Titre : Voies optiques

Voies optiques : Questions médicales fréquentes

Termes MeSH sélectionnés :

Neoplasm Recurrence, Local
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peuvent indiquer un AVC visuel ?\nComment reconnaître un glaucome ?", "url": "https://questionsmedicales.fr/mesh/D014795?mesh_terms=Neoplasm+Recurrence,+Local&page=5#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Voies optiques", "description": "Comment prévenir les maladies des voies optiques ?\nQuels examens sont recommandés pour les personnes à risque ?\nComment réduire le risque de glaucome ?\nQuelles habitudes alimentaires favorisent la santé oculaire ?\nComment protéger ses yeux des blessures ?", "url": "https://questionsmedicales.fr/mesh/D014795?mesh_terms=Neoplasm+Recurrence,+Local&page=5#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Voies optiques", "description": "Quels traitements existent pour la névrite optique ?\nComment traiter un glaucome ?\nQuelles sont les options pour les tumeurs des voies optiques ?\nComment gérer les troubles du champ visuel ?\nQuels médicaments sont utilisés pour traiter les AVC visuels ?", "url": "https://questionsmedicales.fr/mesh/D014795?mesh_terms=Neoplasm+Recurrence,+Local&page=5#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Voies optiques", "description": "Quelles complications peuvent survenir après une névrite optique ?\nQuels risques sont associés à un AVC visuel ?\nComment le glaucome peut-il affecter la qualité de vie ?\nQuelles sont les conséquences d'une tumeur des voies optiques ?\nQuels effets secondaires peuvent résulter des traitements ?", "url": "https://questionsmedicales.fr/mesh/D014795?mesh_terms=Neoplasm+Recurrence,+Local&page=5#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Voies optiques", "description": "Quels facteurs augmentent le risque de glaucome ?\nComment le tabagisme influence-t-il la santé oculaire ?\nQuels antécédents médicaux sont des facteurs de risque ?\nQuel rôle joue l'hypertension dans les maladies oculaires ?\nComment l'exposition au soleil affecte-t-elle les yeux ?", "url": "https://questionsmedicales.fr/mesh/D014795?mesh_terms=Neoplasm+Recurrence,+Local&page=5#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une lésion des voies optiques ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un examen ophtalmologique complet et des imageries cérébrales comme l'IRM sont nécessaires." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour évaluer la vision ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Les tests de vision, comme l'acuité visuelle et le champ visuel, sont couramment utilisés." } }, { "@type": "Question", "name": "Quelles sont les causes possibles de troubles visuels ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Les causes incluent les tumeurs, les AVC, et les maladies dégénératives des nerfs optiques." } }, { "@type": "Question", "name": "Comment évaluer la fonction des nerfs optiques ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Des tests comme l'électrorétinogramme (ERG) et l'électroencéphalogramme (EEG) peuvent être utilisés." } }, { "@type": "Question", "name": "Quel rôle joue l'IRM dans le diagnostic ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "L'IRM permet de visualiser les anomalies structurelles des voies optiques et du cerveau." } }, { "@type": "Question", "name": "Quels sont les symptômes d'une atteinte des voies optiques ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent la perte de vision, des troubles du champ visuel et des douleurs oculaires." } }, { "@type": "Question", "name": "Comment se manifeste une névrite optique ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Elle se manifeste par une vision floue, des douleurs à l'œil et une perte de couleur." } }, { "@type": "Question", "name": "Quels signes indiquent une compression des voies optiques ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Des signes incluent une vision double, des maux de tête et une perte de vision progressive." } }, { "@type": "Question", "name": "Quels symptômes peuvent indiquer un AVC visuel ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes incluent une perte soudaine de vision d'un œil et des troubles de l'équilibre." } }, { "@type": "Question", "name": "Comment reconnaître un glaucome ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Le glaucome peut se manifester par une vision tunnel et des douleurs oculaires, surtout en cas aigu." } }, { "@type": "Question", "name": "Comment prévenir les maladies des voies optiques ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Un