Traitement chirurgical de la diplopie secondaire à l'orbitopathie dysthyroïdienne [Surgical treatment of diplopia in Graves' orbitopathy]

BACKGROUND: The correction of oculomotor disorder in Grave's disease is applied on pathological extraocular muscles. Based on the global muscular restriction (bilateral forced duction test) and angular measurements, we have used a non-adjustable technique. PATIENTS AND METHODS: We performed a retrospective analysis of 21 patients (23 operations) with thyroid-associated orbitopathy operated for persisting diplopia. The angles of deviation in the 9 diagnostic directions of gaze and the field of binocular vision were measured with the Harm's tangent scale before and after surgery. Sixteen patients were operated only on vertical muscles. The mean follow-up was 45 months. RESULTS: 76 % of the patients (95 % confidence interval [CI], 58-94 %) obtained a large and centred field of binocular vision without prisms. 14 % (95 % CI, 0-29 %) had binocular vision with the use of prisms. Diplopia persisted in one patient despite 3 operations. Taking into consideration the interventions done before the patient was referred to us, the reintervention rate was 13 % (95 % CI, 0-28 %). CONCLUSIONS: A binocular field of vision can be successfully restored in the majority of patients with Graves' orbitopathy, using a non-adjustable surgical technique.

Délire religieux treize ans après traumatisme crânien [Religious delusion 13 years after brain injury].

We report here with a case of religious delusion in a 39 years old woman. She had suffered a head injury with right temporal concussion 13 years before but had no earlier history of psychiatric disorder. In view of the fact that this acute psychiatric state lasted for a short duration of time and that personality and affects were preserved, this incident is compared to the schizophreniform disorder of the type DSM-III-R. The hypothesis of an acquired predisposition due to head injury has been put forward as an explanation.

Iowa Developments, January 2004, Vol.13, no.1

Resource to help educate business or communities about state-sponsored programs.

ABD e-News, February 13, 2004

Weekly newsletter for the State of Iowa Alcoholic Beverages Division

Report of Recommendations to the Iowa Workforce Development on the Review of Selected General Controls, May 30, 2003 - June 13, 2003

State Agency Audit Report

13-12-19, stade Jean-Bouin, hockey [sur gazon], équipe des Possibles : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 57223

13-12-19, stade Jean-Bouin, équipe des Probables [hockey sur gazon] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 57221

Lottery Action, July 12-25, 2004, Vol. 11, no. 13

Iowa Lottery Authority Retailer Information Newsletter

13-12-19, stade Jean-Bouin, équipe des Probables [hockey sur gazon] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 57222

13-12-19, cardinal Mercier [de Malines, arrivé à Paris le 11 décembre 1919] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 57211

ABD e-News August 13, 2004

Weekly newsletter for the State of Iowa Alcoholic Beverages Division