patient is
not evaluated at the time of onset before spontaneous hole
closure.
Explorer
Recherche
Mehta, Hemal; Gabrielle, Pierre-Henry; Hashimoto, Yohei; Kibret, Getiye Dejenu; Arnold, Jennifer; Guillaumie, Tremeur; Kheir, Wajiha Jurdi; Kok, Gerhard; Vujosevic, Stela; O'Toole, Louise; Mangelschots, Els; Jaross, Nandor; Ceklic, Lala; Daien, Vincent; Viola, Francesco; Squirrell, David; Lavid, Francisco Javier; Creuzot-Garcher, Catherine; Barthelmes, Daniel; Gillies, Mark; Group, Fight Retinal Blindness! Study
One-year anti-VEGF therapy outcomes in diabetic macular edema based on treatment intensity: Data from the Fight Retinal Blindness! Registry Article de journal
Dans: Ophthalmol. Retina, vol. 8, no. 9, p. 872–879, 2024.
@article{Mehta2024-mq,
title = {One-year anti-VEGF therapy outcomes in diabetic macular edema
based on treatment intensity: Data from the Fight Retinal
Blindness! Registry},
author = {Hemal Mehta and Pierre-Henry Gabrielle and Yohei Hashimoto and Getiye Dejenu Kibret and Jennifer Arnold and Tremeur Guillaumie and Wajiha Jurdi Kheir and Gerhard Kok and Stela Vujosevic and Louise O'Toole and Els Mangelschots and Nandor Jaross and Lala Ceklic and Vincent Daien and Francesco Viola and David Squirrell and Francisco Javier Lavid and Catherine Creuzot-Garcher and Daniel Barthelmes and Mark Gillies and Fight Retinal Blindness! Study Group},
year = {2024},
date = {2024-09-01},
journal = {Ophthalmol. Retina},
volume = {8},
number = {9},
pages = {872–879},
publisher = {Elsevier BV},
abstract = {PURPOSE: To compare one-year outcomes of eyes with diabetic
macular edema (DME) treated in routine clinical practice based
on the proportion of visits where intravitreal vascular
endothelial growth factor (VEGF) inhibitor injections were
delivered. DESIGN: Cohort study PARTICIPANTS: There were 2288
treatment-naïve eyes with DME starting intravitreal VEGF
inhibitor therapy from 31 October 2015 to 31 October 2021 from
the Fight Retinal Blindness! international outcomes registry.
METHODS: Eyes were grouped according to the proportion of visits
at which an injection was received, Group A with less than the median of 67% (n=1172) versus Group B with greater than the median (n=1116). MAIN OUTCOME MEASURE: Mean visual acuity (VA)
change after 12 months of treatment. RESULTS: The mean (95%
confidence interval [CI]) VA change after 12 months of treatment
was 3.6 (2.8, 4.4) letters for eyes in Group A versus 5.2 (4.4, 5.9) letters for eyes in Group B (p=0.005). The mean (95% CI)
central subfield thickness (CST) change was -69 (-76, -61)
μm and -85 (-92, -78) μm for eyes in Group A versus Group B, respectively (p=0.002). A moderate positive correlation
was observed between the number of injections received over 12
months of treatment and the change in VA (p<0.001).
Additionally, eyes that received more injections had a
moderately greater CST reduction. CONCLUSIONS: This registry
analysis found that overall VA and anatomic outcomes tended to
be better in DME eyes treated at a greater proportion of visits
in the first year of intravitreal VEGF inhibitor therapy.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
macular edema (DME) treated in routine clinical practice based
on the proportion of visits where intravitreal vascular
endothelial growth factor (VEGF) inhibitor injections were
delivered. DESIGN: Cohort study PARTICIPANTS: There were 2288
treatment-naïve eyes with DME starting intravitreal VEGF
inhibitor therapy from 31 October 2015 to 31 October 2021 from
the Fight Retinal Blindness! international outcomes registry.
METHODS: Eyes were grouped according to the proportion of visits
at which an injection was received, Group A with less than the median of 67% (n=1172) versus Group B with greater than the median (n=1116). MAIN OUTCOME MEASURE: Mean visual acuity (VA)
change after 12 months of treatment. RESULTS: The mean (95%
confidence interval [CI]) VA change after 12 months of treatment
was 3.6 (2.8, 4.4) letters for eyes in Group A versus 5.2 (4.4, 5.9) letters for eyes in Group B (p=0.005). The mean (95% CI)
central subfield thickness (CST) change was -69 (-76, -61)
μm and -85 (-92, -78) μm for eyes in Group A versus Group B, respectively (p=0.002). A moderate positive correlation
was observed between the number of injections received over 12
months of treatment and the change in VA (p<0.001).
Additionally, eyes that received more injections had a
moderately greater CST reduction. CONCLUSIONS: This registry
analysis found that overall VA and anatomic outcomes tended to
be better in DME eyes treated at a greater proportion of visits
in the first year of intravitreal VEGF inhibitor therapy.
Mathis, Thibaud; Baudin, Florian; Mariet, Anne-Sophie; Augustin, Sébastien; Bricout, Marion; Przegralek, Lauriane; Roubeix, Christophe; Benzenine, Éric; Blot, Guillaume; Nous, Caroline; Kodjikian, Laurent; Mauget-Faÿsse, Martine; Sahel, José-Alain; Plevin, Robin; Zeitz, Christina; Delarasse, Cécile; Guillonneau, Xavier; Creuzot-Garcher, Catherine; Quantin, Catherine; Hunot, Stéphane; Sennlaub, Florian
DRD2 activation inhibits choroidal neovascularization in patients with Parkinson's disease and age-related macular degeneration Article de journal
Dans: J. Clin. Invest., vol. 134, no. 17, 2024.
@article{Mathis2024-mh,
title = {DRD2 activation inhibits choroidal neovascularization in patients with Parkinson's disease and age-related macular degeneration},
author = {Thibaud Mathis and Florian Baudin and Anne-Sophie Mariet and Sébastien Augustin and Marion Bricout and Lauriane Przegralek and Christophe Roubeix and Éric Benzenine and Guillaume Blot and Caroline Nous and Laurent Kodjikian and Martine Mauget-Faÿsse and José-Alain Sahel and Robin Plevin and Christina Zeitz and Cécile Delarasse and Xavier Guillonneau and Catherine Creuzot-Garcher and Catherine Quantin and Stéphane Hunot and Florian Sennlaub},
url = {https://annecy-ophtalmo.fr/wp-content/uploads/2024/10/jci-134-174199.pdf},
year = {2024},
date = {2024-07-01},
urldate = {2024-07-01},
journal = {J. Clin. Invest.},
volume = {134},
number = {17},
publisher = {American Society for Clinical Investigation},
abstract = {Neovascular age-related macular degeneration (nAMD) remains a
major cause of visual impairment and puts considerable burden on
patients and health care systems. l-DOPA-treated Parkinson's
disease (PD) patients have been shown to be partially protected
from nAMD, but the mechanism remains unknown. Using murine
models that combine
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced
(MPTP-induced) PD and laser-induced nAMD with standard PD
treatment of l-DOPA/DOPA-decarboxylase inhibitor or specific
dopamine receptor inhibitors, we here demonstrate that l-DOPA
treatment-induced increase of dopamine-mediated dopamine
receptor D2 (DRD2) signaling inhibits choroidal
neovascularization independently of MPTP-associated
nigrostriatal pathway lesion. Analyzing a retrospective cohort
of more than 200,000 patients with nAMD receiving anti-VEGF
treatment from the French nationwide insurance database, we show
that DRD2 agonist-treated PD patients have a significantly
delayed age of onset of nAMD and reduced need for anti-VEGF
therapies, similar to the effects of the l-DOPA treatment. While
providing a mechanistic explanation for an intriguing
epidemiological observation, our findings suggest that systemic
DRD2 agonists might constitute an adjuvant therapy to delay and
reduce the need for anti-VEGF therapy in patients with nAMD.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
major cause of visual impairment and puts considerable burden on
patients and health care systems. l-DOPA-treated Parkinson's
disease (PD) patients have been shown to be partially protected
from nAMD, but the mechanism remains unknown. Using murine
models that combine
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced
(MPTP-induced) PD and laser-induced nAMD with standard PD
treatment of l-DOPA/DOPA-decarboxylase inhibitor or specific
dopamine receptor inhibitors, we here demonstrate that l-DOPA
treatment-induced increase of dopamine-mediated dopamine
receptor D2 (DRD2) signaling inhibits choroidal
neovascularization independently of MPTP-associated
nigrostriatal pathway lesion. Analyzing a retrospective cohort
of more than 200,000 patients with nAMD receiving anti-VEGF
treatment from the French nationwide insurance database, we show
that DRD2 agonist-treated PD patients have a significantly
delayed age of onset of nAMD and reduced need for anti-VEGF
therapies, similar to the effects of the l-DOPA treatment. While
providing a mechanistic explanation for an intriguing
epidemiological observation, our findings suggest that systemic
DRD2 agonists might constitute an adjuvant therapy to delay and
reduce the need for anti-VEGF therapy in patients with nAMD.
Mathis, Thibaud; Baudin, Florian; Mariet, Anne-Sophie; Augustin, Sébastien; Bricout, Marion; Przegralek, Lauriane; Roubeix, Christophe; Benzenine, Éric; Blot, Guillaume; Nous, Caroline; Kodjikian, Laurent; Mauget-Faÿsse, Martine; Sahel, José-Alain; Plevin, Robin; Zeitz, Christina; Delarasse, Cécile; Guillonneau, Xavier; Creuzot-Garcher, Catherine; Quantin, Catherine; Hunot, Stéphane; Sennlaub, Florian
DRD2 activation inhibits choroidal neovascularization in patients with Parkinson's disease and age-related macular degeneration Article de journal
Dans: J. Clin. Invest., vol. 134, no. 17, 2024.
