{"id":7889,"date":"2015-09-07T11:37:28","date_gmt":"2015-09-07T10:37:28","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/specialites\/ophtalmologie\/?page_id=7889"},"modified":"2021-06-23T14:42:27","modified_gmt":"2021-06-23T13:42:27","slug":"pathologies-palpebrales-et-orbitaires","status":"publish","type":"page","link":"https:\/\/www.chu-poitiers.fr\/specialites\/ophtalmologie\/pathologies-palpebrales-et-orbitaires\/","title":{"rendered":"PATHOLOGIES PALP\u00c9BRALES ET ORBITAIRES"},"content":{"rendered":"<p style=\"text-align: right;\"><a href=\"https:\/\/www.chu-poitiers.fr\/page-consultations\/?CodeConsult=Nom%20de%20votre%20m%C3%A9decin...&amp;CodeSpe=25\" target=\"_blank\" rel=\"noopener\"><strong>Nos consultations<\/strong><\/a><\/p>\n<h3>Prise en charge des anomalies palp\u00e9brales<\/h3>\n<p><strong>Sup\u00e9rieures\u00a0:<\/strong><\/p>\n<ul>\n<li><u>Ptosis (chute de la paupi\u00e8re sup\u00e9rieure)\u00a0<\/u>: chirurgie de correction de la position de la paupi\u00e8re sup\u00e9rieure.<\/li>\n<\/ul>\n<table align=\"center\">\n<tbody>\n<tr>\n<td>\n<figure id=\"attachment_8801\" aria-describedby=\"caption-attachment-8801\" style=\"width: 399px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/ptosis_avant.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8801\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/ptosis_avant.jpg\" alt=\"Chirurgie de ptosis droit avant chirurgie\" width=\"399\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-8801\" class=\"wp-caption-text\">Ptosis droit avant chirurgie<\/figcaption><\/figure><\/td>\n<td>\n<figure id=\"attachment_8800\" aria-describedby=\"caption-attachment-8800\" style=\"width: 417px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/ptosis_apres.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8800\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/ptosis_apres.jpg\" alt=\"Chirurgie de ptosis droit apr\u00e8s chirurgie\" width=\"417\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-8800\" class=\"wp-caption-text\">Chirurgie de ptosis droit apr\u00e8s chirurgie<\/figcaption><\/figure><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li><u>Dermatochalasis\u00a0:<\/u> exc\u00e8s de peau en paupi\u00e8re sup\u00e9rieure amputant le champ visuel.<\/li>\n<\/ul>\n<p><b><br \/>\nInf\u00e9rieures<\/b><strong>\u00a0: <\/strong><\/p>\n<ul>\n<li>\n<figure id=\"attachment_8781\" aria-describedby=\"caption-attachment-8781\" style=\"width: 200px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8781\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Entropion.jpg\" alt=\"Entropion palp\u00e9bral inf\u00e9rieur droit\" width=\"200\" height=\"152\" \/><figcaption id=\"caption-attachment-8781\" class=\"wp-caption-text\">Entropion palp\u00e9bral inf\u00e9rieur droit<\/figcaption><\/figure>\n<p><u>Entropion\u00a0:<\/u> inversion de la paupi\u00e8re inf\u00e9rieure et cils irritant la surface du globe oculaire<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li><u>Ectropion<\/u>: \u00e9version de la paupi\u00e8re inf\u00e9rieure\u00a0\u00e0 l\u2019origine d\u2019un\u00a0 risque infectieux oculaire important, douleurs\u00a0 et s\u00e9cr\u00e9tions sales agglutinant les cils, le traitement est chirurgical.<br \/>\n<table>\n<tbody>\n<tr>\n<td>\n<figure id=\"attachment_8776\" aria-describedby=\"caption-attachment-8776\" style=\"width: 447px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Ectropion_yeux.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-8776\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Ectropion_yeux.jpg\" alt=\"Ectropion\" width=\"447\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-8776\" class=\"wp-caption-text\">Ectropion<\/figcaption><\/figure><\/td>\n<td>\n<figure id=\"attachment_8775\" aria-describedby=\"caption-attachment-8775\" style=\"width: 237px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8775\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Ectropion_oeil.jpg\" alt=\"Ectropion\" width=\"237\" height=\"150\" \/><figcaption id=\"caption-attachment-8775\" class=\"wp-caption-text\">Ectropion<\/figcaption><\/figure><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/li>\n<\/ul>\n<ul>\n<li><u>Malposition de cils\u00a0:<\/u> souvent vers l\u2019int\u00e9rieur, ils frottent sur la surface oculaire et peuvent \u00eatre \u00e0 l\u2019origine d\u2019ulc\u00e8res et de douleurs importantes quotidiennes. Le traitement peut \u00eatre r\u00e9alis\u00e9 par laser (et n\u00e9cessite plusieurs s\u00e9ances) ou chirurgie.<\/li>\n<\/ul>\n<figure id=\"attachment_8777\" aria-describedby=\"caption-attachment-8777\" style=\"width: 250px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8777\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/malposition-de-cils-.jpg\" alt=\"Malposition de cils\" width=\"250\" height=\"266\" \/><figcaption id=\"caption-attachment-8777\" class=\"wp-caption-text\">Malposition de cils<\/figcaption><\/figure>\n<p><strong>Carcinologiques<\/strong>\u00a0: ablation des l\u00e9sions canc\u00e9reuses des paupi\u00e8res et p\u00e9rioculaires, chirurgie reconstructrice, en \u00e9troite collaboration avec les services multidisciplinaires de dermatologie, ORL et canc\u00e9rologie.