{"id":5182,"date":"2024-09-25T16:58:17","date_gmt":"2024-09-25T14:58:17","guid":{"rendered":"https:\/\/gesed.org\/?page_id=5182"},"modified":"2024-09-25T17:03:01","modified_gmt":"2024-09-25T15:03:01","slug":"manifestations-ophtalmologiques-des-sed-2","status":"publish","type":"page","link":"https:\/\/gesed.com\/index.php\/le-sed\/manifestations-ophtalmologiques-des-sed-2\/","title":{"rendered":"Manifestations ophtalmologiques des SED"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5182\" class=\"elementor elementor-5182\" wpc-filter-elementor-widget=\"1\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3d903bd e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"3d903bd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-53c2d20 exad-sticky-section-no exad-glass-effect-no elementor-widget elementor-widget-heading\" data-id=\"53c2d20\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Manifestations ophtalmologiques des SED<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb6e84e exad-sticky-section-no exad-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"bb6e84e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: right;\"><em><span style=\"font-weight: 400;\">Merci \u00e0 SED&rsquo;IN FRANCE pour cet article qui r\u00e9pond \u00e0 une de nos pr\u00e9occupations !<\/span><\/em><\/p><p><span style=\"font-weight: 400;\">Auteurs : Perez-Roustit S, Nguyen<\/span> <span style=\"font-weight: 400;\">DT, Xerri O, Robert MP, De <\/span><a href=\"https:\/\/www.gesed.com\/MANIFESTATIONS%20OPHTALMOLOGIQUES%20DES%20SYNDROMES%20D%E2%80%99EHLERS%E2%80%93DANLOS%20:%20%C3%80%20PROPOS%20D%E2%80%99UNE%20COHORTE%20DE%2021%20PATIENTS.%E2%80%9D%20ACCUEILACTUALIT%C3%89S%E2%80%9CMANIFESTATIONS%20OPHTALMOLOGIQUES...%20%20%E2%80%9CManifestations%20ophtalmologiques%20des%20syndromes%20d%E2%80%99Ehlers%E2%80%93Danlos%20:%20%C3%A0%20propos%20d%E2%80%99une%20cohorte%20de%2021%20patients.%E2%80%9D%20NON%20CLASS%C3%89%20Share%20this%20post%20%20%20%20%20%20%20Les%20auteurs%20:%20Perez-Roustit%20S,%20Nguyen%20DT,%20Xerri%20O,%20Robert%20MP,%20De%20Vergnes%20N,%20Mincheva%20Z,%20Benistan%20K,%20Bremond-Gignac%20D.%20Abstract%20sur%20Science%20Direct%20%20L%E2%80%99article%20en%20pdf%20est%20mis%20%C3%A0%20disposition%20des%20professionnels%20de%20sant%C3%A9%20et%20des%20adh%C3%A9rents%20dans%20nos%20espaces%20documentation.%20%20R%C3%A9sum%C3%A9%20%20Introduction%20L%E2%80%99objectif%20de%20cette%20%C3%A9tude%20%C3%A9tait%20de%20d%C3%A9crire%20et%20d%E2%80%99analyser%20les%20principales%20manifestations%20ophtalmologiques%20retrouv%C3%A9es%20dans%20une%20cohorte%20de%2021%20patients%20suivis%20pour%20maladie%20d%E2%80%99Ehlers%E2%80%93Danlos%20dans%20notre%20service.%20%20Mat%C3%A9riels%20et%20m%C3%A9thodes%20Cette%20cohorte%20analysait%2021%20patients%20cons%C3%A9cutifs%20(17%20femmes%20et%204%20hommes)%20suivis%20pour%20la%20maladie%20d%E2%80%99Ehlers%E2%80%93Danlos%20%C3%A0%20l%E2%80%99h%C3%B4pital%20Necker,%20d%E2%80%99avril%202016%20%C3%A0%20novembre%202017.%20L%E2%80%99%C3%A2ge%20moyen%20des%20patients%20%C3%A9tait%20de%2025,95%20ans%20(12%E2%80%9347).%20Un%20bilan%20exhaustif%20%C3%A9tait%20r%C3%A9alis%C3%A9%20et%20comportait%20la%20recherche%20de%20signes%20fonctionnels,%20un%20bilan%20orthoptique%20ainsi%20qu%E2%80%99un%20examen%20ophtalmologique%20complet%20avec%20un%20examen%20du%20segment%20ant%C3%A9rieur%20%C3%A0%20la%20lampe%20%C3%A0%20fente,%20la%20pachym%C3%A9trie%20et%20l%E2%80%99examen%20du%20fond%20d%E2%80%99%C5%93il%20avec%20r%C3%A9tinophotographies%20et%20OCT.%20%20R%C3%A9sultats%20Des%20signes%20ophtalmologiques%20%C3%A9taient%20retrouv%C3%A9s%20chez%2019%20patients%20(90,5%20%).%20Les%20signes%20ophtalmologiques%20les%20plus%20fr%C3%A9quemment%20retrouv%C3%A9s%20%C3%A9taient%20:%20des%20troubles%20oculomoteurs%20pr%C3%A9sents%20chez%2015%20patients%20(71,4%20%)%20dont%2013%20avaient%20une%20insuffisance%20de%20convergence,%20des%20taches%20ardois%C3%A9es%20scl%C3%A9rales%20retrouv%C3%A9es%20chez%208%20patients%20(38%20%)%20et%20un%20syndrome%20sec%20retrouv%C3%A9%20chez%207%20patients%20(33%20%,%20dont%202%20patients%20avec%20un%20Break-up%20time%20diminu%C3%A9%3C10%20secondes%20et%205%20avec%20un%20Short%20Break-up%20time%3C5%20secondes).