@article{Mathis2024-ch,
title = {DRD2 activation inhibits choroidal neovascularization in
patients with Parkinson's disease and age-related macular
degeneration},
author = {Thibaud Mathis and Florian Baudin and Anne-Sophie Mariet and Sébastien Augustin and Marion Bricout and Lauriane Przegralek and Christophe Roubeix and Éric Benzenine and Guillaume Blot and Caroline Nous and Laurent Kodjikian and Martine Mauget-Faÿsse and José-Alain Sahel and Robin Plevin and Christina Zeitz and Cécile Delarasse and Xavier Guillonneau and Catherine Creuzot-Garcher and Catherine Quantin and Stéphane Hunot and Florian Sennlaub},
year = {2024},
date = {2024-07-01},
journal = {J. Clin. Invest.},
volume = {134},
number = {17},
publisher = {American Society for Clinical Investigation},
abstract = {Neovascular age-related macular degeneration (nAMD) remains a
major cause of visual impairment and puts considerable burden on
patients and health care systems. l-DOPA-treated Parkinson's
disease (PD) patients have been shown to be partially protected
from nAMD, but the mechanism remains unknown. Using murine
models that combine
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced
(MPTP-induced) PD and laser-induced nAMD with standard PD
treatment of l-DOPA/DOPA-decarboxylase inhibitor or specific
dopamine receptor inhibitors, we here demonstrate that l-DOPA
treatment-induced increase of dopamine-mediated dopamine
receptor D2 (DRD2) signaling inhibits choroidal
neovascularization independently of MPTP-associated
nigrostriatal pathway lesion. Analyzing a retrospective cohort
of more than 200,000 patients with nAMD receiving anti-VEGF
treatment from the French nationwide insurance database, we show
that DRD2 agonist-treated PD patients have a significantly
delayed age of onset of nAMD and reduced need for anti-VEGF
therapies, similar to the effects of the l-DOPA treatment. While
providing a mechanistic explanation for an intriguing
epidemiological observation, our findings suggest that systemic
DRD2 agonists might constitute an adjuvant therapy to delay and
reduce the need for anti-VEGF therapy in patients with nAMD.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
major cause of visual impairment and puts considerable burden on
patients and health care systems. l-DOPA-treated Parkinson's
disease (PD) patients have been shown to be partially protected
from nAMD, but the mechanism remains unknown. Using murine
models that combine
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced
(MPTP-induced) PD and laser-induced nAMD with standard PD
treatment of l-DOPA/DOPA-decarboxylase inhibitor or specific
dopamine receptor inhibitors, we here demonstrate that l-DOPA
treatment-induced increase of dopamine-mediated dopamine
receptor D2 (DRD2) signaling inhibits choroidal
neovascularization independently of MPTP-associated
nigrostriatal pathway lesion. Analyzing a retrospective cohort
of more than 200,000 patients with nAMD receiving anti-VEGF
treatment from the French nationwide insurance database, we show
that DRD2 agonist-treated PD patients have a significantly
delayed age of onset of nAMD and reduced need for anti-VEGF
therapies, similar to the effects of the l-DOPA treatment. While
providing a mechanistic explanation for an intriguing
epidemiological observation, our findings suggest that systemic
DRD2 agonists might constitute an adjuvant therapy to delay and
reduce the need for anti-VEGF therapy in patients with nAMD.
Vaitinadapoulé, Hanielle; Poinard, Sylvain; He, Zhiguo; Pascale-Hamri, Alina; Thomas, Justin; Gain, Philippe; Thuret, Jean-Yves; Mascarelli, Frédéric; Thuret, Gilles; (FFSG), French Fuchs Study Group
Nanotopography by chromatic confocal microscopy of the endothelium in Fuchs endothelial corneal dystrophy, pseudophakic bullous keratopathy and healthy corneas Article de journal
Dans: Br. J. Ophthalmol., vol. 108, no. 8, p. 1184–1192, 2024.
@article{Vaitinadapoule2024-fz,
title = {Nanotopography by chromatic confocal microscopy of the
endothelium in Fuchs endothelial corneal dystrophy, pseudophakic
bullous keratopathy and healthy corneas},
author = {Hanielle Vaitinadapoulé and Sylvain Poinard and Zhiguo He and Alina Pascale-Hamri and Justin Thomas and Philippe Gain and Jean-Yves Thuret and Frédéric Mascarelli and Gilles Thuret and French Fuchs Study Group (FFSG)},
year = {2024},
date = {2024-07-01},
journal = {Br. J. Ophthalmol.},
volume = {108},
number = {8},
pages = {1184–1192},
publisher = {BMJ},
abstract = {AIM: To investigate the interest of chromatic confocal
microscopy (CCM) to characterise guttae in Fuchs endothelial
corneal dystrophy (FECD). METHODS: Descemet's membranes (DM)
were obtained during endothelial keratoplasty in patients with
FECD and pseudophakic bullous keratopathy (PBK). They were
compared with healthy samples obtained from body donation to
science. Samples were fixed in 0.5% paraformaldehyde and flat
mounted. Surface roughness of DMs was quantified using CCM and
the AltiMap software that provided the maximum peak (Sp) and
valley (Sv) heights, the mean square roughness (Rq) and the
asymmetry coefficient (Ssk). RESULTS: The physiological
roughness of healthy samples was characterised by an Rq of
0.12$±$0.05 µm, which was two times rougher than in PBK (Rq=0.06$±$0.03 µm), but both were still flat with a
symmetrical distribution between peaks and valleys (Ssk close to},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
microscopy (CCM) to characterise guttae in Fuchs endothelial
corneal dystrophy (FECD). METHODS: Descemet's membranes (DM)
were obtained during endothelial keratoplasty in patients with
FECD and pseudophakic bullous keratopathy (PBK). They were
compared with healthy samples obtained from body donation to
science. Samples were fixed in 0.5% paraformaldehyde and flat
mounted. Surface roughness of DMs was quantified using CCM and
the AltiMap software that provided the maximum peak (Sp) and
valley (Sv) heights, the mean square roughness (Rq) and the
asymmetry coefficient (Ssk). RESULTS: The physiological
roughness of healthy samples was characterised by an Rq of
0.12$±$0.05 µm, which was two times rougher than in PBK (Rq=0.06$±$0.03 µm), but both were still flat with a
symmetrical distribution between peaks and valleys (Ssk close to
Garcher, Catherine P Creuzot; Massin, Pascale; Srour, Mayer; Baudin, Florian; Dot, Corinne; Nghiem-Buffet, Sylvia; Girmens, Jean-Francois; Collin, Cedric; Ponthieux, Anne; Delcourt, Cecile
Management of diabetic macular oedema in France from 2012 to 2018: The nationwide LANDSCAPE study Article de journal
Dans: Acta Ophthalmol., vol. 102, no. 4, p. e548–e556, 2024.
@article{Creuzot_Garcher2024-wm,
title = {Management of diabetic macular oedema in France from 2012 to
2018: The nationwide LANDSCAPE study},
author = {Catherine P Creuzot Garcher and Pascale Massin and Mayer Srour and Florian Baudin and Corinne Dot and Sylvia Nghiem-Buffet and Jean-Francois Girmens and Cedric Collin and Anne Ponthieux and Cecile Delcourt},
year = {2024},
date = {2024-06-01},
journal = {Acta Ophthalmol.},
volume = {102},
number = {4},
pages = {e548–e556},
publisher = {Wiley},
abstract = {OBJECTIVE: To describe the management of diabetic macular oedema
(DME) patients from the entire French population between 2012
and 2018. METHODS: In this retrospective longitudinal study, we
identified adults treated for DME from the French population
using the exhaustive French National Health Information database
(SNDS), and an algorithm based on diagnosis and procedure codes,
and reimbursed treatments. RESULTS: Between 2012 and 2018, we
identified 53 584 treated DME patients, who were followed for up
to 7 years from DME treatment initiation. Optical coherence
tomography (OCT) became the predominant imaging tool to diagnose
DME. Only 14% of patients consulted a diabetologist or
endocrinologist in the 3 months prior to initiating DME
treatment, whereas 84% consulted a general practitioner. The
percentage of patients consulting an ophthalmologist declined
over time, from 97% of patients in Year 1 (median of 9
consultations), to 46% in Year 7 (median of 7 consultations).
The median DME treatment duration with an anti-VEGF and/or
dexamethasone implant treatment was 9 months; 54% of patients
had a treatment duration less than 1 year. First-line treatment
was more common with ranibizumab (55% of patients) than with
aflibercept (30%), or dexamethasone implant (15%). About 25%
of patients who initiated anti-VEGF treatment switched treatment
at least once, while 30% of patients who initiated
dexamethasone implant switched to anti-VEGF treatment at least
once. CONCLUSIONS: French DME patients seem well-monitored by
their ophthalmologist, but median DME treatment duration was
just 9 months. These results emphasise the challenge to manage
and treat patients with DME over the long term.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
(DME) patients from the entire French population between 2012
and 2018. METHODS: In this retrospective longitudinal study, we
identified adults treated for DME from the French population
using the exhaustive French National Health Information database
(SNDS), and an algorithm based on diagnosis and procedure codes,
and reimbursed treatments. RESULTS: Between 2012 and 2018, we
identified 53 584 treated DME patients, who were followed for up
to 7 years from DME treatment initiation. Optical coherence
tomography (OCT) became the predominant imaging tool to diagnose
DME. Only 14% of patients consulted a diabetologist or
endocrinologist in the 3 months prior to initiating DME
treatment, whereas 84% consulted a general practitioner. The
percentage of patients consulting an ophthalmologist declined
over time, from 97% of patients in Year 1 (median of 9
consultations), to 46% in Year 7 (median of 7 consultations).
The median DME treatment duration with an anti-VEGF and/or
dexamethasone implant treatment was 9 months; 54% of patients
had a treatment duration less than 1 year. First-line treatment
was more common with ranibizumab (55% of patients) than with
aflibercept (30%), or dexamethasone implant (15%). About 25%
of patients who initiated anti-VEGF treatment switched treatment
at least once, while 30% of patients who initiated
dexamethasone implant switched to anti-VEGF treatment at least
once. CONCLUSIONS: French DME patients seem well-monitored by
their ophthalmologist, but median DME treatment duration was
just 9 months. These results emphasise the challenge to manage
and treat patients with DME over the long term.
