{"id":121644,"date":"2026-02-25T19:23:18","date_gmt":"2026-02-25T19:23:18","guid":{"rendered":"https:\/\/www.atlasrleye.com\/?page_id=121644"},"modified":"2026-03-02T16:21:30","modified_gmt":"2026-03-02T16:21:30","slug":"cas-clinique-3","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/fr\/traumatismes-oculaires-perforants-et-penetrants\/cas-clinique-3\/","title":{"rendered":"Cas Clinique 3"},"content":{"rendered":"

[vc_row][vc_column][vc_custom_heading text=\u00a0\u00bbR\u00c9TINOPATHIES TRAUMATIQUES ET TOXIQUES\u00a0\u00bb font_container=\u00a0\u00bbtag:h5|font_size:22px|text_align:center|color:%23000000″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb link=\u00a0\u00bburl:https%3A%2F%2Fwww.atlasrleye.com%2Ffr%2Fatlas%2F%231636632808103-ebb9ab69-b1fc|\u00a0\u00bb][vc_text_separator title=\u00a0\u00bb\u00a0\u00bb i_icon_fontawesome=\u00a0\u00bbfas fa-eye\u00a0\u00bb i_color=\u00a0\u00bbcustom\u00a0\u00bb i_size=\u00a0\u00bblg\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb border_width=\u00a0\u00bb8″ css=\u00a0\u00bb.vc_custom_1637080776101{margin-bottom: -5px !important;}\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb accent_color=\u00a0\u00bb#bababa\u00a0\u00bb i_custom_color=\u00a0\u00bb#bababa\u00a0\u00bb][vc_custom_heading text=\u00a0\u00bbTraumatismes Oculaires P\u00e9rforants et P\u00e9netrants – Cas clinique 3″ font_container=\u00a0\u00bbtag:h1|text_align:center|color:%235f1b52″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb css=\u00a0\u00bb\u00a0\u00bb link=\u00a0\u00bburl:https%3A%2F%2Fwww.atlasrleye.com%2Ffr%2Ftraumatismes-oculaires-perforants-et-penetrants%2F|title:TRAUMATISMOS%20OCULARES%20PENETRANTES%20E%20PERFURANTES|\u00a0\u00bb]

<\/div>[\/vc_column][\/vc_row][vc_row gap=\u00a0\u00bb35″ equal_height=\u00a0\u00bbyes\u00a0\u00bb][vc_column width=\u00a0\u00bb1\/2″][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/2″][vc_single_image image=\u00a0\u00bb120142″ img_size=\u00a0\u00bbmedium\u00a0\u00bb alignment=\u00a0\u00bbcenter\u00a0\u00bb onclick=\u00a0\u00bblink_image\u00a0\u00bb css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/2″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

Patient de 37 ans pr\u00e9sentant un traumatisme contondant avec rupture du globe oculaire. Pr\u00e9sente une rupture scl\u00e9ro-uv\u00e9ale, un hyph\u00e9ma, une h\u00e9morragie du vitr\u00e9, une d\u00e9chirure r\u00e9tinienne p\u00e9riph\u00e9rique et temporale, des h\u00e9morragies sous-r\u00e9tiniennes et de multiples d\u00e9collements s\u00e9reux. <\/p>\n

[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=\u00a0\u00bb1\/2″][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/2″][vc_single_image image=\u00a0\u00bb120198″ img_size=\u00a0\u00bbmedium\u00a0\u00bb alignment=\u00a0\u00bbcenter\u00a0\u00bb onclick=\u00a0\u00bblink_image\u00a0\u00bb css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/2″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

MAVC: 20\/25 OD, neuf ans apr\u00e8s les chirurgies (suture scl\u00e9rale de la d\u00e9sinsertion du muscle droit externe, vitrectomie post\u00e9rieure et photocoagulation laser au bord de la d\u00e9chirure r\u00e9tinienne, d\u00e9collement r\u00e9tinien inf\u00e9rieur avec prolif\u00e9ration vitr\u00e9or\u00e9tinienne et liquide sous-r\u00e9tinien contenant un peu de sang; pelage de la membrane \u00e9pir\u00e9tinienne et maculorhexis de la MLI).<\/p>\n

[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n

\u00c9valuations
<\/span><\/h3>\n

[\/vc_column_text][vc_tta_accordion active_section=\u00a0\u00bb99″ no_fill=\u00a0\u00bbtrue\u00a0\u00bb collapsible_all=\u00a0\u00bbtrue\u00a0\u00bb][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb1\u00e8re \u00c9valuation – 22 12 2012″ tab_id=\u00a0\u00bb1643201210935-53e8de92-3b06″][vc_row_inner][vc_column_inner width=\u00a0\u00bb2\/5″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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\u00c9chographie<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120158″ img_size=\u00a0\u00bb193×206″ css=\u00a0\u00bb.vc_custom_1772065334870{margin-bottom: 0px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

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Rupture scl\u00e9ro-uv\u00e9ale; caillot de fibrine dans la zone pupillaire; hyph\u00e9ma.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120146,120154,120150″ img_size=\u00a0\u00bb300×206″ css=\u00a0\u00bb.vc_custom_1772065356514{margin-top: -30px !important;margin-bottom: 0px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb2\u00e8me \u00c9valuation – post-op\u00e9ratoire – 07 01 2013″ tab_id=\u00a0\u00bb1643201595004-a2d88c92-90ae\u00a0\u00bb][vc_row_inner css=\u00a0\u00bb.vc_custom_1772066860905{margin-bottom: 0px !important;}\u00a0\u00bb][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text css=\u00a0\u00bb.vc_custom_1772067043480{margin-bottom: 0px !important;}\u00a0\u00bb]<\/p>\n

