Publications of Bernard DUCHESNE
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See detailConjonctivite à chlamydia trachomatis.
Terlinchamp, Mathieu ULiege; Duchesne, Bernard ULiege

in Journal francais d'ophtalmologie (2020), 43(1), 21-22

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See detailAvis N° 9140 Lentilles colorées ou de fantaisie
BORIES, Yvon; DUCHESNE, Bernard ULiege; KOPPEN, Carine et al

Book published by CONSEIL SUPERIEUR DE LA SANTE (2014)

In this scientific policy advisory report the Superior Health Council of Belgium provides an expert opinion on the safety of the use of colored and fancy contact lenses. It would like to provide to health ... [more ▼]

In this scientific policy advisory report the Superior Health Council of Belgium provides an expert opinion on the safety of the use of colored and fancy contact lenses. It would like to provide to health and consumer product safety authority and to the general population, specific recommendations on the safety and the prevention of adverse effects of these products in a form of a poster campaign. [less ▲]

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See detailNouvelles approches des greffes de cornée.
Rémont, L.; Duchesne, Bernard ULiege; La, C. et al

in Revue medicale de Liege (2014), 69(9), 490-6

Corneal transplantation or keratoplasty has rapidly developed over the last 10 years. Penetrating keratoplasty, a well-known operation consisting of full thickness replacement of the cornea, has remained ... [more ▼]

Corneal transplantation or keratoplasty has rapidly developed over the last 10 years. Penetrating keratoplasty, a well-known operation consisting of full thickness replacement of the cornea, has remained the dominant procedure for a long time. It allows appropriate therapy of most causes of corneal blindness. However, this technique is currently evolving toward slamellar keratoplasties which selectively treat the specific affected layers: deep anterior lamellar keratoplasty replaces the diseased corneal stromal layers; endothelial keratoplasty replace the affected endothelium. This article will present these techniques, and briefly discuss their advantages. [less ▲]

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See detailComment j'explore ... le diagnostic différentiel d'un oeil rouge.
Huvelle, Hélène ULiege; Duchesne, Bernard ULiege; Rakic, Jean-Marie ULiege

in Revue medicale de Liege (2013), 68(11), 593-8

As a common reason for consultation, red eye can be a symptom of benign diseases, such as conjunctivitis, subconjunctival hemorrhage, dry eye syndrome,..., which can be managed by the general practitioner ... [more ▼]

As a common reason for consultation, red eye can be a symptom of benign diseases, such as conjunctivitis, subconjunctival hemorrhage, dry eye syndrome,..., which can be managed by the general practitioner or internist. Conversely, more serious pathologies require a ophthalmologist management: these are keratitis, uveitis, acute glaucoma attack, or endophtalmitis. This article is intended to help practitioner to guide diagnosis when he's faced with a red eye. [less ▲]

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See detailComment je traite...un oeil rouge.
Huvelle, Hélène ULiege; Duchesne, Bernard ULiege; Rakic, Jean-Marie ULiege

in Revue medicale de Liege (2013), 68(12), 609-12

Before any initiation of treatment for a red eye, an accurate differential diagnosis must absolutely be done, as considered in a previous article. Red eye can result from benign diseases, but also from ... [more ▼]

Before any initiation of treatment for a red eye, an accurate differential diagnosis must absolutely be done, as considered in a previous article. Red eye can result from benign diseases, but also from serious pathologies which shouldn't be neglected, as they require a rapid ophtalmologist management. This is the case for keratitis, uveitis, acute glaucoma attack, or endophtalmitis. Treatment of red eye will just be symptomatic in benign diseases but, in contrast, will absolutely need an etiological diagnosis and therapeutic approach in more serious cases. Generally speaking, topical steroids should never be prescribed in doubt of infectious keratitis. Moreover, local anaesthetics, because of their toxicity for the cornea, should not be prescribed under any circumstances. [less ▲]

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See detailPanophtalmie post-traumatique fulgurante.
SOHNGEN, Pierre ULiege; BLAISE, Pierre ULiege; Duchesne, Bernard ULiege et al

in Revue medicale de Liege (2012), 67(9), 449-51

Panophtalmitis is an intra-ocular and intra-orbital rare infection, but its consequences are often horrendous, with loss of both function and anatomy of the eye. The surgical approach and the ... [more ▼]