Garcher, Catherine P Creuzot; Srour, Mayer; Baudin, Florian; Dot, Corinne; Nghiem-Buffet, Sylvia; Girmens, Jean-Francois; Collin, Cedric; Ponthieux, Anne; Delcourt, Cécile
Management of neovascular age-related macular degeneration treatment in France from 2008-2018: The nationwide LANDSCAPE study Article de journal
Dans: Ophthalmol. Ther., vol. 12, no. 5, p. 2687–2701, 2023.
@article{Creuzot_Garcher2023-bx,
title = {Management of neovascular age-related macular degeneration
treatment in France from 2008-2018: The nationwide LANDSCAPE
study},
author = {Catherine P Creuzot Garcher and Mayer Srour and Florian Baudin and Corinne Dot and Sylvia Nghiem-Buffet and Jean-Francois Girmens and Cedric Collin and Anne Ponthieux and Cécile Delcourt},
year = {2023},
date = {2023-10-01},
journal = {Ophthalmol. Ther.},
volume = {12},
number = {5},
pages = {2687–2701},
abstract = {INTRODUCTION: The aim of this study was to describe the
management of neovascular age-related macular degeneration (nAMD)
in French patients between 2008 and 2018. METHODS: This was a
retrospective longitudinal cohort study using exhaustive
nationwide health records from the French National Health
Information database. Enrollment criteria were adults aged $geq$
50 years, nAMD diagnosis, or reimbursement for nAMD treatments
(anti-vascular epithelial growth factor [VEGF] injection or
dynamic phototherapy with verteporfin). Exclusion criteria were
high myopia, diagnosis of other retinal diseases, and treatments
for other macular diseases (dexamethasone implant, laser). Main
outcome measures were consumption of medical care and nAMD
treatments per calendar year and number of years of follow-up.
RESULTS: Between 2008 and 2018, we identified 342,961 patients
who have been treated for nAMD. Median duration of
ophthalmological follow-up exceeded 7 years (90 months). The
median annual number of ophthalmology consultations decreased
from nine visits in year 1 after treatment initiation to four
visits from year 7 onwards. The median duration of nAMD treatment
was 10.1 months for all patients, with 48.5% of patients
undergoing treatment for < 1 year. Only 24.4% of patients had
maintained treatment at year 11. Patients remaining under
treatment had a median of four anti-VEGF treatments per year
throughout the 10-year study period. Ranibizumab was the more
common first-line treatment (67.5% of patients) compared to
aflibercept (32.4%). About 20% of patients who initiated
treatment switched treatment at least once. CONCLUSIONS:
LANDSCAPE provides exhaustive nationwide data on the real-world
management of nAMD in France over a 10-year period. Further
investigation into short treatment duration is required,
especially in terms of understanding its relation to visual
outcomes.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
management of neovascular age-related macular degeneration (nAMD)
in French patients between 2008 and 2018. METHODS: This was a
retrospective longitudinal cohort study using exhaustive
nationwide health records from the French National Health
Information database. Enrollment criteria were adults aged $geq$
50 years, nAMD diagnosis, or reimbursement for nAMD treatments
(anti-vascular epithelial growth factor [VEGF] injection or
dynamic phototherapy with verteporfin). Exclusion criteria were
high myopia, diagnosis of other retinal diseases, and treatments
for other macular diseases (dexamethasone implant, laser). Main
outcome measures were consumption of medical care and nAMD
treatments per calendar year and number of years of follow-up.
RESULTS: Between 2008 and 2018, we identified 342,961 patients
who have been treated for nAMD. Median duration of
ophthalmological follow-up exceeded 7 years (90 months). The
median annual number of ophthalmology consultations decreased
from nine visits in year 1 after treatment initiation to four
visits from year 7 onwards. The median duration of nAMD treatment
was 10.1 months for all patients, with 48.5% of patients
undergoing treatment for < 1 year. Only 24.4% of patients had
maintained treatment at year 11. Patients remaining under
treatment had a median of four anti-VEGF treatments per year
throughout the 10-year study period. Ranibizumab was the more
common first-line treatment (67.5% of patients) compared to
aflibercept (32.4%). About 20% of patients who initiated
treatment switched treatment at least once. CONCLUSIONS:
LANDSCAPE provides exhaustive nationwide data on the real-world
management of nAMD in France over a 10-year period. Further
investigation into short treatment duration is required,
especially in terms of understanding its relation to visual
outcomes.
Baudin, Florian; Benzenine, Eric; Mariet, Anne-Sophie; Ghezala, Inès Ben; Daien, Vincent; Gabrielle, Pierre-Henry; Quantin, Catherine; Creuzot-Garcher, Catherine P
Impact of COVID-19 lockdown on surgical procedures for retinal detachment in France: a national database study Article de journal
Dans: Br. J. Ophthalmol., vol. 107, no. 4, p. 565–569, 2023.
@article{Baudin2023-gs,
title = {Impact of COVID-19 lockdown on surgical procedures for retinal
detachment in France: a national database study},
author = {Florian Baudin and Eric Benzenine and Anne-Sophie Mariet and Inès Ben Ghezala and Vincent Daien and Pierre-Henry Gabrielle and Catherine Quantin and Catherine P Creuzot-Garcher},
year = {2023},
date = {2023-04-01},
journal = {Br. J. Ophthalmol.},
volume = {107},
number = {4},
pages = {565–569},
publisher = {BMJ},
abstract = {BACKGROUND/AIMS: The COVID-19 crisis and the decisions made
regarding population lockdown may have changed patient care. We
aimed to investigate the incidence rate of rhegmatogenous
retinal detachment (RRD) cases during the COVID-19 lockdown
period. METHODS: In this nationwide database study, we
identified hospital and clinic admissions of French residents
for a first episode of RRD in France from 2017 to the lockdown
period in 2020. The monthly hospital incidence rates of RRD
procedures per 100 000 inhabitants before, during and after
lockdown were computed for the whole country. Finally, we
assessed the influence of viral incidence on the RRD incidence
rate, comparing two regions with highly contrasting viral
penetration. RESULTS: From January to July, the average monthly
national hospital incidence rate of RRD decreased from a mean of
2.59/100 000 inhabitants during 2017-2019 to 1.57/100 000
inhabitants in 2020. Compared with 2019, during the 8-week
lockdown period in 2020, a 41.6% decrease in the number of RRD
procedures was observed (p<0.001) with the weekly incidence of
RRD decreasing from 0.63/100 000 inhabitants in 2019 to 0.36/100
000 inhabitants. During the 4-month post-lockdown period, no
increased activity related to postponed procedures was observed.
No difference was found in the rate of RRD surgery when
comparing two regions with highly contrasting viral incidence.
CONCLUSION: Containment may have been responsible for a decrease
in the number of surgical procedures for RRD, without any
compensating post-lockdown activity in France. These results
might help increase awareness of the management of RRD
emergencies.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
regarding population lockdown may have changed patient care. We
aimed to investigate the incidence rate of rhegmatogenous
retinal detachment (RRD) cases during the COVID-19 lockdown
period. METHODS: In this nationwide database study, we
identified hospital and clinic admissions of French residents
for a first episode of RRD in France from 2017 to the lockdown
period in 2020. The monthly hospital incidence rates of RRD
procedures per 100 000 inhabitants before, during and after
lockdown were computed for the whole country. Finally, we
assessed the influence of viral incidence on the RRD incidence
rate, comparing two regions with highly contrasting viral
penetration. RESULTS: From January to July, the average monthly
national hospital incidence rate of RRD decreased from a mean of
2.59/100 000 inhabitants during 2017-2019 to 1.57/100 000
inhabitants in 2020. Compared with 2019, during the 8-week
lockdown period in 2020, a 41.6% decrease in the number of RRD
procedures was observed (p<0.001) with the weekly incidence of
RRD decreasing from 0.63/100 000 inhabitants in 2019 to 0.36/100
000 inhabitants. During the 4-month post-lockdown period, no
increased activity related to postponed procedures was observed.
No difference was found in the rate of RRD surgery when
comparing two regions with highly contrasting viral incidence.
CONCLUSION: Containment may have been responsible for a decrease
in the number of surgical procedures for RRD, without any
compensating post-lockdown activity in France. These results
might help increase awareness of the management of RRD
emergencies.
Hurand, Victoire; Ducloyer, Jean-Baptiste; Baudin, Florian; Aho, Serge; Weber, Michel; Kodjikian, Laurent; Devin, François; Gabrielle, Pierre-Henry; Creuzot-Garcher, Catherine; Massin, Pascale; Net, CFSR Research
IMPACT study: Impact of adherence to anti-VEGF intravitreal injections for macular disease during COVID 19-related confinement in France Article de journal
Dans: Acta Ophthalmol., vol. 101, no. 1, p. 91–99, 2023.
@article{Hurand2023-gc,
title = {IMPACT study: Impact of adherence to anti-VEGF intravitreal
injections for macular disease during COVID 19-related
confinement in France},
author = {Victoire Hurand and Jean-Baptiste Ducloyer and Florian Baudin and Serge Aho and Michel Weber and Laurent Kodjikian and François Devin and Pierre-Henry Gabrielle and Catherine Creuzot-Garcher and Pascale Massin and CFSR Research Net},
year = {2023},
date = {2023-02-01},
journal = {Acta Ophthalmol.},
volume = {101},
number = {1},
pages = {91–99},
publisher = {Wiley},
abstract = {PURPOSE: The aim of this study was to evaluate the impact of
adherence to French coronavirus disease 2019 (COVID 19)-related
guidelines for intravitreal injection (IVI) practice on the
visual outcomes of patients treated with anti-vascular
endothelial growth factor (VEGF) agents for macular diseases
during the first lockdown period. METHODS: Observational
multicentre study including all patients from 18 centres with an
IVI initially planned during the lockdown. Visual acuity (VA,
ETDRS) was recorded at 1 and 4 months after lockdown. French
COVID 19-related guidelines recommended maintaining IVI
practice. We defined three groups of patients: A, adherent to
guidelines; NA+, non-adherent with delayed IVIs; and NA-,
non-adherent without IVIs performed during the lockdown. Risk
factors for non-adherence and visual loss were studied. RESULTS:
A total of 3020 eyes of 3020 patients, aged 77.8 $±$ 11.6
years, 59.8% women, were included. 59.3% were
non-adherent(46.7% NA+, 12.6% NA-). A smaller decrease in VA
at 4 months was observed in the A group than the NA+ and NA-
group (-0.2 $±$ 6.7, -0.3 $±$ 6.9 and -1.5 $±$ 6.9,
respectively [p < 0.001]). Factors associated with non-adherence
were in multivariable analysis, older age, hospital practice,
low-density population areas, high viral incidence areas, longer
intervals between injection and treat and extent protocol.