%20La%20pachym%C3%A9trie%20moyenne%20%C3%A9tait%20de%20539,25%CE%BCm%20(365%E2%80%93612).%20Un%20patient%20pr%C3%A9sentait%20un%20k%C3%A9ratoglobe%20bilat%C3%A9ral%20(4,8%20%).%20La%20myopie%20forte%20%C3%A9tait%20retrouv%C3%A9e%20chez%202%20patients%20(9,5%20%)%20et%20associ%C3%A9e%20%C3%A0%20la%20pr%C3%A9sence%20de%20d%C3%A9chirure%20r%C3%A9tinienne%20chez%20un%20patient%20(4,8%20%).%20Aucun%20patient%20ne%20pr%C3%A9sentait%20de%20stries%20angio%C3%AFdes%20%C3%A0%20l%E2%80%99examen%20du%20fond%20d%E2%80%99%C5%93il.%20%20Discussion%20Les%20patients%20de%20notre%20cohorte%20pr%C3%A9sentaient%20tr%C3%A8s%20fr%C3%A9quemment%20des%20atteintes%20ophtalmologiques.%20Le%20principal%20signe%20ophtalmologique%20%C3%A9tait%20l%E2%80%99insuffisance%20de%20convergence,%20justifiant%20la%20r%C3%A9alisation%20d%E2%80%99un%20bilan%20orthoptique%20chez%20les%20patients%20atteints%20de%20syndrome%20d%E2%80%99Ehlers%E2%80%93Danlos.%20Un%20syndrome%20sec%20par%20instabilit%C3%A9%20du%20film%20lacrymal,%20symptomatique,%20%C3%A9tait%20fr%C3%A9quemment%20retrouv%C3%A9%20alors%20que%20les%20patients%20suivis%20%C3%A9taient%20jeunes.%20On%20retrouvait%20%C3%A9galement%20des%20taches%20ardois%C3%A9es%20conjonctivales%20chez%2038%20%%20des%20patients.%20Deux%20cas%20de%20myopie%20forte%20et%20un%20cas%20de%20k%C3%A9ratoglobe%20bilat%C3%A9ral%20ont%20%C3%A9t%C3%A9%20rapport%C3%A9s%20dans%20notre%20cohorte.%20Aucun%20patient%20ne%20pr%C3%A9sentait%20de%20stries%20angio%C3%AFdes%20et%20la%20mesure%20de%20la%20pachym%C3%A9trie%20moyenne%20%C3%A9tait%20normale%20dans%20notre%20s%C3%A9rie.%20%20Conclusion%20Un%20bilan%20ophtalmologique%20et%20orthoptique%20doit%20%C3%AAtre%20r%C3%A9alis%C3%A9%20chez%20tous%20les%20patients%20atteints%20de%20syndrome%20d%E2%80%99Ehlers%E2%80%93Danlos%20pour%20d%C3%A9pister%20et%20traiter%20les%20atteintes%20oculaires.%20En%20cas%20de%20suspicion%20du%20syndrome,%20un%20bilan%20complet%20peut%20%C3%A9galement%20apporter%20des%20arguments%20cliniques%20orientant%20le%20diagnostic.\"><span style=\"font-weight: 400;\">Vergnes N, Mincheva Z, <\/span><\/a><span style=\"font-weight: 400;\">Benistan K, Bremond-Gignac D<\/span><a href=\"https:\/\/www.gesed.com\/MANIFESTATIONS%20OPHTALMOLOGIQUES%20DES%20SYNDROMES%20D%E2%80%99EHLERS%E2%80%93DANLOS%20:%20%C3%80%20PROPOS%20D%E2%80%99UNE%20COHORTE%20DE%2021%20PATIENTS.%E2%80%9D%20ACCUEILACTUALIT%C3%89S%E2%80%9CMANIFESTATIONS%20OPHTALMOLOGIQUES...%20%20%E2%80%9CManifestations%20ophtalmologiques%20des%20syndromes%20d%E2%80%99Ehlers%E2%80%93Danlos%20:%20%C3%A0%20propos%20d%E2%80%99une%20cohorte%20de%2021%20patients.%E2%80%9D%20NON%20CLASS%C3%89%20Share%20this%20post%20%20%20%20%20%20%20Les%20auteurs%20:%20Perez-Roustit%20S,%20Nguyen%20DT,%20Xerri%20O,%20Robert%20MP,%20De%20Vergnes%20N,%20Mincheva%20Z,%20Benistan%20K,%20Bremond-Gignac%20D.%20Abstract%20sur%20Science%20Direct%20%20L%E2%80%99article%20en%20pdf%20est%20mis%20%C3%A0%20disposition%20des%20professionnels%20de%20sant%C3%A9%20et%20des%20adh%C3%A9rents%20dans%20nos%20espaces%20documentation.%20%20R%C3%A9sum%C3%A9%20%20Introduction%20L%E2%80%99objectif%20de%20cette%20%C3%A9tude%20%C3%A9tait%20de%20d%C3%A9crire%20et%20d%E2%80%99analyser%20les%20principales%20manifestations%20ophtalmologiques%20retrouv%C3%A9es%20dans%20une%20cohorte%20de%2021%20patients%20suivis%20pour%20maladie%20d%E2%80%99Ehlers%E2%80%93Danlos%20dans%20notre%20service.%20%20Mat%C3%A9riels%20et%20m%C3%A9thodes%20Cette%20cohorte%20analysait%2021%20patients%20cons%C3%A9cutifs%20(17%20femmes%20et%204%20hommes)%20suivis%20pour%20la%20maladie%20d%E2%80%99Ehlers%E2%80%93Danlos%20%C3%A0%20l%E2%80%99h%C3%B4pital%20Necker,%20d%E2%80%99avril%202016%20%C3%A0%20novembre%202017.%20L%E2%80%99%C3%A2ge%20moyen%20des%20patients%20%C3%A9tait%20de%2025,95%20ans%20(12%E2%80%9347).