Panophtalmitis is an intra-ocular and intra-orbital rare infection, but its consequences are often horrendous, with loss of both function and anatomy of the eye. The surgical approach and the antibiotherapy should be given as soon as possible, both by intra-vitreal and intra-venous injections. We report the case of a 49-year-old man who developed a Bacillus cereus panophtalmitis. A delay in the diagnosis lead to the loss of vision and the evisceration of the sick eye. Bacillus cereus panopthalmitis should be suspected in all cases of post-traumatic endophtalmitis with a soiled metallic foreign body, in patients with important local inflammatory signs as well as systemic signs. Vitrectomy, surgical extraction of the foreign body, intra-vitreal and systemic antibiotherapies should be given as soon as possible, even before the results of the bacteriological analysis. [less ▲]

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See detailResume d'une décennie de progrès ophtalmologiques.
Rakic, Jean-Marie ULiege; COLLIGNON, Nathalie ULiege; Duchesne, Bernard ULiege et al

in Revue medicale de Liege (2007), 62(5-6), 467-70

This review summarizes the most important advances that occurred in ophthalmology during the last decade, with a focus on corneal pathology, cataract surgery, glaucoma and retinal diseases.

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See detailSpontaneous recovery in phacolytic glaucoma
Blaise, Pierre ULiege; Duchesne, Bernard ULiege; Guillaume, Serge ULiege et al

in Journal of Cataract and Refractive Surgery (2005), 31(9), 1829-1830

We report a case of phacolytic glaucoma in which spontaneous absorption of the hypermature lens allowed a patient who refused surgery to recover a normal pressure and satisfactory visual acuity.

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See detailAmniotic membrane transplantation and fibrin glue in the management of corneal ulcers and perforations - A review of 33 cases
Hick, Sybilla ULiege; Demers, P. E.; Brunette, I. et al

in Cornea (2005), 24(4), 369-377

Purpose: To evaluate the efficacy of ammotic membrane in corneal ulcers refractive to conventional treatment and amniotic membrane with fibrin glue in corneal perforations. Methods: Ammotic membrane ... [more ▼]

Purpose: To evaluate the efficacy of ammotic membrane in corneal ulcers refractive to conventional treatment and amniotic membrane with fibrin glue in corneal perforations. Methods: Ammotic membrane transplantation (AMT) was performed in 33 eyes from 32 patients for corneal ulcers refractive to conventional treatment. Fourteen ulcers were perforated and received fibrin glue and amniotic membrane. Ulcers were divided into 3 groups: neurotrophic or exposure, autoimmune, and other etiology. Results: Overall success was observed in 80% (27/33 eyes) of the cases, with success rates of 87.5% (14/16 eyes), 70% (7/10 eyes), 85.7% (6/7 eyes) in groups 1, 2, and 3, respectively. The ulcers healed in a mean time of 3.6 +/- 1.6 weeks and the follow-up was 14.8 +/- 9.9 months. Failure was noted in 6 eyes with severe neurotrophic keratitis, Stevens-Johnson syndrome, ocular cicatricial pemphigoid, and Acanthamoeba keratitis. Grafts with fibrin sealant showed a success rate of 92.9% (13/14 eyes) compared to 73.7% (14/19 eyes) for amniotic grafts alone. In patients with severe limbal damage, a success rate of only 20% (115) was observed. Conclusions: AMT is a viable option in the treatment of nonhealing corneal ulcers of various depth and etiologies. Perforations up to 3 mm can be safely managed by fibrin glue and AMT. These techniques lead to rapid reconstruction of the corneal surface and can give a good final functional result or allow keratoplasty to be done in more favorable conditions. [less ▲]

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See detailLes occlusions vasculaires retiniennes: diagnostic et prise en charge
Blaise, Pierre ULiege; Duchateau, Edouard ULiege; Duchesne, Bernard ULiege et al

in Revue de Médecine Interne (2004), 25(12), 881-90

PURPOSE: The diagnosis of retinal venous and arterial occlusions is usually easily evoked on visual symptoms and ophthalmoscopic features. However, their management (etiologic explorations and treatment ... [more ▼]

PURPOSE: The diagnosis of retinal venous and arterial occlusions is usually easily evoked on visual symptoms and ophthalmoscopic features. However, their management (etiologic explorations and treatment) has not been formally established and remains controversial. CURRENT KNOWLEDGE AND KEY POINTS: Some retinal vascular occlusions may result of loco-regional ocular causes. They more often occur in patients with cardiovascular pathologies or risk factors, or sometimes other systemic diseases that need to be recognized for a proper treatment. Therefore, a comprehensive management of patients with retinal vascular occlusions is necessary to correct associated diseases or predisposing abnormalities that could lead to local recurrences or systemic events. CONCLUSION: Along with a review of the literature, we suggest a practical approach for the management of retinal vascular occlusions, which requires a collaboration between the ophthalmologist and other physicians: general practitioner, cardiologist, internist... as appropriate according to each case. [less ▲]