Factors associated with visual loss at 4 months in multivariable
analysis were, being in the NA- group, older age, T&E and fixed
regimens. CONCLUSION: Strict adherence to guidelines was
associated with better visual outcome, although most of our
patients did not attend as planned. Identification of patients
at risk could help in the future in case of a new pandemic
lockdown.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
adherence to French coronavirus disease 2019 (COVID 19)-related
guidelines for intravitreal injection (IVI) practice on the
visual outcomes of patients treated with anti-vascular
endothelial growth factor (VEGF) agents for macular diseases
during the first lockdown period. METHODS: Observational
multicentre study including all patients from 18 centres with an
IVI initially planned during the lockdown. Visual acuity (VA,
ETDRS) was recorded at 1 and 4 months after lockdown. French
COVID 19-related guidelines recommended maintaining IVI
practice. We defined three groups of patients: A, adherent to
guidelines; NA+, non-adherent with delayed IVIs; and NA-,
non-adherent without IVIs performed during the lockdown. Risk
factors for non-adherence and visual loss were studied. RESULTS:
A total of 3020 eyes of 3020 patients, aged 77.8 $±$ 11.6
years, 59.8% women, were included. 59.3% were
non-adherent(46.7% NA+, 12.6% NA-). A smaller decrease in VA
at 4 months was observed in the A group than the NA+ and NA-
group (-0.2 $±$ 6.7, -0.3 $±$ 6.9 and -1.5 $±$ 6.9,
respectively [p < 0.001]). Factors associated with non-adherence
were in multivariable analysis, older age, hospital practice,
low-density population areas, high viral incidence areas, longer
intervals between injection and treat and extent protocol.
Factors associated with visual loss at 4 months in multivariable
analysis were, being in the NA- group, older age, T&E and fixed
regimens. CONCLUSION: Strict adherence to guidelines was
associated with better visual outcome, although most of our
patients did not attend as planned. Identification of patients
at risk could help in the future in case of a new pandemic
lockdown.
Carré, Chloé; Baudin, Florian; Buteau, Bénédicte; Martine, Lucy; Grégoire, Stéphane; Vasku, Glenda; Berdeaux, Olivier; Béduneau, Arnaud; Pellequer, Yann; Jamoussi, Jasmine; Desrumeaux, Catherine; Aho, Serge; Bron, Alain-Marie; Acar, Niyazi; Creuzot-Garcher, Catherine; Gabrielle, Pierre Henri
Effects of topical docosahexaenoic acid on postoperative fibrosis in an animal model of glaucoma filtration surgery Article de journal
Dans: Acta Ophthalmol., vol. 101, no. 1, p. e61–e68, 2023.
@article{Carre2023-te,
title = {Effects of topical docosahexaenoic acid on postoperative
fibrosis in an animal model of glaucoma filtration surgery},
author = {Chloé Carré and Florian Baudin and Bénédicte Buteau and Lucy Martine and Stéphane Grégoire and Glenda Vasku and Olivier Berdeaux and Arnaud Béduneau and Yann Pellequer and Jasmine Jamoussi and Catherine Desrumeaux and Serge Aho and Alain-Marie Bron and Niyazi Acar and Catherine Creuzot-Garcher and Pierre Henri Gabrielle},
year = {2023},
date = {2023-02-01},
journal = {Acta Ophthalmol.},
volume = {101},
number = {1},
pages = {e61–e68},
publisher = {Wiley},
abstract = {PURPOSE: The aim of this study was to evaluate docosahexaenoic
acid (DHA) as a potential antifibrotic agent after glaucoma
filtration surgery (GFS) in rats. METHODS: A total of 36
10-week-old Brown Norway rats underwent GFS. Animals were
equally divided into three groups: a control group, a DHA group
and a mitomycin C (MMC) group. Intraocular pressure (IOP) was
measured using a dynamic rebound tonometer, and a photograph of
the surgical site was taken on days 1, 3, 7, 10, 14 and 17. The
incorporation of DHA into fibroblasts was evaluated by gas
chromatography. The expression of alfa-smooth muscle actin
(α-SMA) and Smad proteins was assessed by Western
blotting. RESULTS: IOP decreased after surgery in animals from
the three groups on day 1 after surgery. Over time, IOP remained
lower in the DHA and MMC groups than in the control group
(median [interquartile range] 8.0 [7.0-8.0] and 8.0 [7.3-8.0]
mmHg vs. 9.0 [8.0-9.0] mmHg, respectively; p < 0.001). Bleb area
in the DHA and MMC groups remained larger than that of the
control group from day 7 to day 14 (3.9 [2.9-5.2] and 3.5 [2.3-4.4] mm2 vs. 2.3 [2.0-2.8] mm2 , respectively; p = 0.0021).
We did not observe any change in DHA concentrations in the
fibroblasts of the DHA group compared with the other groups.
CONCLUSION: The impact of DHA on IOP and bleb area was similar
to that of MMC. The mechanisms of action of DHA in rat eye
fibroblasts deserve further investigation.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
acid (DHA) as a potential antifibrotic agent after glaucoma
filtration surgery (GFS) in rats. METHODS: A total of 36
10-week-old Brown Norway rats underwent GFS. Animals were
equally divided into three groups: a control group, a DHA group
and a mitomycin C (MMC) group. Intraocular pressure (IOP) was
measured using a dynamic rebound tonometer, and a photograph of
the surgical site was taken on days 1, 3, 7, 10, 14 and 17. The
incorporation of DHA into fibroblasts was evaluated by gas
chromatography. The expression of alfa-smooth muscle actin
(α-SMA) and Smad proteins was assessed by Western
blotting. RESULTS: IOP decreased after surgery in animals from
the three groups on day 1 after surgery. Over time, IOP remained
lower in the DHA and MMC groups than in the control group
(median [interquartile range] 8.0 [7.0-8.0] and 8.0 [7.3-8.0]
mmHg vs. 9.0 [8.0-9.0] mmHg, respectively; p < 0.001). Bleb area
in the DHA and MMC groups remained larger than that of the
control group from day 7 to day 14 (3.9 [2.9-5.2] and 3.5 [2.3-4.4] mm2 vs. 2.3 [2.0-2.8] mm2 , respectively; p = 0.0021).
We did not observe any change in DHA concentrations in the
fibroblasts of the DHA group compared with the other groups.
CONCLUSION: The impact of DHA on IOP and bleb area was similar
to that of MMC. The mechanisms of action of DHA in rat eye
fibroblasts deserve further investigation.
Ghezala, Inès Ben; Mariet, Anne-Sophie; Benzenine, Eric; Gabrielle, Pierre-Henry; Baudin, Florian; Quantin, Catherine; Creuzot-Garcher, Catherine
Incidence of rhegmatogenous retinal detachment following macular surgery in France between 2006 and 2016 Article de journal
Dans: Am. J. Ophthalmol., vol. 243, p. 91–97, 2022.
@article{Ben_Ghezala2022-nl,
title = {Incidence of rhegmatogenous retinal detachment following macular
surgery in France between 2006 and 2016},
author = {Inès Ben Ghezala and Anne-Sophie Mariet and Eric Benzenine and Pierre-Henry Gabrielle and Florian Baudin and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-11-01},
journal = {Am. J. Ophthalmol.},
volume = {243},
pages = {91–97},
publisher = {Elsevier BV},
abstract = {PURPOSE: To report the incidence of postoperative rhegmatogenous
retinal detachment after macular surgery in France between 2006
and 2016, and identify associated factors. DESIGN: Nationwide,
population-based, cohort study. METHODS: All surgical procedures
for an epiretinal membrane or a macular hole performed in France
from January 1, 2006 to October 31, 2016 were identified in the
French national administrative database (Programme de
Médicalisation des Systèmes d'Information). The
incidence of rhegmatogenous retinal detachment occurring within
90 days of a macular surgical procedure was investigated.
RESULTS: From January 1, 2006 to October 31, 2016, 152,034
macular surgical procedures for epiretinal membranes or macular
holes were recorded in France. Of these, 3605 cases of
rhegmatogenous retinal detachment occurring within 90 days of
the procedure were found. The incidence of rhegmatogenous
retinal detachment was 2.37% overall, 1.95% for epiretinal
membrane surgery, and 3.43% for macular hole surgery. In
multivariable Poisson regression analysis, rhegmatogenous
retinal detachment was associated with macular hole surgery
(incidence rate ratio [IRR], 1.76; 95% CI, 1.63-1.90; P <
.001), history of cataract extraction in the previous year (IRR, 1.20; 95% CI, 1.08-1.34; P = .001), age <60 years (P < .001),
and male sex (IRR, 1.63; 95% CI, 1.51-1.76; P < .001).
CONCLUSIONS: The incidence of rhegmatogenous retinal detachment
within 90 days of macular surgery was 2.37% overall in France
between 2006 and 2016, and it was higher for macular hole
surgery than for epiretinal membrane surgery.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
retinal detachment after macular surgery in France between 2006
and 2016, and identify associated factors. DESIGN: Nationwide,
population-based, cohort study. METHODS: All surgical procedures
for an epiretinal membrane or a macular hole performed in France
from January 1, 2006 to October 31, 2016 were identified in the
French national administrative database (Programme de
Médicalisation des Systèmes d'Information). The
incidence of rhegmatogenous retinal detachment occurring within
90 days of a macular surgical procedure was investigated.