%20Un%20bilan%20exhaustif%20%C3%A9tait%20r%C3%A9alis%C3%A9%20et%20comportait%20la%20recherche%20de%20signes%20fonctionnels,%20un%20bilan%20orthoptique%20ainsi%20qu%E2%80%99un%20examen%20ophtalmologique%20complet%20avec%20un%20examen%20du%20segment%20ant%C3%A9rieur%20%C3%A0%20la%20lampe%20%C3%A0%20fente,%20la%20pachym%C3%A9trie%20et%20l%E2%80%99examen%20du%20fond%20d%E2%80%99%C5%93il%20avec%20r%C3%A9tinophotographies%20et%20OCT.%20%20R%C3%A9sultats%20Des%20signes%20ophtalmologiques%20%C3%A9taient%20retrouv%C3%A9s%20chez%2019%20patients%20(90,5%20%).%20Les%20signes%20ophtalmologiques%20les%20plus%20fr%C3%A9quemment%20retrouv%C3%A9s%20%C3%A9taient%20:%20des%20troubles%20oculomoteurs%20pr%C3%A9sents%20chez%2015%20patients%20(71,4%20%)%20dont%2013%20avaient%20une%20insuffisance%20de%20convergence,%20des%20taches%20ardois%C3%A9es%20scl%C3%A9rales%20retrouv%C3%A9es%20chez%208%20patients%20(38%20%)%20et%20un%20syndrome%20sec%20retrouv%C3%A9%20chez%207%20patients%20(33%20%,%20dont%202%20patients%20avec%20un%20Break-up%20time%20diminu%C3%A9%3C10%20secondes%20et%205%20avec%20un%20Short%20Break-up%20time%3C5%20secondes).%20La%20pachym%C3%A9trie%20moyenne%20%C3%A9tait%20de%20539,25%CE%BCm%20(365%E2%80%93612).%20Un%20patient%20pr%C3%A9sentait%20un%20k%C3%A9ratoglobe%20bilat%C3%A9ral%20(4,8%20%).%20La%20myopie%20forte%20%C3%A9tait%20retrouv%C3%A9e%20chez%202%20patients%20(9,5%20%)%20et%20associ%C3%A9e%20%C3%A0%20la%20pr%C3%A9sence%20de%20d%C3%A9chirure%20r%C3%A9tinienne%20chez%20un%20patient%20(4,8%20%).%20Aucun%20patient%20ne%20pr%C3%A9sentait%20de%20stries%20angio%C3%AFdes%20%C3%A0%20l%E2%80%99examen%20du%20fond%20d%E2%80%99%C5%93il.%20%20Discussion%20Les%20patients%20de%20notre%20cohorte%20pr%C3%A9sentaient%20tr%C3%A8s%20fr%C3%A9quemment%20des%20atteintes%20ophtalmologiques.%20Le%20principal%20signe%20ophtalmologique%20%C3%A9tait%20l%E2%80%99insuffisance%20de%20convergence,%20justifiant%20la%20r%C3%A9alisation%20d%E2%80%99un%20bilan%20orthoptique%20chez%20les%20patients%20atteints%20de%20syndrome%20d%E2%80%99Ehlers%E2%80%93Danlos.%20Un%20syndrome%20sec%20par%20instabilit%C3%A9%20du%20film%20lacrymal,%20symptomatique,%20%C3%A9tait%20fr%C3%A9quemment%20retrouv%C3%A9%20alors%20que%20les%20patients%20suivis%20%C3%A9taient%20jeunes.%20On%20retrouvait%20%C3%A9galement%20des%20taches%20ardois%C3%A9es%20conjonctivales%20chez%2038%20%%20des%20patients.%20Deux%20cas%20de%20myopie%20forte%20et%20un%20cas%20de%20k%C3%A9ratoglobe%20bilat%C3%A9ral%20ont%20%C3%A9t%C3%A9%20rapport%C3%A9s%20dans%20notre%20cohorte.%20Aucun%20patient%20ne%20pr%C3%A9sentait%20de%20stries%20angio%C3%AFdes%20et%20la%20mesure%20de%20la%20pachym%C3%A9trie%20moyenne%20%C3%A9tait%20normale%20dans%20notre%20s%C3%A9rie.%20%20Conclusion%20Un%20bilan%20ophtalmologique%20et%20orthoptique%20doit%20%C3%AAtre%20r%C3%A9alis%C3%A9%20chez%20tous%20les%20patients%20atteints%20de%20syndrome%20d%E2%80%99Ehlers%E2%80%93Danlos%20pour%20d%C3%A9pister%20et%20traiter%20les%20atteintes%20oculaires.%20En%20cas%20de%20suspicion%20du%20syndrome,%20un%20bilan%20complet%20peut%20%C3%A9galement%20apporter%20des%20arguments%20cliniques%20orientant%20le%20diagnostic.\"><span style=\"font-weight: 400;\">. &#8211; 2019 <\/span><\/a><span style=\"font-weight: 400;\">\u00a0\u00a0<\/span><\/p><p>\u00a0<\/p><p><strong>Introduction<\/strong><\/p><p><span style=\"font-weight: 400;\">L\u2019objectif de cette \u00e9tude \u00e9tait de d\u00e9crire et d\u2019analyser les principales manifestations ophtalmologiques retrouv\u00e9es dans une cohorte de 21 patients suivis pour syndrome d\u2019Ehlers\u2013Danlos dans notre service.<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p><p><strong>Patients et M\u00e9thodes<\/strong><\/p><p><span style=\"font-weight: 400;\">Cette cohorte analysait 21 patients cons\u00e9cutifs (17 femmes et 4 hommes) suivis pour syndrome d\u2019Ehlers\u2013Danlos \u00e0 l\u2019h\u00f4pital Necker, d\u2019avril 2016 \u00e0 novembre 2017. L\u2019\u00e2ge moyen des patients \u00e9tait de 25,95 ans (12\u201347).