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See detailMerkel cell carcinoma
Barile, Paola ULiege; Leroy, Cécile ULiege; Bolle, Stephanie et al

in Journal Français d'Ophtalmologie (2004), 27(4), 432-436

Merkel cell carcinoma is a neuroendocrine tumor of the skin, originating from neuroendocrine cells. A case report of Merkel cell carcinoma, discovered in a 77-year-old woman, was diagnosed an confirmed on ... [more ▼]

Merkel cell carcinoma is a neuroendocrine tumor of the skin, originating from neuroendocrine cells. A case report of Merkel cell carcinoma, discovered in a 77-year-old woman, was diagnosed an confirmed on a biopsy. Diagnostic and therapeutic orientations of this unusual but malignant tumor are described. [less ▲]

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See detailLe carcinome de Merkel.
Barile, Paola ULiege; Leroy, Cécile ULiege; Bolle, S. et al

in Journal Français d'Ophtalmologie (2004), 27(4), 432-6

Merkel cell carcinoma is a neuroendocrine tumor of the skin, originating from neuroendocrine cells. A case report of Merkel cell carcinoma, discovered in a 77-Year-old woman, was diagnosed and confirmed ... [more ▼]

Merkel cell carcinoma is a neuroendocrine tumor of the skin, originating from neuroendocrine cells. A case report of Merkel cell carcinoma, discovered in a 77-Year-old woman, was diagnosed and confirmed on a biopsy. Diagnostic and therapeutic orientations of this unusual but malignant tumor are described. [less ▲]

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See detailLes ulcères de cornée associés à la polyarthrite rhumatoïde.
Hick, S.; Duchesne, Bernard ULiege; Kaye, O. et al

in Revue medicale de Liege (2002), 57(4), 228-32

Keratoconjonctivitis sicca, scleritis and keratitis remain the major ocular manifestation, associated with rheumatoid arthritis. Corneal ulcers are a rare complication but can lead to perforation ... [more ▼]

Keratoconjonctivitis sicca, scleritis and keratitis remain the major ocular manifestation, associated with rheumatoid arthritis. Corneal ulcers are a rare complication but can lead to perforation. Unstable epithelial barrier and immune disorders play a key role in the pathophysiology of such corneal melting. Moreover the association with systemic vasculitis reveals the need for an appropriate immunosuppressive treatment. New surgical approaches and early immunotherapy allow to maintain ocular integrity even if the visual prognosis is poor. [less ▲]

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See detailA propos d'un cas de kératite à Acanthamoeba
Carrette, S.; Marechal-Courtois, C.; Hernandez, J. et al

in Bulletin de la Société Belge d'Ophtalmologie (2000), 275

CLINICAL REPORT: A clinical report of a contact lenses wearer with Acanthamoeba keratitis pointed out the diagnosis problem. The medical treatment is needed previously to any surgery. Finally the patient ... [more ▼]

CLINICAL REPORT: A clinical report of a contact lenses wearer with Acanthamoeba keratitis pointed out the diagnosis problem. The medical treatment is needed previously to any surgery. Finally the patient underwent enucleation. DISCUSSION: The authors are considering the microbiological aspects and laboratory techniques are described. CONCLUSION: For this very severe but hopefully rare pathology, the sooner the treatment the best. A therapeutic approach is described. [less ▲]

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See detailCas d'un ulcère à Exophiala dermatitidis
Gérard, C.; Duchesne, Bernard ULiege; Hayette, Marie-Pierre ULiege et al

in Bulletin de la Société Belge d'Ophtalmologie (1998), 268

The authors present one case of corneal Exophiala dermatitidis ulceration. This case is analyzed in the field of corneal mycosis infection. Classification, rate, clinical history, biomicroscopy aspects ... [more ▼]

The authors present one case of corneal Exophiala dermatitidis ulceration. This case is analyzed in the field of corneal mycosis infection. Classification, rate, clinical history, biomicroscopy aspects will be discussed. Technical samples will be described. Anatomopathologic slides will be discussed. Finally the medical or surgical treatment will be considered. [less ▲]

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