RESULTS: From January 1, 2006 to October 31, 2016, 152,034
macular surgical procedures for epiretinal membranes or macular
holes were recorded in France. Of these, 3605 cases of
rhegmatogenous retinal detachment occurring within 90 days of
the procedure were found. The incidence of rhegmatogenous
retinal detachment was 2.37% overall, 1.95% for epiretinal
membrane surgery, and 3.43% for macular hole surgery. In
multivariable Poisson regression analysis, rhegmatogenous
retinal detachment was associated with macular hole surgery
(incidence rate ratio [IRR], 1.76; 95% CI, 1.63-1.90; P <
.001), history of cataract extraction in the previous year (IRR, 1.20; 95% CI, 1.08-1.34; P = .001), age <60 years (P < .001),
and male sex (IRR, 1.63; 95% CI, 1.51-1.76; P < .001).
CONCLUSIONS: The incidence of rhegmatogenous retinal detachment
within 90 days of macular surgery was 2.37% overall in France
between 2006 and 2016, and it was higher for macular hole
surgery than for epiretinal membrane surgery.
Ghezala, Inès Ben; Mariet, Anne-Sophie; Benzenine, Eric; Gabrielle, Pierre-Henry; Baudin, Florian; Quantin, Catherine; Creuzot-Garcher, Catherine
Incidence of rhegmatogenous retinal detachment following macular surgery in France between 2006 and 2016 Article de journal
Dans: Am. J. Ophthalmol., vol. 243, p. 91–97, 2022.
@article{Ben_Ghezala2022-vy,
title = {Incidence of rhegmatogenous retinal detachment following macular
surgery in France between 2006 and 2016},
author = {Inès Ben Ghezala and Anne-Sophie Mariet and Eric Benzenine and Pierre-Henry Gabrielle and Florian Baudin and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-11-01},
journal = {Am. J. Ophthalmol.},
volume = {243},
pages = {91–97},
publisher = {Elsevier BV},
abstract = {PURPOSE: To report the incidence of postoperative rhegmatogenous
retinal detachment after macular surgery in France between 2006
and 2016, and identify associated factors. DESIGN: Nationwide,
population-based, cohort study. METHODS: All surgical procedures
for an epiretinal membrane or a macular hole performed in France
from January 1, 2006 to October 31, 2016 were identified in the
French national administrative database (Programme de
Médicalisation des Systèmes d'Information). The
incidence of rhegmatogenous retinal detachment occurring within
90 days of a macular surgical procedure was investigated.
RESULTS: From January 1, 2006 to October 31, 2016, 152,034
macular surgical procedures for epiretinal membranes or macular
holes were recorded in France. Of these, 3605 cases of
rhegmatogenous retinal detachment occurring within 90 days of
the procedure were found. The incidence of rhegmatogenous
retinal detachment was 2.37% overall, 1.95% for epiretinal
membrane surgery, and 3.43% for macular hole surgery. In
multivariable Poisson regression analysis, rhegmatogenous
retinal detachment was associated with macular hole surgery
(incidence rate ratio [IRR], 1.76; 95% CI, 1.63-1.90; P <
.001), history of cataract extraction in the previous year (IRR, 1.20; 95% CI, 1.08-1.34; P = .001), age <60 years (P < .001),
and male sex (IRR, 1.63; 95% CI, 1.51-1.76; P < .001).
CONCLUSIONS: The incidence of rhegmatogenous retinal detachment
within 90 days of macular surgery was 2.37% overall in France
between 2006 and 2016, and it was higher for macular hole
surgery than for epiretinal membrane surgery.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
retinal detachment after macular surgery in France between 2006
and 2016, and identify associated factors. DESIGN: Nationwide,
population-based, cohort study. METHODS: All surgical procedures
for an epiretinal membrane or a macular hole performed in France
from January 1, 2006 to October 31, 2016 were identified in the
French national administrative database (Programme de
Médicalisation des Systèmes d'Information). The
incidence of rhegmatogenous retinal detachment occurring within
90 days of a macular surgical procedure was investigated.
RESULTS: From January 1, 2006 to October 31, 2016, 152,034
macular surgical procedures for epiretinal membranes or macular
holes were recorded in France. Of these, 3605 cases of
rhegmatogenous retinal detachment occurring within 90 days of
the procedure were found. The incidence of rhegmatogenous
retinal detachment was 2.37% overall, 1.95% for epiretinal
membrane surgery, and 3.43% for macular hole surgery. In
multivariable Poisson regression analysis, rhegmatogenous
retinal detachment was associated with macular hole surgery
(incidence rate ratio [IRR], 1.76; 95% CI, 1.63-1.90; P <
.001), history of cataract extraction in the previous year (IRR, 1.20; 95% CI, 1.08-1.34; P = .001), age <60 years (P < .001),
and male sex (IRR, 1.63; 95% CI, 1.51-1.76; P < .001).
CONCLUSIONS: The incidence of rhegmatogenous retinal detachment
within 90 days of macular surgery was 2.37% overall in France
between 2006 and 2016, and it was higher for macular hole
surgery than for epiretinal membrane surgery.
Baudin, Florian; Benzenine, Eric; Mariet, Anne-Sophie; Ghezala, Inès Ben; Bron, Alain M; Daien, Vincent; Gabrielle, Pierre-Henry; Quantin, Catherine; Creuzot-Garcher, Catherine
Topical antibiotic prophylaxis and intravitreal injections: Impact on the incidence of acute endophthalmitis-A nationwide study in France from 2009 to 2018 Article de journal
Dans: Pharmaceutics, vol. 14, no. 10, p. 2133, 2022.
@article{Baudin2022-mg,
title = {Topical antibiotic prophylaxis and intravitreal injections:
Impact on the incidence of acute endophthalmitis-A nationwide
study in France from 2009 to 2018},
author = {Florian Baudin and Eric Benzenine and Anne-Sophie Mariet and Inès Ben Ghezala and Alain M Bron and Vincent Daien and Pierre-Henry Gabrielle and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-10-01},
journal = {Pharmaceutics},
volume = {14},
number = {10},
pages = {2133},
publisher = {MDPI AG},
abstract = {Background: The dramatic increase in intravitreal injections
(IVTs) has been accompanied by a greater need for safer
procedures. The ongoing debate about topical antibiotic
prophylaxis after IVTs emphasizes the importance of large-scale
studies. We aimed to study the role of topical antibiotic
prophylaxis in reducing the risk of acute endophthalmitis after
IVTs. Methods: Population-based cohort study, in France, from
2009 to 2018, including all French patients receiving IVTs of
corticosteroids or anti-VEGF agents. Results: A total of
5,291,420 IVTs were performed on 605,434 patients. The rate of
topical antibiotic prophylaxis after IVTs progressively
decreased during the study period, with a sharp drop in 2014
(from 84.6% in 2009 to 27.4% in 2018). Acute endophthalmitis occurred in 1274 cases (incidence rate = 0.0241%). Although
antibiotic prophylaxis did not alter the risk of endophthalmitis (p = 0.06), univariate analysis showed an increased risk after
fluoroquinolone and aminoglycoside prophylaxis. This increased
risk was not found in multivariate analysis. However, we
observed an increased risk related to the use of fixed
combinations of fluoroquinolones and aminoglycosides with corticosteroids (IRR = 1.89; 95% CI = 1.57-2.27%, antibiotics
combined with corticosteroids). Conclusion: These results are
consistent with the literature. Endophthalmitis rates after IVTs
did not decrease with topical antibiotic prophylaxis. The use of
a combination of antibiotics and corticosteroids doubles the
risk of endophthalmitis and should be avoided. Avoiding
antibiotic prophylaxis would reduce the costs and the potential
risks of antibiotic resistance.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
(IVTs) has been accompanied by a greater need for safer
procedures. The ongoing debate about topical antibiotic
prophylaxis after IVTs emphasizes the importance of large-scale
studies. We aimed to study the role of topical antibiotic
prophylaxis in reducing the risk of acute endophthalmitis after
IVTs. Methods: Population-based cohort study, in France, from
2009 to 2018, including all French patients receiving IVTs of
corticosteroids or anti-VEGF agents. Results: A total of
5,291,420 IVTs were performed on 605,434 patients. The rate of
topical antibiotic prophylaxis after IVTs progressively
decreased during the study period, with a sharp drop in 2014
(from 84.6% in 2009 to 27.4% in 2018). Acute endophthalmitis occurred in 1274 cases (incidence rate = 0.0241%). Although
antibiotic prophylaxis did not alter the risk of endophthalmitis (p = 0.06), univariate analysis showed an increased risk after
fluoroquinolone and aminoglycoside prophylaxis. This increased
risk was not found in multivariate analysis. However, we
observed an increased risk related to the use of fixed
combinations of fluoroquinolones and aminoglycosides with corticosteroids (IRR = 1.89; 95% CI = 1.57-2.27%, antibiotics
combined with corticosteroids). Conclusion: These results are
consistent with the literature. Endophthalmitis rates after IVTs
did not decrease with topical antibiotic prophylaxis. The use of
a combination of antibiotics and corticosteroids doubles the
risk of endophthalmitis and should be avoided. Avoiding
antibiotic prophylaxis would reduce the costs and the potential
risks of antibiotic resistance.
Creuzot-Garcher, Catherine; Massin, Pascale; Srour, Mayer; Baudin, Florian; Dot, Corinne; Nghiem-Buffet, Sylvia; Girmens, Jean-Francois; Collin, Cedric; Ponthieux, Anne; Delcourt, Cecile
Epidemiology of treated diabetes ocular complications in France 2008-2018-the LANDSCAPE French nationwide study Article de journal
Dans: Pharmaceutics, vol. 14, no. 11, p. 2330, 2022.