<\/span><\/p><p><span style=\"font-weight: 400;\">Un bilan exhaustif \u00e9tait r\u00e9alis\u00e9 et comportait la recherche de signes fonctionnels, un bilan orthoptique ainsi qu\u2019un examen ophtalmologique complet avec un examen du segment ant\u00e9rieur \u00e0 la lampe \u00e0 fente, la pachym\u00e9trie et l\u2019examen du fond d\u2019\u0153il avec r\u00e9tinophotographies et OCT<\/span><span style=\"font-weight: 400;\"> (Optical Coherence Tomography).<\/span><\/p><p>\u00a0<\/p><p><strong>R\u00e9sultats<\/strong><\/p><p><span style=\"font-weight: 400;\">Des signes ophtalmologiques \u00e9taient retrouv\u00e9s chez 19 patients (90,5 %).\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">Les signes ophtalmologiques les plus fr\u00e9quemment retrouv\u00e9s \u00e9taient :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">des troubles oculomoteurs pr\u00e9sents chez 15 patients (71,4 %) dont 13 avaient une insuffisance de convergence,<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">des taches ardois\u00e9es scl\u00e9rales retrouv\u00e9es chez 8 patients (38 %)<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">et un syndrome sec retrouv\u00e9 chez 7 patients (33 %, dont 2 patients avec un break-up time diminu\u00e9 &lt;10 secondes et 5 avec un short break-up time &lt;5 secondes).\u00a0<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">La pachym\u00e9trie moyenne \u00e9tait de 539,<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">5\u03bcm (365\u2013612).<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Un patient pr\u00e9sentait un k\u00e9ratoglobe bilat\u00e9ral (4,8 %).<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">La myopie forte \u00e9tait retrouv\u00e9e chez 2 patients (9,5 %) et associ\u00e9e \u00e0 la pr\u00e9sence de d\u00e9chirure r\u00e9tinienne chez un patient (4,8 %).<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aucun patient ne pr\u00e9sentait de stries angio\u00efdes \u00e0 l\u2019examen du fond d\u2019\u0153il.\u00a0<\/span><\/li><\/ul><p>\u00a0<\/p><p><strong>Discussion<\/strong><\/p><p><span style=\"font-weight: 400;\">Les patients de notre cohorte pr\u00e9sentaient tr\u00e8s fr\u00e9quemment des atteintes ophtalmologiques.<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Le principal signe ophtalmologique \u00e9tait l\u2019insuffisance de convergence, justifiant la r\u00e9alisation d\u2019un bilan orthoptique chez les patients atteints de syndrome d\u2019Ehlers\u2013Danlos.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Un syndrome sec par instabilit\u00e9 du film lacrymal, symptomatique, \u00e9tait fr\u00e9quemment retrouv\u00e9 alors que les patients suivis \u00e9taient jeunes.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">On retrouvait \u00e9galement des taches ardois\u00e9es conjonctivales chez 38 % des patients, d<\/span><span style=\"font-weight: 400;\">eux cas de myopie forte<\/span><span style=\"font-weight: 400;\"> et u<\/span><span style=\"font-weight: 400;\">n cas de k\u00e9ratoglobe bilat\u00e9ral dans notre cohorte.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aucun patient ne pr\u00e9sentait de stries angio\u00efdes et la mesure de la pachym\u00e9trie moyenne \u00e9tait normale dans notre s\u00e9rie<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/li><\/ul><p>\u00a0<\/p><p><strong>Conclusion<\/strong><\/p><p><span style=\"font-weight: 400;\">Un bilan ophtalmologique et orthoptique doit \u00eatre r\u00e9alis\u00e9 chez tous les patients atteints de syndrome d\u2019Ehlers\u2013Danlos pour d\u00e9pister et traiter les atteintes oculaires. En cas de suspicion de syndrome, un bilan complet peut \u00e9galement apporter des arguments cliniques orientant le diagnostic.