contrôle régulier de la santé oculaire et un mode de vie sain sont essentiels." } }, { "@type": "Question", "name": "Quels examens sont recommandés pour les personnes à risque ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Des examens ophtalmologiques réguliers sont recommandés, surtout pour les personnes âgées." } }, { "@type": "Question", "name": "Comment réduire le risque de glaucome ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir une pression artérielle normale et éviter le tabagisme peut réduire le risque." } }, { "@type": "Question", "name": "Quelles habitudes alimentaires favorisent la santé oculaire ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation riche en antioxydants, comme les légumes verts et les fruits, est bénéfique." } }, { "@type": "Question", "name": "Comment protéger ses yeux des blessures ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Porter des lunettes de protection lors d'activités à risque aide à prévenir les blessures oculaires." } }, { "@type": "Question", "name": "Quels traitements existent pour la névrite optique ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les corticostéroïdes sont souvent prescrits pour réduire l'inflammation et améliorer la vision." } }, { "@type": "Question", "name": "Comment traiter un glaucome ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Le glaucome est traité par des médicaments, des laser ou une chirurgie pour réduire la pression intraoculaire." } }, { "@type": "Question", "name": "Quelles sont les options pour les tumeurs des voies optiques ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Les options incluent la chirurgie, la radiothérapie et la chimiothérapie selon le type de tumeur." } }, { "@type": "Question", "name": "Comment gérer les troubles du champ visuel ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des rééducations visuelles et des aides visuelles peuvent aider à compenser les pertes." } }, { "@type": "Question", "name": "Quels médicaments sont utilisés pour traiter les AVC visuels ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Des anticoagulants et des médicaments pour contrôler la pression artérielle sont souvent prescrits." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après une névrite optique ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Des complications incluent une perte permanente de vision et des récidives de la maladie." } }, { "@type": "Question", "name": "Quels risques sont associés à un AVC visuel ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Les risques incluent des séquelles visuelles permanentes et des troubles cognitifs." } }, { "@type": "Question", "name": "Comment le glaucome peut-il affecter la qualité de vie ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Le glaucome peut entraîner une perte de vision progressive, affectant les activités quotidiennes." } }, { "@type": "Question", "name": "Quelles sont les conséquences d'une tumeur des voies optiques ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les conséquences peuvent inclure des troubles visuels, des maux de tête et des troubles neurologiques." } }, { "@type": "Question", "name": "Quels effets secondaires peuvent résulter des traitements ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements peuvent entraîner des effets secondaires comme des infections, des douleurs et des nausées." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de glaucome ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'âge, les antécédents familiaux et certaines conditions médicales comme le diabète augmentent le risque." } }, { "@type": "Question", "name": "Comment le tabagisme influence-t-il la santé oculaire ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Le tabagisme est lié à un risque accru de maladies oculaires, y compris le glaucome et la cataracte." } }, { "@type": "Question", "name": "Quels antécédents médicaux sont des facteurs de risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Les antécédents de maladies auto-immunes ou de troubles neurologiques augmentent le risque." } }, { "@type": "Question", "name": "Quel rôle joue l'hypertension dans les maladies oculaires ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "L'hypertension peut endommager les vaisseaux sanguins de l'œil, augmentant le risque de glaucome." } }, { "@type": "Question", "name": "Comment l'exposition au soleil affecte-t-elle les yeux ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Une exposition excessive au soleil peut augmenter le risque de cataracte et de dégénérescence maculaire." } } ] } ] }