@article{Creuzot-Garcher2022-ro,
title = {Epidemiology of treated diabetes ocular complications in France
2008-2018-the LANDSCAPE French nationwide study},
author = {Catherine Creuzot-Garcher and Pascale Massin and Mayer Srour and Florian Baudin and Corinne Dot and Sylvia Nghiem-Buffet and Jean-Francois Girmens and Cedric Collin and Anne Ponthieux and Cecile Delcourt},
year = {2022},
date = {2022-10-01},
journal = {Pharmaceutics},
volume = {14},
number = {11},
pages = {2330},
publisher = {MDPI AG},
abstract = {AIM: LANDSCAPE aimed to estimate the annual incidence and
prevalence of treated diabetic macular edema (DME) and
proliferative diabetic retinopathy (PDR) between 2008 and 2018.
METHODS: This French nationwide observational study used data
from the French National Health Insurance Databases covering
99% of the French population. Data about healthcare consumption
were used to identify adults treated with anti-VEGFs or
dexamethasone implants (for DME) and with pan-retinal
photocoagulation (for PDR). All French patients newly treated
between 2008 and 2018 were included. Incidence and prevalence of
treated DME and PDR were estimated for the age-matched general
population and the population with diabetes in France.
Sociodemographic characteristics and medical history were
described in both populations. RESULTS: We identified 53,584
treated DME patients and 127,273 treated PDR patients between
2008 and 2018, and 11,901 DME and 11,996 PDR new incident
patients in 2018. The treated DME incidence in 2018 was 2.5 per
10,000 in the general population and 37.3 per 10,000 in the
population with diabetes. Prevalence in 2018 was 9.5 and 143.7
per 10,000 in the respective populations. Treated PDR incidence
in 2018 was 2.3 per 10,000 in the general population and 31.2
per 10,000 in the population with diabetes. Prevalence in 2018
was 19.9 and 270.3 per 10,000 in the respective populations.
Incidence and prevalence were not age-dependent. Incidence of
treated PDR incidence was relatively stable from 2008-2018.
Incidence of treated DME incidence rose from 2012-2018, probably
due to widening access to newly available treatments, such as
anti-VEGFs. CONCLUSIONS: We provide exhaustive nationwide data
on the incidence and prevalence of treated diabetic ocular
complications in France over a 10-year period.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
prevalence of treated diabetic macular edema (DME) and
proliferative diabetic retinopathy (PDR) between 2008 and 2018.
METHODS: This French nationwide observational study used data
from the French National Health Insurance Databases covering
99% of the French population. Data about healthcare consumption
were used to identify adults treated with anti-VEGFs or
dexamethasone implants (for DME) and with pan-retinal
photocoagulation (for PDR). All French patients newly treated
between 2008 and 2018 were included. Incidence and prevalence of
treated DME and PDR were estimated for the age-matched general
population and the population with diabetes in France.
Sociodemographic characteristics and medical history were
described in both populations. RESULTS: We identified 53,584
treated DME patients and 127,273 treated PDR patients between
2008 and 2018, and 11,901 DME and 11,996 PDR new incident
patients in 2018. The treated DME incidence in 2018 was 2.5 per
10,000 in the general population and 37.3 per 10,000 in the
population with diabetes. Prevalence in 2018 was 9.5 and 143.7
per 10,000 in the respective populations. Treated PDR incidence
in 2018 was 2.3 per 10,000 in the general population and 31.2
per 10,000 in the population with diabetes. Prevalence in 2018
was 19.9 and 270.3 per 10,000 in the respective populations.
Incidence and prevalence were not age-dependent. Incidence of
treated PDR incidence was relatively stable from 2008-2018.
Incidence of treated DME incidence rose from 2012-2018, probably
due to widening access to newly available treatments, such as
anti-VEGFs. CONCLUSIONS: We provide exhaustive nationwide data
on the incidence and prevalence of treated diabetic ocular
complications in France over a 10-year period.
Ghezala, Inès Ben; Mariet, Anne-Sophie; Benzenine, Eric; Bardou, Marc; Bron, Alain Marie; Gabrielle, Pierre-Henry; Baudin, Florian; Quantin, Catherine; Creuzot-Garcher, Catherine
Association between obstetric complications and intravitreal anti-vascular endothelial growth factor agents or intravitreal corticosteroids Article de journal
Dans: J. Pers. Med., vol. 12, no. 9, p. 1374, 2022.
@article{Ben_Ghezala2022-ir,
title = {Association between obstetric complications and intravitreal
anti-vascular endothelial growth factor agents or intravitreal
corticosteroids},
author = {Inès Ben Ghezala and Anne-Sophie Mariet and Eric Benzenine and Marc Bardou and Alain Marie Bron and Pierre-Henry Gabrielle and Florian Baudin and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-08-01},
journal = {J. Pers. Med.},
volume = {12},
number = {9},
pages = {1374},
publisher = {MDPI AG},
abstract = {This nationwide population-based cohort study aimed to describe
the use of intravitreal injections (IVTs) of anti-vascular
endothelial growth factor (anti-VEGF) agents and corticosteroids
in pregnant women in France and to report on the incidence of
obstetric and neonatal complications. All pregnant women in
France who received any anti-VEGF or corticosteroid IVT during
pregnancy or in the month preceding pregnancy from 1 January
2009 to 31 December 2018 were identified in the national
medico-administrative databases. Between 2009 and 2018, there
were 5,672,921 IVTs performed in France. Among these IVTs, 228
anti-VEGF or corticosteroid IVTs were administered to 139 women
during their pregnancy or in the month preceding their
pregnancy. Spontaneous abortion or the medical termination of
pregnancy occurred in 10 women (16.1%) who received anti-VEGF
agents and in one (3.1%) of the women who received corticosteroids (p = 0.09). This is the first national cohort
study of pregnant women treated with anti-VEGF or corticosteroid
IVTs. We found a high incidence of obstetric complications in
pregnant women treated with anti-VEGF or corticosteroid IVTs but
could not demonstrate a statistically significant association
between the intravitreal agents and these complications. These
agents should continue to be used with great caution in pregnant
women.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
the use of intravitreal injections (IVTs) of anti-vascular
endothelial growth factor (anti-VEGF) agents and corticosteroids
in pregnant women in France and to report on the incidence of
obstetric and neonatal complications. All pregnant women in
France who received any anti-VEGF or corticosteroid IVT during
pregnancy or in the month preceding pregnancy from 1 January
2009 to 31 December 2018 were identified in the national
medico-administrative databases. Between 2009 and 2018, there
were 5,672,921 IVTs performed in France. Among these IVTs, 228
anti-VEGF or corticosteroid IVTs were administered to 139 women
during their pregnancy or in the month preceding their
pregnancy. Spontaneous abortion or the medical termination of
pregnancy occurred in 10 women (16.1%) who received anti-VEGF
agents and in one (3.1%) of the women who received corticosteroids (p = 0.09). This is the first national cohort
study of pregnant women treated with anti-VEGF or corticosteroid
IVTs. We found a high incidence of obstetric complications in
pregnant women treated with anti-VEGF or corticosteroid IVTs but
could not demonstrate a statistically significant association
between the intravitreal agents and these complications. These
agents should continue to be used with great caution in pregnant
women.
Ghezala, Inès Ben; Mariet, Anne Sophie; Benzenine, Eric; Gabrielle, Pierre-Henry; Baudin, Florian; Bron, Alain M; Quantin, Catherine; Creuzot-Garcher, Catherine P
Incidence of rhegmatogenous retinal detachment in France from 2010 to 2016: seasonal and geographical variations Article de journal
Dans: Br. J. Ophthalmol., vol. 106, no. 8, p. 1093–1097, 2022.
@article{Ben_Ghezala2022-xr,
title = {Incidence of rhegmatogenous retinal detachment in France from
2010 to 2016: seasonal and geographical variations},
author = {Inès Ben Ghezala and Anne Sophie Mariet and Eric Benzenine and Pierre-Henry Gabrielle and Florian Baudin and Alain M Bron and Catherine Quantin and Catherine P Creuzot-Garcher},
year = {2022},
date = {2022-08-01},
journal = {Br. J. Ophthalmol.},
volume = {106},
number = {8},
pages = {1093–1097},
abstract = {AIMS: To investigate the annual and monthly hospital incidence
rate of rhegmatogenous retinal detachments (RRDs) from 2010 to
2016 in France at the national and regional levels. METHODS: In
this nationwide database study, we identified hospital and clinic
admissions of French residents for a first episode of RRD in
France during 2010-2016 from the national administrative
database. The annual and monthly hospital incidence rates of RRD
per 100 000 population were calculated for the whole country and
for each region. RESULTS: The average annual national hospital
incidence rate of RRD was 21.97$±$1.04 per 100 000 population.
The annual national hospital incidence rate of RRD was the lowest
in 2010 (20.91 per 100 000 population) after which it increased
until 2015 (23.55 per 100 000 population). The average monthly
national RRD hospital incidence rate was the highest in June
(2.03$±$0.12 per 100 000 population) and the lowest in August
(1.60$±$0.09). The average annual age-standardised and
sex-standardised regional hospital incidence rate was the highest
in Guadeloupe and Pays de la Loire (28.30$±$2.74 and
26.13$±$0.84 per 100 000 population, respectively) and the
lowest in French Guiana and Martinique (15.51$±$3.50 and
17.29$±$2.12 per 100 000 population, respectively).
CONCLUSIONS: The average annual national hospital incidence rate
of RRD increased from 2010 to 2015. The hospital incidence rate
of RRD seemed to vary according to season and geographical
location.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
rate of rhegmatogenous retinal detachments (RRDs) from 2010 to
2016 in France at the national and regional levels. METHODS: In
this nationwide database study, we identified hospital and clinic
admissions of French residents for a first episode of RRD in
France during 2010-2016 from the national administrative
database. The annual and monthly hospital incidence rates of RRD
per 100 000 population were calculated for the whole country and
for each region. RESULTS: The average annual national hospital
incidence rate of RRD was 21.97$±$1.04 per 100 000 population.