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c6d82ac elementor-widget-divider--view-line exad-sticky-section-no exad-glass-effect-no elementor-widget elementor-widget-divider\" data-id=\"c6d82ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8182fd2 exad-sticky-section-no exad-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"8182fd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\tVous \u00eates ici:\n<span><span><a href=\"https:\/\/gesed.com\/\">Accueil<\/a><\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Manifestations ophtalmologiques des SED Merci \u00e0 SED&rsquo;IN FRANCE pour cet article qui r\u00e9pond \u00e0 une de nos pr\u00e9occupations ! Auteurs : Perez-Roustit S, Nguyen DT, Xerri O, Robert MP, De Vergnes N, Mincheva Z, Benistan K, Bremond-Gignac D. &#8211; 2019 \u00a0\u00a0 \u00a0 Introduction L\u2019objectif de cette \u00e9tude \u00e9tait de d\u00e9crire et d\u2019analyser les principales manifestations ophtalmologiques retrouv\u00e9es dans une cohorte de 21 patients suivis pour syndrome d\u2019Ehlers\u2013Danlos dans notre service. \u00a0 Patients et M\u00e9thodes Cette cohorte analysait 21 patients cons\u00e9cutifs (17 femmes et 4 hommes) suivis pour syndrome d\u2019Ehlers\u2013Danlos \u00e0 l\u2019h\u00f4pital Necker, d\u2019avril 2016 \u00e0 novembre 2017. L\u2019\u00e2ge moyen des patients \u00e9tait de 25,95 ans (12\u201347). Un bilan exhaustif \u00e9tait r\u00e9alis\u00e9 et comportait la recherche de signes fonctionnels, un bilan orthoptique ainsi qu\u2019un examen ophtalmologique complet avec un examen du segment ant\u00e9rieur \u00e0 la lampe \u00e0 fente, la pachym\u00e9trie et l\u2019examen du fond d\u2019\u0153il avec r\u00e9tinophotographies et OCT (Optical Coherence Tomography). \u00a0 R\u00e9sultats Des signes ophtalmologiques \u00e9taient retrouv\u00e9s chez 19 patients (90,5 %).\u00a0 Les signes ophtalmologiques les plus fr\u00e9quemment retrouv\u00e9s \u00e9taient : des troubles oculomoteurs pr\u00e9sents chez 15 patients (71,4 %) dont 13 avaient une insuffisance de convergence, des taches ardois\u00e9es scl\u00e9rales retrouv\u00e9es chez 8 patients (38 %) et un syndrome sec retrouv\u00e9 chez 7 patients (33 %, dont 2 patients avec un break-up time diminu\u00e9 &lt;10 secondes et 5 avec un short break-up time &lt;5 secondes).\u00a0 La pachym\u00e9trie moyenne \u00e9tait de 539,25\u03bcm (365\u2013612). Un patient pr\u00e9sentait un k\u00e9ratoglobe bilat\u00e9ral (4,8 %). La myopie forte \u00e9tait retrouv\u00e9e chez 2 patients (9,5 %) et associ\u00e9e \u00e0 la pr\u00e9sence de d\u00e9chirure r\u00e9tinienne chez un patient (4,8 %). Aucun patient ne pr\u00e9sentait de stries angio\u00efdes \u00e0 l\u2019examen du fond d\u2019\u0153il.\u00a0 \u00a0 Discussion Les patients de notre cohorte pr\u00e9sentaient tr\u00e8s fr\u00e9quemment des atteintes ophtalmologiques. Le principal signe ophtalmologique \u00e9tait l\u2019insuffisance de convergence, justifiant la r\u00e9alisation d\u2019un bilan orthoptique chez les patients atteints de syndrome d\u2019Ehlers\u2013Danlos. Un syndrome sec par instabilit\u00e9 du film lacrymal, symptomatique, \u00e9tait fr\u00e9quemment retrouv\u00e9 alors que les patients suivis \u00e9taient jeunes. On retrouvait \u00e9galement des taches ardois\u00e9es conjonctivales chez 38 % des patients, deux cas de myopie forte et un cas de k\u00e9ratoglobe bilat\u00e9ral dans notre cohorte. Aucun patient ne pr\u00e9sentait de stries angio\u00efdes et la mesure de la pachym\u00e9trie moyenne \u00e9tait normale dans notre s\u00e9rie.\u00a0 \u00a0 Conclusion Un bilan ophtalmologique et orthoptique doit \u00eatre r\u00e9alis\u00e9 chez tous les patients atteints de syndrome d\u2019Ehlers\u2013Danlos pour d\u00e9pister et traiter les atteintes oculaires. En cas de suspicion de syndrome, un bilan complet peut \u00e9galement apporter des arguments cliniques orientant le diagnostic.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1375,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"","ocean_second_sidebar":"","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"off","ocean_display_header":"off","ocean_header_style":"minimal","ocean_center_header_left_menu":"","ocean_custom_header_template":"","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"","ocean_menu_typo_font_family":"","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"off","ocean_display_footer_bottom":"off","ocean_custom_footer_template":"","footnotes":""},"class_list":["post-5182","page","type-page","status-publish","hentry","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Manifestations ophtalmologiques des SED - Gesed<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gesed.com\/index.php\/le-sed\/manifestations-ophtalmologiques-des-sed-2\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Manifestations ophtalmologiques des SED - Gesed\" \/>\n<meta property=\"og:description\" content=\"Manifestations ophtalmologiques des SED Merci \u00e0 SED&rsquo;IN FRANCE pour cet article qui r\u00e9pond \u00e0 une de nos pr\u00e9occupations ! Auteurs : Perez-Roustit S, Nguyen DT, Xerri O, Robert MP, De Vergnes N, Mincheva Z, Benistan K, Bremond-Gignac D. &#8211; 2019 \u00a0\u00a0 \u00a0 Introduction L\u2019objectif de cette \u00e9tude \u00e9tait de d\u00e9crire et d\u2019analyser les principales manifestations ophtalmologiques retrouv\u00e9es dans une cohorte de 21 patients suivis pour syndrome d\u2019Ehlers\u2013Danlos dans notre service. \u00a0 Patients et M\u00e9thodes Cette cohorte analysait 21 patients cons\u00e9cutifs (17 femmes et 4 hommes) suivis pour syndrome d\u2019Ehlers\u2013Danlos \u00e0 l\u2019h\u00f4pital Necker, d\u2019avril 2016 \u00e0 novembre 2017. L\u2019\u00e2ge moyen des patients \u00e9tait de 25,95 ans (12\u201347). Un bilan exhaustif \u00e9tait r\u00e9alis\u00e9 et comportait la recherche de signes fonctionnels, un bilan orthoptique ainsi qu\u2019un examen ophtalmologique complet avec un examen du segment ant\u00e9rieur \u00e0 la lampe \u00e0 fente, la pachym\u00e9trie et l\u2019examen du fond d\u2019\u0153il avec r\u00e9tinophotographies et OCT (Optical Coherence Tomography). \u00a0 R\u00e9sultats Des signes ophtalmologiques \u00e9taient retrouv\u00e9s chez 19 patients (90,5 %).\u00a0 Les signes ophtalmologiques les plus fr\u00e9quemment retrouv\u00e9s \u00e9taient : des troubles oculomoteurs pr\u00e9sents chez 15 patients (71,4 %) dont 13 avaient une insuffisance de convergence, des taches ardois\u00e9es scl\u00e9rales retrouv\u00e9es chez 8 patients (38 %) et un syndrome sec retrouv\u00e9 chez 7 patients (33 %, dont 2 patients avec un break-up time diminu\u00e9 &lt;10 secondes et 5 avec un short break-up time &lt;5 secondes).\u00a0 La pachym\u00e9trie moyenne \u00e9tait de 539,25\u03bcm (365\u2013612). Un patient pr\u00e9sentait un k\u00e9ratoglobe bilat\u00e9ral (4,8 %). La myopie forte \u00e9tait retrouv\u00e9e chez 2 patients (9,5 %) et associ\u00e9e \u00e0 la pr\u00e9sence de d\u00e9chirure r\u00e9tinienne chez un patient (4,8 %). Aucun patient ne pr\u00e9sentait de stries angio\u00efdes \u00e0 l\u2019examen du fond d\u2019\u0153il.\u00a0 \u00a0 Discussion Les patients de notre cohorte pr\u00e9sentaient tr\u00e8s fr\u00e9quemment des atteintes ophtalmologiques. Le principal signe ophtalmologique \u00e9tait l\u2019insuffisance de convergence, justifiant la r\u00e9alisation d\u2019un bilan orthoptique chez les patients atteints de syndrome d\u2019Ehlers\u2013Danlos. Un syndrome sec par instabilit\u00e9 du film lacrymal, symptomatique, \u00e9tait fr\u00e9quemment retrouv\u00e9 alors que les patients suivis \u00e9taient jeunes. On retrouvait \u00e9galement des taches ardois\u00e9es conjonctivales chez 38 % des patients, deux cas de myopie forte et un cas de k\u00e9ratoglobe bilat\u00e9ral dans notre cohorte. Aucun patient ne pr\u00e9sentait de stries angio\u00efdes et la mesure de la pachym\u00e9trie moyenne \u00e9tait normale dans notre s\u00e9rie.\u00a0 \u00a0 Conclusion Un bilan ophtalmologique et orthoptique doit \u00eatre r\u00e9alis\u00e9 chez tous les patients atteints de syndrome d\u2019Ehlers\u2013Danlos pour d\u00e9pister et traiter les atteintes oculaires. En cas de suspicion de syndrome, un bilan complet peut \u00e9galement apporter des arguments cliniques orientant le diagnostic.