Sources (10000 au total)

Postoperative pain management after concomitant sacrectomy for locally recurrent rectal cancer.

To assess pain management in patients post-sacrectomy, focusing on opioid use, and to identify the factors associated with postoperative pain.... Patients who underwent resection of locally recurrent rectal cancer (LRRC) with concomitant sacrectomy at one of two hospitals between 2007 and 2020 were reviewed retrospectively. We examined the use ... Sixty-four patients were enrolled. Opioid use was significantly higher in the high sacrectomy group than in the low sacrectomy group at all times assessed: on postoperative days 7, 14, 30, 90, 180, an... Opioid use after concomitant sacrectomy for LRRC was higher in the high sacrectomy group. Prolonged postoperative pain or increasing pain was associated with local recurrence....

Differences in Surgical Outcomes and Quality-of-Life Outcomes in Pelvic Exenteration Between Locally Advanced Versus Locally Recurrent Rectal Cancers.

Although pelvic exenteration remains the only curative option for locally advanced rectal cancer and locally recurrent rectal cancer, only limited evidence is available on the differences in surgical ... This study aimed to compare surgical outcomes and identify any differences or predictors of quality of life of patients with locally advanced rectal cancer and locally recurrent rectal cancer undergoi... This was a cohort study.... This study was conducted at Royal Prince Alfred Hospital, Sydney, Australia.... This study included patients with locally advanced rectal cancer and locally recurrent rectal cancer who underwent pelvic exenteration between July 2008 and March 2019.... The main outcome measures included Short Form 36 version 2 and Functional Assessment of Cancer Therapy-Colorectal score.... A total of 271 patients were included in this study. Locally advanced rectal cancer patients had higher rates of R0 resection ( p = 0.003), neoadjuvant chemoradiotherapy ( p < 0.001), and had greater ... The study was from a specialized experienced center, which could limit its generalizability.... Patients with locally recurrent rectal cancer tend to require a more extensive surgery with a longer operative time and more blood loss and longer recovery from surgery, but despite this, their qualit... ANTECEDENTES:Aunque la exenteración pélvica sigue siendo la única opción curativa para el cáncer de recto localmente avanzado y el cáncer de recto localmente recurrente, solo hay evidencia limitada di...

Application of minimally invasive approaches to pelvic exenteration for locally advanced and locally recurrent pelvic malignancy - A narrative review of outcomes in an evolving field.

Minimally invasive surgical techniques are being successfully used to treat locally advanced and recurrent pelvic malignancy of colorectal origin. This review aims to describe the application of minim... A literature search was performed of PubMed, Google Scholar and EMBASE for studies on pelvic exenteration with locally advanced or recurrent rectal cancer utilising minimally invasive techniques. A to... Laparoscopic, robotic and trans-anal total mesenteric excision (TaTME) aided pelvic exenteration methods have recently demonstrated low post-operative morbidity and mortality trends. Minimally invasiv... International, multicentre studies have provided the best opportunity to explore efficacy of these methods on a larger scale. Further research is required into patient selection, safety and long-term ...

Local Recurrence Rates After Excision of Desmoplastic Melanoma: A Systematic Review and Meta-Analysis.

Few prospective studies have evaluated local recurrence rates (LRR) after excision of desmoplastic melanoma (DM); however, several retrospective studies have reported high LRR.... To determine LRR after excision of DM and evaluate factors affecting LRR.... Systematic review of the PubMed, Embase, and Web of Science databases was performed to identify studies reporting local recurrence after excision of DM with conventional wide local excision (WLE), Moh... Literature search identified 4 studies evaluating MMS or SE (total n = 61 DM). 53 studies assessed WLE ( n = 3,080) and were analyzed quantitatively. The overall LRR after WLE of DM was 21% (95% CI, 0... DM has high LRR after WLE. Local recurrence risk was greatest with positive excision margins, indicating the importance of achieving negative microscopic margins. Greater study of MMS and SE for DM is...

Time to Local Recurrence as a Predictor of Survival in Adult Head and Neck Soft Tissue Sarcoma.