The annual national hospital incidence rate of RRD was the lowest
in 2010 (20.91 per 100 000 population) after which it increased
until 2015 (23.55 per 100 000 population). The average monthly
national RRD hospital incidence rate was the highest in June
(2.03$±$0.12 per 100 000 population) and the lowest in August
(1.60$±$0.09). The average annual age-standardised and
sex-standardised regional hospital incidence rate was the highest
in Guadeloupe and Pays de la Loire (28.30$±$2.74 and
26.13$±$0.84 per 100 000 population, respectively) and the
lowest in French Guiana and Martinique (15.51$±$3.50 and
17.29$±$2.12 per 100 000 population, respectively).
CONCLUSIONS: The average annual national hospital incidence rate
of RRD increased from 2010 to 2015. The hospital incidence rate
of RRD seemed to vary according to season and geographical
location.
Merad, Malik; Vérité, Fabien; Baudin, Florian; Ghezala, Inès Ben; Meillon, Cyril; Bron, Alain Marie; Arnould, Louis; Eid, Pétra; Creuzot-Garcher, Catherine; Gabrielle, Pierre-Henry
Cystoid macular edema after rhegmatogenous retinal detachment repair with pars Plana vitrectomy: Rate, risk factors, and outcomes Article de journal
Dans: J. Clin. Med., vol. 11, no. 16, p. 4914, 2022.
@article{Merad2022-my,
title = {Cystoid macular edema after rhegmatogenous retinal detachment
repair with pars Plana vitrectomy: Rate, risk factors, and
outcomes},
author = {Malik Merad and Fabien Vérité and Florian Baudin and Inès Ben Ghezala and Cyril Meillon and Alain Marie Bron and Louis Arnould and Pétra Eid and Catherine Creuzot-Garcher and Pierre-Henry Gabrielle},
year = {2022},
date = {2022-08-01},
journal = {J. Clin. Med.},
volume = {11},
number = {16},
pages = {4914},
publisher = {MDPI AG},
abstract = {(1) Background: The aim was to describe the rate and outcomes of
cystoid macular edema (CME) after pars plana vitrectomy (PPV)
for primary rhegmatogenous retinal detachment (RRD) and to
identify risk factors and imaging characteristics. (2) Methods:
A retrospective consecutive case study was conducted over a
5-year period among adult patients who underwent PPV for primary
RRD repair. The main outcome measure was the rate of CME at 12
months following PPV. (3) Results: Overall, 493 eyes were
included. The CME rate was 28% (93 patients) at 12 months. In
multivariate analysis, eyes with worse presenting visual acuity (VA) (odds ratio [OR], 1.55; 95% CI, 1.07-2.25; p = 0.02) and
grade C proliferative vitreoretinopathy (PVR) (OR, 2.88; 95% CI, 1.04-8.16; p = 0.04) were more at risk of developing CME 1
year after PPV. Endolaser retinopexy was associated with a
greater risk of CME than cryotherapy retinopexy (OR, 3.06; 95% CI, 1.33-7.84; p = 0.01). Eyes undergoing cataract surgery
within 6 months of the initial RRD repair were more likely to develop CME at 12 months (OR, 1.96; 95% CI, 1.06-3.63; p =
0.03). (4) Conclusions: CME is a common complication after PPV
for primary RRD repair. Eyes with worse presenting VA, severe
PVR at initial presentation, endolaser retinopexy, and cataract
surgery within 6 months of initial RRD repair were risk factors
for postoperative CME at 12 months.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
cystoid macular edema (CME) after pars plana vitrectomy (PPV)
for primary rhegmatogenous retinal detachment (RRD) and to
identify risk factors and imaging characteristics. (2) Methods:
A retrospective consecutive case study was conducted over a
5-year period among adult patients who underwent PPV for primary
RRD repair. The main outcome measure was the rate of CME at 12
months following PPV. (3) Results: Overall, 493 eyes were
included. The CME rate was 28% (93 patients) at 12 months. In
multivariate analysis, eyes with worse presenting visual acuity (VA) (odds ratio [OR], 1.55; 95% CI, 1.07-2.25; p = 0.02) and
grade C proliferative vitreoretinopathy (PVR) (OR, 2.88; 95% CI, 1.04-8.16; p = 0.04) were more at risk of developing CME 1
year after PPV. Endolaser retinopexy was associated with a
greater risk of CME than cryotherapy retinopexy (OR, 3.06; 95% CI, 1.33-7.84; p = 0.01). Eyes undergoing cataract surgery
within 6 months of the initial RRD repair were more likely to develop CME at 12 months (OR, 1.96; 95% CI, 1.06-3.63; p =
0.03). (4) Conclusions: CME is a common complication after PPV
for primary RRD repair. Eyes with worse presenting VA, severe
PVR at initial presentation, endolaser retinopexy, and cataract
surgery within 6 months of initial RRD repair were risk factors
for postoperative CME at 12 months.
Arnould, Louis; Haddad, Déa; Baudin, Florian; Gabrielle, Pierre-Henry; Sarossy, Marc; Bron, Alain M; Aliahmad, Behzad; Creuzot-Garcher, Catherine
Repeatability and reproducibility of retinal fractal dimension measured with swept-source optical coherence tomography angiography in healthy eyes: A proof-of-concept study Article de journal
Dans: Diagnostics (Basel), vol. 12, no. 7, p. 1769, 2022.
@article{Arnould2022-jn,
title = {Repeatability and reproducibility of retinal fractal dimension
measured with swept-source optical coherence tomography
angiography in healthy eyes: A proof-of-concept study},
author = {Louis Arnould and Déa Haddad and Florian Baudin and Pierre-Henry Gabrielle and Marc Sarossy and Alain M Bron and Behzad Aliahmad and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-07-01},
journal = {Diagnostics (Basel)},
volume = {12},
number = {7},
pages = {1769},
publisher = {MDPI AG},
abstract = {The retinal vascular network fractal dimension (FD) could be a
promising imaging biomarker. Our objective was to evaluate its
repeatability and reproducibility in healthy eyes. A
cross-sectional study was undertaken with young, healthy
volunteers who had no reported cardiac risk factors or ocular
disease history. For each participant, three SS-OCTA images (12
$times$ 12 mm) were acquired using the Plex Elite 9000 (Carl
Zeiss Meditec AG, Jena, Germany) by two ophthalmologists.
Automated segmentation was obtained from both the superficial
and deep capillary plexuses. FD was estimated by box counting.
The intraclass correlation coefficients (ICC) were used as
measures for repeatability and reproducibility. A total of 43
eyes of healthy volunteers were included. The mean $±$
standard deviation (SD) age was 30 $±$ 6.2 years. The results
show good repeatability. The ICC was 0.722 (95% CI,
0.541-0.839) in the superficial capillary plexus and 0.828 (95%
CI, 0.705-0.903) in the deep capillary plexus. For
reproducibility, the ICC was 0.651 (95% CI, 0.439-0.795) and
0.363 (95% CI, 0.073-0.596) at the superficial and deep
capillary plexus, respectively. In this study, the FD of the
vascular network measured via SS-OCTA showed good repeatability
and reproducibility in healthy participants.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
promising imaging biomarker. Our objective was to evaluate its
repeatability and reproducibility in healthy eyes. A
cross-sectional study was undertaken with young, healthy
volunteers who had no reported cardiac risk factors or ocular
disease history. For each participant, three SS-OCTA images (12
$times$ 12 mm) were acquired using the Plex Elite 9000 (Carl
Zeiss Meditec AG, Jena, Germany) by two ophthalmologists.
Automated segmentation was obtained from both the superficial
and deep capillary plexuses. FD was estimated by box counting.
The intraclass correlation coefficients (ICC) were used as
measures for repeatability and reproducibility. A total of 43
eyes of healthy volunteers were included. The mean $±$
standard deviation (SD) age was 30 $±$ 6.2 years. The results
show good repeatability. The ICC was 0.722 (95% CI,
0.541-0.839) in the superficial capillary plexus and 0.828 (95%
CI, 0.705-0.903) in the deep capillary plexus. For
reproducibility, the ICC was 0.651 (95% CI, 0.439-0.795) and
0.363 (95% CI, 0.073-0.596) at the superficial and deep
capillary plexus, respectively. In this study, the FD of the
vascular network measured via SS-OCTA showed good repeatability
and reproducibility in healthy participants.
Ducray, V; Baudin, F; Bosredon, Q; Theillac, V; Creuzot-Garcher, C; Arnould, L
Syndrome de fluide dans l'interface secondaire à un traumatisme contusif chez un patient aux antécédents de chirurgie réfractive par femtoLASIK Article de journal
Dans: J. Fr. Ophtalmol., vol. 45, no. 6, p. e265–e267, 2022.
@article{Ducray2022-mg,
title = {Syndrome de fluide dans l'interface secondaire à un
traumatisme contusif chez un patient aux antécédents de
chirurgie réfractive par femtoLASIK},
author = {V Ducray and F Baudin and Q Bosredon and V Theillac and C Creuzot-Garcher and L Arnould},
year = {2022},
date = {2022-06-01},
journal = {J. Fr. Ophtalmol.},
volume = {45},
number = {6},
pages = {e265–e267},
publisher = {Elsevier BV},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Chauvet, Thomas; Labattut, Ludovic; Colombi, Romain; Baudin, Florian; Baulot, Emmanuel; Martz, Pierre
Arthroscopic Trillat technique for chronic post-traumatic anterior shoulder instability: outcomes at 2 years of follow-up Article de journal
Dans: J. Shoulder Elbow Surg., vol. 31, no. 6, p. e270–e278, 2022.
@article{Chauvet2022-ob,
title = {Arthroscopic Trillat technique for chronic post-traumatic
anterior shoulder instability: outcomes at 2 years of follow-up},
author = {Thomas Chauvet and Ludovic Labattut and Romain Colombi and Florian Baudin and Emmanuel Baulot and Pierre Martz},
year = {2022},
date = {2022-06-01},
journal = {J. Shoulder Elbow Surg.},
volume = {31},
number = {6},
pages = {e270–e278},
publisher = {Elsevier BV},
abstract = {BACKGROUND: The purpose of this study was to assess the outcomes
of a new arthroscopic Trillat technique at a 2-year follow-up.