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gesed.com\/index.php\/le-sed\/manifestations-ophtalmologiques-des-sed-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Gesed\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/gesedasbl\" \/>\n<meta property=\"article:modified_time\" content=\"2024-09-25T15:03:01+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/gesed.com\\\/index.php\\\/le-sed\\\/manifestations-ophtalmologiques-des-sed-2\\\/\",\"url\":\"https:\\\/\\\/gesed.com\\\/index.php\\\/le-sed\\\/manifestations-ophtalmologiques-des-sed-2\\\/\",\"name\":\"Manifestations ophtalmologiques des SED - Gesed\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gesed.com\\\/#website\"},\"datePublished\":\"2024-09-25T14:58:17+00:00\",\"dateModified\":\"2024-09-25T15:03:01+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/gesed.com\\\/index.php\\\/le-sed\\\/manifestations-ophtalmologiques-des-sed-2\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/gesed.com\\\/index.php\\\/le-sed\\\/manifestations-ophtalmologiques-des-sed-2\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/gesed.com\\\/index.php\\\/le-sed\\\/manifestations-ophtalmologiques-des-sed-2\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\\\/\\\/gesed.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Le SED\",\"item\":\"https:\\\/\\\/gesed.com\\\/index.php\\\/le-sed\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Manifestations ophtalmologiques des SED\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/gesed.com\\\/#website\",\"url\":\"https:\\\/\\\/gesed.com\\\/\",\"name\":\"Gesed\",\"description\":\"Groupe d&#039;Entraide des Syndr\u00f4mes d&#039;Ehlers-Danlos\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/gesed.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Manifestations ophtalmologiques des SED - Gesed","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/gesed.com\/index.php\/le-sed\/manifestations-ophtalmologiques-des-sed-2\/","og_locale":"fr_FR","og_type":"article","og_title":"Manifestations ophtalmologiques des SED - Gesed","og_description":"Manifestations ophtalmologiques des SED Merci \u00e0 SED&rsquo;IN FRANCE pour cet article qui r\u00e9pond \u00e0 une de nos pr\u00e9occupations ! Auteurs : Perez-Roustit S, Nguyen DT, Xerri O, Robert MP, De Vergnes N, Mincheva Z, Benistan K, Bremond-Gignac D. &#8211; 2019 \u00a0\u00a0 \u00a0 Introduction L\u2019objectif de cette \u00e9tude \u00e9tait de d\u00e9crire et d\u2019analyser les principales manifestations ophtalmologiques retrouv\u00e9es dans une cohorte de 21 patients suivis pour syndrome d\u2019Ehlers\u2013Danlos dans notre service. \u00a0 Patients et M\u00e9thodes Cette cohorte analysait 21 patients cons\u00e9cutifs (17 femmes et 4 hommes) suivis pour syndrome d\u2019Ehlers\u2013Danlos \u00e0 l\u2019h\u00f4pital Necker, d\u2019avril 2016 \u00e0 novembre 2017. L\u2019\u00e2ge moyen des patients \u00e9tait de 25,95 ans (12\u201347). Un bilan exhaustif \u00e9tait r\u00e9alis\u00e9 et comportait la recherche de signes fonctionnels, un bilan orthoptique ainsi qu\u2019un examen ophtalmologique complet avec un examen du segment ant\u00e9rieur \u00e0 la lampe \u00e0 fente, la pachym\u00e9trie et l\u2019examen du fond d\u2019\u0153il avec r\u00e9tinophotographies et OCT (Optical Coherence Tomography). \u00a0 R\u00e9sultats Des signes ophtalmologiques \u00e9taient retrouv\u00e9s chez 19 patients (90,5 %).\u00a0 Les signes ophtalmologiques les plus fr\u00e9quemment retrouv\u00e9s \u00e9taient : des troubles oculomoteurs pr\u00e9sents chez 15 patients (71,4 %) dont 13 avaient une insuffisance de convergence, des taches ardois\u00e9es scl\u00e9rales retrouv\u00e9es chez 8 patients (38 %) et un syndrome sec retrouv\u00e9 chez 7 patients (33 %, dont 2 patients avec un break-up time diminu\u00e9 &lt;10 secondes et 5 avec un short break-up time &lt;5 secondes).\u00a0 La pachym\u00e9trie moyenne \u00e9tait de 539,25\u03bcm (365\u2013612). Un patient pr\u00e9sentait un k\u00e9ratoglobe bilat\u00e9ral (4,8 %). La myopie forte \u00e9tait retrouv\u00e9e chez 2 patients (9,5 %) et associ\u00e9e \u00e0 la pr\u00e9sence de d\u00e9chirure r\u00e9tinienne chez un patient (4,8 %). Aucun patient ne pr\u00e9sentait de stries angio\u00efdes \u00e0 l\u2019examen du fond d\u2019\u0153il.