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R\u00e9tinographie Couleur<\/p>\n

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H\u00e9morragie vitr\u00e9enne; d\u00e9chirure de la r\u00e9tine temporale.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120182″ img_size=\u00a0\u00bb251×206″ css=\u00a0\u00bb.vc_custom_1772365552834{margin-bottom: 0px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n

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12 jours apr\u00e8s la chirurgie (suture scl\u00e9rale de la d\u00e9sinsertion du muscle droit lat\u00e9ral \u2013 images 1 et 2). H\u00e9morragie du vitr\u00e9. H\u00e9movitr\u00e9.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120170,120174,120178″ img_size=\u00a0\u00bb300×206″ css=\u00a0\u00bb.vc_custom_1772386725594{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb3\u00e8me \u00c9valuation – post-op\u00e9ratoire – 08 01 2013″ tab_id=\u00a0\u00bb1772048007023-fc08a31e-8c7a\u00a0\u00bb][vc_row_inner equal_height=\u00a0\u00bbyes\u00a0\u00bb][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text]<\/p>\n

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Infrarouge<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120230″ img_size=\u00a0\u00bb193×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb2\/3″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120234″ img_size=\u00a0\u00bb300×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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R\u00e9tinographie Couleur<\/p>\n

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1 jour apr\u00e8s l’intervention. Images de la chirurgie (VPP et photocoagulation laser au bord de la d\u00e9chirure r\u00e9tinienne). <\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120258,120238,120242,120246,120250,120254″ img_size=\u00a0\u00bb251×206″ css=\u00a0\u00bb.vc_custom_1772383838971{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n

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D\u00e9collements s\u00e9reux multiples (OCT 5 et 6)<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120206,120210,120214,120218,120222,120226″ img_size=\u00a0\u00bb307×110″ css=\u00a0\u00bb.vc_custom_1772383876062{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb4\u00e8me \u00c9valuation – 17 01 2013″ tab_id=\u00a0\u00bb1771981679518-6dc2e917-7128″][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Autofluorescence<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120322″ img_size=\u00a0\u00bb193×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text]<\/p>\n

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Infrarouge<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120306″ img_size=\u00a0\u00bb193×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Red-free<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120302″ img_size=\u00a0\u00bb193×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00a0\u00bb2\/3″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

\n
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R\u00e9tinographie Couleur<\/p>\n

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D\u00e9collement de la r\u00e9tine inf\u00e9rieure<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120318,120270″ img_size=\u00a0\u00bb251×206″ css=\u00a0\u00bb.vc_custom_1772383717326{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120310,120314″ img_size=\u00a0\u00bb300×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n

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Membrane \u00e9pir\u00e9tinienne (cellophane)<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120274,120278,120282,120286,120290,120294,120298″ img_size=\u00a0\u00bb307×110″ css=\u00a0\u00bb.vc_custom_1772383812002{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb5\u00e8me \u00c9valuation – post-op\u00e9ratoire – 01 03 2013″ tab_id=\u00a0\u00bb1772366910415-70f7fa9c-8c3e\u00a0\u00bb][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Autofluorescence<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120338″ img_size=\u00a0\u00bb193×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text]<\/p>\n

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Infrarouge<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120342″ img_size=\u00a0\u00bb193×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Red-free<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120334″ img_size=\u00a0\u00bb193×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00a0\u00bb2\/3″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

\n
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R\u00e9tinographie Couleur<\/p>\n

\n

Deux semaines apr\u00e8s la chirurgie (d\u00e9collement inf\u00e9rieur de la r\u00e9tine avec prolif\u00e9ration vitr\u00e9or\u00e9tinienne et liquide sous-r\u00e9tinien contenant un peu de sang ; peeling de la membrane \u00e9pir\u00e9tinienne et maculorhexis de la MLI) ; noter la bulle de gaz.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120362″ img_size=\u00a0\u00bb251×206″ css=\u00a0\u00bb.vc_custom_1772383987494{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120346,120350,120354,120358″ img_size=\u00a0\u00bb307×110″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb6\u00e8me \u00c9valuation – 18 01 2019″ tab_id=\u00a0\u00bb1772367147606-c2e01886-956b\u00a0\u00bb][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Autofluorescence<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120398″ img_size=\u00a0\u00bb193×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text]<\/p>\n

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Infrarouge<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120370″ img_size=\u00a0\u00bb193×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00a0\u00bb2\/3″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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R\u00e9tinographie Couleur<\/p>\n

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MAVC: 20\/20 OD. Sept ans apr\u00e8s le traumatisme.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120394″ img_size=\u00a0\u00bb251×206″ css=\u00a0\u00bb.vc_custom_1772384062320{margin-top: -30px !important;}\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Photographie du Segment Ant\u00e9rieur<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120390″ img_size=\u00a0\u00bb300×206″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00a0\u00bbimage_grid\u00a0\u00bb images=\u00a0\u00bb120374,120378,120382,120386″ img_size=\u00a0\u00bb307×110″ css=\u00a0\u00bb\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00a0\u00bbfar fa-calendar-alt\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb title=\u00a0\u00bb7\u00e8me \u00c9valuation – 16 12 2021″ tab_id=\u00a0\u00bb1772367443908-d8bde284-c6dc\u00a0\u00bb][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]<\/p>\n

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Autofluorescence<\/p>\n<\/div>\n<\/div>\n

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RNFL \u2013 Carte d\u2019\u00e9paisseur<\/p>\n<\/div>\n<\/div>\n

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R\u00e9tinographie Couleur<\/p>\n

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MAVC: 20\/25 OD. Neuf ans apr\u00e8s le traumatisme.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

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