We sought to evaluate the impact of the time interval from surgical resection to local recurrence (TTLR) on clinical outcomes in head and neck soft tissue sarcoma (HNSTS).... A total of 401 patients who underwent R0 resection for primary HNSTS were included in this study. Patients with local recurrence as the first event after their initial resection were divided into earl... Two hundred and nine of the 401 patients (52.1%) developed local recurrence during a median follow-up period of 134.6 months. Patients in the ELR group had a shorter median OS time (35.0 vs. 120.6, p ... In patients with HNSTS, ELR after R0 resection presents adverse effects on OS and SAR than those with LLR, and TTLR could serve as a promising predictor for survival. Salvage therapies, especially the... 3 Laryngoscope, 133:2174-2182, 2023....

Electrodesiccation and Curettage for Squamous Cell Carcinoma in Situ: The Effect of Anatomic Location on Local Recurrence.

Electrodesiccation and curettage (EDC) is a common, minimally invasive treatment of cutaneous squamous cell carcinoma in situ (SCCIS).... Determine the 5-year recurrence rate of EDC for SCCIS and to determine if this differs by anatomic location.... A retrospective, single-center, cohort study of patients treated between January 1, 2000, and January 1, 2017, with at least 5 years of follow-up. The overall 5-year recurrence rate of EDC for SCCIS w... Five hundred ten tumors were randomly identified from 367 unique patients. The 5-year recurrence rate of the entire cohort was 5.3%. There was no significant difference in recurrence by clinical size ... Electrodesiccation and curettage allows for a high 5-year cure rate across a broad range of anatomic sites. However, overall cure rate should be individualized by anatomic location when counseling pat...

Salvage transoral laser microsurgery for early local recurrence of glottic squamous cell cancer.

For recurrent laryngeal cancer, the feasibility of salvage transoral laser microsurgery (TLM) remains controversial. This study compared the efficacy of TLM and open partial laryngectomy (OPL) for tre... This retrospective study involved 55 patients with early local recurrent GSCC treated with TLM, and the oncologic outcomes, functional outcomes, hospitalization time and complications were compared wi... The 5-year overall survival and disease-specific survival rates were 65.8% and 91.5%, respectively, for 55 patients with rT... Salvage TLM can be used as an effective treatment option for suitable patients after a full, comprehensive, and careful assessment of the characteristics of early locally recurrent glottic carcinoma....

Does Non-Classic Lobular Carcinoma In Situ at the Lumpectomy Margin Increase Local Recurrence?

The clinical significance of nonclassic, lobular carcinoma in situ (NC-LCIS) at the surgical margin of excisions for invasive cancer is unknown. We sought to determine whether NC-LCIS at or near the m... Patients with stage 0-III breast cancer and NC-LCIS who underwent lumpectomy between January 2010 and January 2022 at a single institution were retrospectively identified. NC-LCIS margins were stratif... A total of 511 female patients (median age 60 years [interquartile range (IQR) 52-69]) with NC-LCIS and an associated ipsilateral breast cancer with a median follow-up of 3.4 years (IQR 2.0-5.9) were ... For completely excised invasive breast cancers associated with NC-LCIS, extent of margin width for NC-LCIS was not associated with a difference in IBTR or LRR. These data suggest that the decision to ...

Salvage Cryoablation for Local Recurrences of Thyroid Cancer Inseparable from the Trachea and Neurovascular Structures.

To demonstrate safety, feasibility, and effectiveness of cryoablation of recurrent papillary thyroid cancer ineligible for reoperation because of scarring, eligible for focal ablation as defined withi... With multidisciplinary consensus, cryoablation was performed with curative intent for 15 tumors in 10 patients between January 2019 and July 2021. Demographics, procedural details, and serial postproc... The mean age was 72.5 years (range, 57-88 years), and 80% of the patients were women. The tumors (mean size, 16 mm ± 6; range, 9-29 mm) received 1 session of cryoablation with 100% technical success. ... Cryoablation of local recurrences of papillary thyroid cancer abutting the trachea and/or neurovascular structures in the setting of hydrodissection failure because of scarring yielded a mean volumetr...