\u00a0 \u00a0 Discussion Les patients de notre cohorte pr\u00e9sentaient tr\u00e8s fr\u00e9quemment des atteintes ophtalmologiques. Le principal signe ophtalmologique \u00e9tait l\u2019insuffisance de convergence, justifiant la r\u00e9alisation d\u2019un bilan orthoptique chez les patients atteints de syndrome d\u2019Ehlers\u2013Danlos. Un syndrome sec par instabilit\u00e9 du film lacrymal, symptomatique, \u00e9tait fr\u00e9quemment retrouv\u00e9 alors que les patients suivis \u00e9taient jeunes. On retrouvait \u00e9galement des taches ardois\u00e9es conjonctivales chez 38 % des patients, deux cas de myopie forte et un cas de k\u00e9ratoglobe bilat\u00e9ral dans notre cohorte. Aucun patient ne pr\u00e9sentait de stries angio\u00efdes et la mesure de la pachym\u00e9trie moyenne \u00e9tait normale dans notre s\u00e9rie.\u00a0 \u00a0 Conclusion Un bilan ophtalmologique et orthoptique doit \u00eatre r\u00e9alis\u00e9 chez tous les patients atteints de syndrome d\u2019Ehlers\u2013Danlos pour d\u00e9pister et traiter les atteintes oculaires. En cas de suspicion de syndrome, un bilan complet peut \u00e9galement apporter des arguments cliniques orientant le diagnostic.","og_url":"https:\/\/gesed.com\/index.php\/le-sed\/manifestations-ophtalmologiques-des-sed-2\/","og_site_name":"Gesed","article_publisher":"https:\/\/www.facebook.com\/gesedasbl","article_modified_time":"2024-09-25T15:03:01+00:00","twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/gesed.com\/index.php\/le-sed\/manifestations-ophtalmologiques-des-sed-2\/","url":"https:\/\/gesed.com\/index.php\/le-sed\/manifestations-ophtalmologiques-des-sed-2\/","name":"Manifestations ophtalmologiques des SED - Gesed","isPartOf":{"@id":"https:\/\/gesed.com\/#website"},"datePublished":"2024-09-25T14:58:17+00:00","dateModified":"2024-09-25T15:03:01+00:00","breadcrumb":{"@id":"https:\/\/gesed.com\/index.php\/le-sed\/manifestations-ophtalmologiques-des-sed-2\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/gesed.com\/index.php\/le-sed\/manifestations-ophtalmologiques-des-sed-2\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/gesed.com\/index.php\/le-sed\/manifestations-ophtalmologiques-des-sed-2\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/gesed.com\/"},{"@type":"ListItem","position":2,"name":"Le SED","item":"https:\/\/gesed.com\/index.php\/le-sed\/"},{"@type":"ListItem","position":3,"name":"Manifestations ophtalmologiques des SED"}]},{"@type":"WebSite","@id":"https:\/\/gesed.com\/#website","url":"https:\/\/gesed.com\/","name":"Gesed","description":"Groupe d&#039;Entraide des Syndr\u00f4mes d&#039;Ehlers-Danlos","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/gesed.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"}]}},"publishpress_future_action":{"enabled":false,"date":"2026-05-20 14:15:07","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"YloGesed","author_link":"https:\/\/gesed.com\/index.php\/author\/admin2349\/"},"rttpg_comment":0,"rttpg_category":null,"rttpg_excerpt":"Manifestations ophtalmologiques des SED Merci \u00e0 SED&rsquo;IN FRANCE pour cet article qui r\u00e9pond \u00e0 une de nos pr\u00e9occupations ! Auteurs : Perez-Roustit S, Nguyen DT, Xerri O, Robert MP, De Vergnes N, Mincheva Z, Benistan K, Bremond-Gignac D. &#8211; 2019 \u00a0\u00a0 \u00a0 Introduction L\u2019objectif de cette \u00e9tude \u00e9tait de d\u00e9crire et d\u2019analyser les principales manifestations\u2026","_links":{"self":[{"href":"https:\/\/gesed.com\/index.php\/wp-json\/wp\/v2\/pages\/5182","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gesed.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gesed.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gesed.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gesed.com\/index.php\/wp-json\/wp\/v2\/comments?post=5182"}],"version-history":[{"count":7,"href":"https:\/\/gesed.com\/index.php\/wp-json\/wp\/v2\/pages\/5182\/revisions"}],"predecessor-version":[{"id":5189,"href":"https:\/\/gesed.com\/index.php\/wp-json\/wp\/v2\/pages\/5182\/revisions\/5189"}],"up":[{"embeddable":true,"href":"https:\/\/gesed.com\/index.php\/wp-json\/wp\/v2\/pages\/1375"}],"wp:attachment":[{"href":"https:\/\/gesed.com\/index.php\/wp-json\/wp\/v2\/media?parent=5182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}