Our current hypothesis was that this technique could be used for
the effective treatment of chronic post-traumatic unidirectional
anterior shoulder instability, and that the recurrence and
complication rates, external rotation, and functional outcomes
would be as good as those of the reference technique. METHODS:
Between April 2012 and August 2016, all patients older than 16
years who underwent the arthroscopic Trillat technique for
unidirectional chronic post-traumatic anterior shoulder
instability at the Dijon University Hospital (France), after the
failure of well-conducted medical and rehabilitation treatment
with at least 24 months of follow-up, were included. Criteria
for noninclusion were association with posterior and/or inferior
instabilities, voluntary instabilities, and glenoid bone loss
greater than 20%. Patients attended follow-up with their
surgeon before the intervention, in the immediate postoperative
period, at 6 weeks, 3 and 6 months, and then by an independent
observer for the last evaluation. Patients were then examined
clinically with scores such as Constant, Rowe and Walch-Duplay
scores, and subjective shoulder value, for shoulder range of
motion, and radiographically (anteroposterior and Lamy's lateral
x-rays of the operated shoulder). RESULTS: Forty-nine patients
and 52 shoulders were included, with a mean follow-up of 40
months (range, 24-71 months). The recurrence rate of instability
was 3.8% (2 of 52). No conversion to arthrotomy was necessary.
No intraoperative complications, postoperative neurological
lesions, or sepsis were observed. The mean Constant score was
92.1 (77.5-100) points, Walch-Duplay 82.9 (40-100), Rowe 81.73
(5-100), and subjective shoulder value 86.1 (50-100) at the last
follow-up. The arm at side external rotation limitation averaged
8.4° (-25° to 40°) and the external rotation with 90° arm
abduction limitation 0.34° (-5° to 15°). Forty-one patients
(79%) resumed their sports activity at the same level. Fifty
patients (96%) were satisfied to very satisfied. One patient
developed nonunion of the coracoid process and subsequently
underwent a Latarjet procedure with a good outcome. CONCLUSIONS:
The arthroscopic Trillat procedure offers good outcomes as a
first-line treatment for chronic anterior post-traumatic
glenohumeral instability. It should be excluded in cases of
glenoid loss greater than 20%.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
of a new arthroscopic Trillat technique at a 2-year follow-up.
Our current hypothesis was that this technique could be used for
the effective treatment of chronic post-traumatic unidirectional
anterior shoulder instability, and that the recurrence and
complication rates, external rotation, and functional outcomes
would be as good as those of the reference technique. METHODS:
Between April 2012 and August 2016, all patients older than 16
years who underwent the arthroscopic Trillat technique for
unidirectional chronic post-traumatic anterior shoulder
instability at the Dijon University Hospital (France), after the
failure of well-conducted medical and rehabilitation treatment
with at least 24 months of follow-up, were included. Criteria
for noninclusion were association with posterior and/or inferior
instabilities, voluntary instabilities, and glenoid bone loss
greater than 20%. Patients attended follow-up with their
surgeon before the intervention, in the immediate postoperative
period, at 6 weeks, 3 and 6 months, and then by an independent
observer for the last evaluation. Patients were then examined
clinically with scores such as Constant, Rowe and Walch-Duplay
scores, and subjective shoulder value, for shoulder range of
motion, and radiographically (anteroposterior and Lamy's lateral
x-rays of the operated shoulder). RESULTS: Forty-nine patients
and 52 shoulders were included, with a mean follow-up of 40
months (range, 24-71 months). The recurrence rate of instability
was 3.8% (2 of 52). No conversion to arthrotomy was necessary.
No intraoperative complications, postoperative neurological
lesions, or sepsis were observed. The mean Constant score was
92.1 (77.5-100) points, Walch-Duplay 82.9 (40-100), Rowe 81.73
(5-100), and subjective shoulder value 86.1 (50-100) at the last
follow-up. The arm at side external rotation limitation averaged
8.4° (-25° to 40°) and the external rotation with 90° arm
abduction limitation 0.34° (-5° to 15°). Forty-one patients
(79%) resumed their sports activity at the same level. Fifty
patients (96%) were satisfied to very satisfied. One patient
developed nonunion of the coracoid process and subsequently
underwent a Latarjet procedure with a good outcome. CONCLUSIONS:
The arthroscopic Trillat procedure offers good outcomes as a
first-line treatment for chronic anterior post-traumatic
glenohumeral instability. It should be excluded in cases of
glenoid loss greater than 20%.
Baudin, Florian; Benzenine, Eric; Mariet, Anne-Sophie; Ghezala, Inès Ben; Bron, Alain M; Daien, Vincent; Korobelnik, Jean François; Quantin, Catherine; Creuzot-Garcher, Catherine
Epidemiology of acute endophthalmitis after intraocular procedures: A national database study Article de journal
Dans: Ophthalmol. Retina, vol. 6, no. 6, p. 442–449, 2022.
@article{Baudin2022-es,
title = {Epidemiology of acute endophthalmitis after intraocular
procedures: A national database study},
author = {Florian Baudin and Eric Benzenine and Anne-Sophie Mariet and Inès Ben Ghezala and Alain M Bron and Vincent Daien and Jean François Korobelnik and Catherine Quantin and Catherine Creuzot-Garcher},
year = {2022},
date = {2022-06-01},
journal = {Ophthalmol. Retina},
volume = {6},
number = {6},
pages = {442–449},
publisher = {Elsevier BV},
abstract = {OBJECTIVE: To describe the causes of postoperative acute
endophthalmitis at the national level longitudinally. DESIGN:
Cohort study from 2009 to 2018 in France. PARTICIPANTS: Patients
diagnosed with acute endophthalmitis after intraocular
procedures. METHODS: The French medical-administrative database
was used. Endophthalmitis cases and intraocular procedures were
identified based on billing codes in all French hospitals and
private practices. MAIN OUTCOME MEASURES: The incidence of acute
endophthalmitis within 42 days of the procedure. RESULTS: From
January 1, 2009, to October 31, 2018, 7522 cases of acute
endophthalmitis occurred after 14 438 854 intraocular
procedures. Most cases occurred after standalone cataract
surgery (4808 cases for 7 316 077 procedures; 63.92%), followed
by after intravitreal (IVT) injections (1296 cases for 5 455 631
IVT injections; 17.23%), vitreoretinal surgery (698 for 442 263
procedures; 9.28%), anterior segment surgery (245 cases;
3.26%), combined cataract and vitreoretinal surgery (191 cases;
2.54%), cornea surgery (142 cases; 1.89%), and glaucoma
surgery (80 cases; 1.06%). The overall incidence of acute
endophthalmitis was 1 per 1920 procedures (0.0521%; 95%
confidence interval [CI], 0.0520-0.0522). The surgery with the
highest incidence of endophthalmitis was scleral and globe
surgery, with an incidence of 0.1827% (95% CI, 0.1757-0.1898),
followed by vitreoretinal surgery combined with cataract
surgery, with an incidence of 0.1685% (95% CI, 0.1663-0.1706).
The incidence of endophthalmitis after IVT injections was stable
over the study period, and patients receiving IVT injections
were the oldest, aged 75.4 years (standard deviation, 12.0
years; P < 0.001). The onset of endophthalmitis after IVT
procedures, i.e, after receiving IVT injections or undergoing
vitreoretinal surgery, was earlier than that after the other
procedures (P < 0.001). CONCLUSIONS: The profile of patients
referred for acute endophthalmitis has been evolving over the
past decade, with a decrease in the raw number of
endophthalmitis cases after cataract surgery as opposed to an
increase in the number of patients presenting with
endophthalmitis after IVT injections.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
endophthalmitis at the national level longitudinally. DESIGN:
Cohort study from 2009 to 2018 in France. PARTICIPANTS: Patients
diagnosed with acute endophthalmitis after intraocular
procedures. METHODS: The French medical-administrative database
was used. Endophthalmitis cases and intraocular procedures were
identified based on billing codes in all French hospitals and
private practices. MAIN OUTCOME MEASURES: The incidence of acute
endophthalmitis within 42 days of the procedure. RESULTS: From
January 1, 2009, to October 31, 2018, 7522 cases of acute
endophthalmitis occurred after 14 438 854 intraocular
procedures. Most cases occurred after standalone cataract
surgery (4808 cases for 7 316 077 procedures; 63.92%), followed
by after intravitreal (IVT) injections (1296 cases for 5 455 631
IVT injections; 17.23%), vitreoretinal surgery (698 for 442 263
procedures; 9.28%), anterior segment surgery (245 cases;
3.26%), combined cataract and vitreoretinal surgery (191 cases;
2.54%), cornea surgery (142 cases; 1.89%), and glaucoma
surgery (80 cases; 1.06%). The overall incidence of acute
endophthalmitis was 1 per 1920 procedures (0.0521%; 95%
confidence interval [CI], 0.0520-0.0522). The surgery with the
highest incidence of endophthalmitis was scleral and globe
surgery, with an incidence of 0.1827% (95% CI, 0.1757-0.1898),
followed by vitreoretinal surgery combined with cataract
surgery, with an incidence of 0.1685% (95% CI, 0.1663-0.1706).
The incidence of endophthalmitis after IVT injections was stable
over the study period, and patients receiving IVT injections
were the oldest, aged 75.4 years (standard deviation, 12.0
years; P < 0.001). The onset of endophthalmitis after IVT
procedures, i.e, after receiving IVT injections or undergoing
vitreoretinal surgery, was earlier than that after the other
procedures (P < 0.001). CONCLUSIONS: The profile of patients
referred for acute endophthalmitis has been evolving over the
past decade, with a decrease in the raw number of
endophthalmitis cases after cataract surgery as opposed to an
increase in the number of patients presenting with
endophthalmitis after IVT injections.