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Foreign intraorbital bodies are rare. Their clinical manifestation is usually late. We report a case of 32 years-old man presenting an old vegetal foreign intraorbital body. The orbitotomy allowed its extraction with favorable result.Vegetal foreign intraorbital bodies have clinical aspects. The latency between the trauma and the onset of symptoms is variable. Radiological examination can identify exactly the size and location. Surgical removal is often necessary but can expose to major risks.The diagnosis of ignored intraorbital foreign body remains difficult. The management should be early in order to avoid severe functional consequences.

L'occlusion de la veine centrale de la retine (OVCR) du sujet jeune est une entite clinique differente de celle du sujet âge. Elle est moins associee aux facteurs de risque cardiovasculaires et l'etiologie specifique reste souvent inconnue. L'hyperhomocysteinemie est connue pour etre un facteur de risque rare Nous rapportons le cas d'un patient âge de 25 ans ayant une baisse brutale et indolore de l'acuite visuelle de l'oeil gauche. L'examen ophtalmologique a retrouve une acuite visuelle a 10/10e, P2 a droite et a compte les doigts a 1m a gauche non ameliorable. L'examen des segments anterieurs etait normal aux deux yeux. Le fond d'oeil gauche retrouvait un oedeme papillo-retinien; des veines dilatees et tortueuses; et des hemorragies superficielles en flammeche et profondes en nappe. L'angiographie retinienne a la fluoresceine confirma le diagnostic d'une (OVCR) gauche, forme mixte a predominance oedemateuse. La tomographie en coherence optique (OCT) montre un oedeme maculaire cystoide (OMC) responsable de l'acuite visuelle effondree. Un bilan etiologique demande (bilan lipidique complet, bilan inflammatoire, bilan immunologique, bilan de thrombophilie) etait normal. Par ailleurs, le taux plasmatique de l'homocysteine etait eleve a 19,2 μmol/L. Un traitement a base de vitaminotherapie a ete commence. L'evolution etait marquee par une amelioration de l'acuite visuelle a 2/10, P8 avec regression partielle de l'OMC. Pan African Medical Journal 2015; 21

La granulomatose avec polyangéite (GPA) est une vascularite nécrosante systémique, caractérisée par une inflammation granulomateuse, une nécrose tissulaire et une vascularite touchant les vaisseaux de moyen et, surtout, de petit calibre, elle touche rarement l'enfant.

We report a case of a 14-year-old otherwise healthy patient who developed acute retinal periphlebitis mimicking frosted branch angiitis inferotemporally and associated exudative retinal detachment in the left eye following blunt trauma. Fluorescein angiography revealed delayed filling of inferotemporal branch retinal vein and late leakage of sheathed retinal venules, and late pooling in the area of exudative retinal detachment. Indocyanine green angiography showed a crescent-shaped hypofluorescent streak concentric to the optic disk inferiorly highly suggestive of choroidal rupture. The patient was treated with oral prednisone, with gradual tapering over a period of 15 days. One month after presentation, retinal vein sheathing and exudative retinal detachment had resolved, with the development of peripapillary subretinal fibrosis, macular atrophy, pseudomacular hole, and epiretinal membrane. The acute perivenular sheathing in our patient might be related to autoimmune-mediated reaction induced by retinal vascular damage caused by severe ocular trauma. Fluorescein angiography and indocyanine green angiography findings might suggest that the retinal detachment could be caused by leakage from choroid through Bruch’s membrane and retinal pigment epithelium rupture or by transient dysfunction of the outer or inner blood-retinal barrier.

Purpose To report a case of external ophthalmomyiasis manifesting with keratouveitis. Case report A 77-year-old man, presented with keratouveitis secondary to external ophthalmomyiasis. Slit-lamp examination of the affected eye disclosed subepithelial linear opacities, stromal keratitis, and anterior uveitis. There were also some moving maggots identified as Oestrus ovis larvae. Following removal of the maggots and instillation of tobramycin, the symptoms completely resolved within 2 days and visual acuity improved. Conclusions Although external ophthalmomyiasis usually manifests with ocular surface involvement, this uncommon condition must be considered in the differential diagnosis of keratouveitis, especially in rural areas.

Joint Bone Spine - In Press.Proof corrected by the author Available online since dimanche 8 decembre 2013

Granulocytic sarcoma is a rare orbital complication of acute leukemia. It concerns primarily children under 10 years of age suffering from primitive acute myeloid leukemia. The diagnosis is made by clinical examination, computed tomography and confirmed by haematological investigations. The treatment approach is based on chemotherapy associated with intravenous steroid therapy. We report the case of a 6-year-old girl who presented with bilateral proptosis revealing acute myeloid leukemia. The patient was treated by a combination of chemotherapeutic drugs in two phases, associated with intravenous steroids. After a follow-up period of 24 months, the patient was in complete remission. The diagnosis of granulocytic sarcoma should be considered in any orbital mass of uncertain origin, particularly if it is bilateral. Special stains and immunohistochemistry play an important role in the diagnosis.