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Cette référence a été trouvée sur le site du Syndicat National des ophtalmologistes de France (SNOF). L'article a été réalisé par le Dr Laurence Desjardins (Institut Curie).

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Cette vidéo nous montre l'importance de l'imagerie en ophtalmologie.

\n

L'auteur, Y. Lachkar, etait au programme de la JRO 2015 (journée de réflexion ophtalmologique).

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Cette référence a été trouvée sur le site de Sudoc, il s'agit d'un livre d'imagerie des nerfs pour les ophtalmologistes. Il a été écrit par Tariq Batti qui est neuro-ophtalmologiste.

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  Cette thèse a été trouvé sur le site Sudoc, avec pour mot clef \"irm ophtalmologie\".

\n

Elle est assez récente et peut donc nous aider pour nos recherches.

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Pour établir un protocole IRM optimal, préciser les méthodes d’analyse des clichés et établir des corrélations entre ses résultats et les données cliniques, nous avons réalisé en collaboration avec les neurologues et neuro ophtalmologues de la Fondation Ophtalmologique Rothschild une étude prospective sur six mois de 102 patients adressés pour bilan d’une BAV. Le protocole optimal associe des coupes coronales T2 et T1 injectées FATSAT (voies optiques antérieures) et une étude encéphalique. Les résultats de la diffusion sont décevants. Les anomalies constatées à l’IRM sont parfois subtiles et nécessitent une excellente qualité d’images. Il faut savoir refaire une séquence si nécessaire, s’efforcer de rechercher de petites lésions intrinsèques ou compressives. L’évaluation des IRM et des données cliniques a permis des corrélations intéressantes. Si nous prenons notre population comme référence, les étiologies des BAV sont les névrites optiques (27% des cas, pour la plupart rattachées à une SEP), les glaucomes (16% des cas), les atrophies autres (Leber, séquelle de névrite, indéterminée…) (22% des cas), les neuropathies compressives (7% des cas, surtout des méningiomes), les pathologies ischémiques (OACR, OVCR, NOIA…)(6% des cas), les causes oculaires ou papillaires méconnues (7% des cas). Enfin 16% des BAV restent sans étiologie. Les IRM normales (28% des BAV monoculaires, 32% des BAV binoculaires) correspondent à des pathologies oculaires méconnues, ischémiques ou rarement à des atrophies débutantes (et à des bilans totalement négatifs). Les corrélations IRM/clinique pour les autres pathologies sont excellentes. Notre protocole d’IRM simple, rapide et accessible sur toutes les machines et notre proposition d’interprétation des images aident un diagnostic qui demeure le fruit de la collaboration entre le radiologue et les cliniciens MRI of anterior optic pathways is the imaging method needed in the etiological diagnosis of a unilateral or bilateral visual loss, once an ophthalmological cause has been ruled out. Its technical aspect and its interpretation are often mediocre due to a poor knowledge of this pathology. To propose an optimal MRI protocol, to precise the way to analyze the images and establish relationship between clinical data and results of this examination, we underwent during 6 months a prospective study of 102 patients suffering from visual loss with the collaboration of the neuroophtamlologists and neurologists of the Fondation Ophtalmologique Rothschild. The optimal protocol includes coronal T2 and T1 enhanced with fat suppression slices (focused on the anterior optic pathways) and a brain study. The results of diffusion sequence are disappointing. Some lesions are difficult to depict and need excellent images. Therefore, the radiologist must accept to repeat the sequences if necessary, and to look for small abnormalities either within or near the optic pathways. Evaluation of MRI and clinical data allowed interesting correlations. Taking our population as a reference, we can propose the following etiologies to visual los : optic neuritis, essentially in relationship with MS (27 % of cases), atrophy due to glaucoma (16% of cases), optic atrophy of other origin (Leber disease, undefined cause) (22% of cases), compression of the optic pathways (7% of cases) mainly due to meningiomas, ischemic event (6% of cases) and initially missed ocular lesions (7% of cases). Finally, 16% of all visual loss remain of unknown origin. Normal MRI examinations, representing 28% of monocular visual loss and 32 % of bilateral visual loss, are related to ocular causes, ischemic lesions or atrophy at an initial stage. Correlations between MRI and clinical data are otherwise excellent. 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Ce document a été trouvé sur le site sudoc, il a été réalisé par Emmanuel Alain Cabanis, membre de l'académie nationale de médecine de France. Cette source peut être fiable.

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Cet article a été trouvé dans la bibliographie de l'article de l'imagerie des urgences en neuro-ophtalmologie. 

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