<\/p>\n<table align=\"center\">\n<tbody>\n<tr>\n<td>\n<figure id=\"attachment_8782\" aria-describedby=\"caption-attachment-8782\" style=\"width: 260px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur-paupiere.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8782\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur-paupiere.jpg\" alt=\"Tumeur maligne du 1\/3 externe de la paupi\u00e8re\" width=\"260\" height=\"200\" \/><\/a><figcaption id=\"caption-attachment-8782\" class=\"wp-caption-text\">Tumeur maligne du 1\/3 externe de la paupi\u00e8re<\/figcaption><\/figure><\/td>\n<td>\n<figure id=\"attachment_8783\" aria-describedby=\"caption-attachment-8783\" style=\"width: 350px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur-canthus-interne.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8783\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur-canthus-interne.jpg\" alt=\"Tumeur maligne (carcinome basocellulaire)\u00a0\u00a0du canthus interne\" width=\"350\" height=\"200\" \/><\/a><figcaption id=\"caption-attachment-8783\" class=\"wp-caption-text\">Tumeur maligne (carcinome basocellulaire)\u00a0\u00a0du canthus interne<\/figcaption><\/figure><\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top;\">\n<figure id=\"attachment_8778\" aria-describedby=\"caption-attachment-8778\" style=\"width: 314px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur_paupi\u00e8re-inferieure.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8778\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Tumeur_paupi\u00e8re-inferieure.jpg\" alt=\"Tumeur maligne de la totalit\u00e9 de la paupi\u00e8re inf\u00e9rieure \u00a0\" width=\"314\" height=\"253\" \/><\/a><figcaption id=\"caption-attachment-8778\" class=\"wp-caption-text\">Tumeur maligne de la totalit\u00e9 de la paupi\u00e8re inf\u00e9rieure<\/figcaption><\/figure><\/td>\n<td style=\"vertical-align: top;\">\n<figure id=\"attachment_8774\" aria-describedby=\"caption-attachment-8774\" style=\"width: 351px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/reconstruction_paupier_carcinome.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8774\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/reconstruction_paupier_carcinome.jpg\" alt=\"Aspect apr\u00e8s ablation et chirurgie reconstructrice d\u2019un carcinome atteignant la totalit\u00e9 de la paupi\u00e8re\" width=\"351\" height=\"250\" \/><\/a><figcaption id=\"caption-attachment-8774\" class=\"wp-caption-text\">Aspect apr\u00e8s ablation et chirurgie reconstructrice d\u2019un carcinome atteignant la totalit\u00e9 de la paupi\u00e8re<\/figcaption><\/figure><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Prise en charges des pathologies orbitaires<\/h3>\n<p>L\u2019orbite est le cadre osseux entourant l\u2019\u0153il, elle contient la graisse orbitaire, les muscles oculomoteurs, le nerf optique et le globe oculaire en lui-m\u00eame. Elle est le si\u00e8ge de nombreuses pathologies inflammatoires, traumatiques et canc\u00e9reuses.<\/p>\n<p><strong>Pathologies inflammatoires<\/strong>\u00a0: \u00a0inflammation \u00e0 l\u2019origine d\u2019une exophtalmie (protrusion des globes oculaires) notamment dans le cadre de la maladie de BASEDOW.<\/p>\n<p><strong>Pathologies tumorales\u00a0:<\/strong>\u00a0 chirurgie et suivi des tumeurs orbitaire b\u00e9nignes et malignes.<\/p>\n<p>&nbsp;<\/p>\n<h3>Prise en charge du larmoiement<\/h3>\n<p>Le <strong>larmoiement<\/strong> est pathologie <u>tr\u00e8s fr\u00e9quente<\/u> et les patients d\u00e9crivent un retentissement important sur la qualit\u00e9 de vie. Ses causes sont multiples.<\/p>\n<p>Il peut \u00eatre rattach\u00e9 \u00e0 un <strong>exc\u00e8s de production de larmes<\/strong> par irritation de la surface oculaire (k\u00e9ratite, syndrome sec, entropion, ectropion\u2026), les traitements sont m\u00e9dicaux et chirurgicaux.<\/p>\n<p>L\u2019autre cause tr\u00e8s fr\u00e9quente de larmoiement est <strong>l\u2019obstruction<\/strong> des voies naturelles d\u2019\u00e9vacuation des larmes vers le nez (r\u00e9tr\u00e9cissement des m\u00e9ats, des canalicules ou du canal lacrymo-nasal).<\/p>\n<figure id=\"attachment_8779\" aria-describedby=\"caption-attachment-8779\" style=\"width: 442px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Dacryocystite-chronique.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-8779\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2014\/09\/Dacryocystite-chronique.jpg\" alt=\"Dacryocystite chronique droite\u00a0: augmentation de volume du sac lacrymal sur obstruction du canal lacrymo nasal\" width=\"442\" height=\"287\" \/><\/a><figcaption id=\"caption-attachment-8779\" class=\"wp-caption-text\">Dacryocystite chronique droite\u00a0: augmentation de volume du sac lacrymal sur obstruction du canal lacrymo nasal<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>Ces atteintes sont prises en charge au CHU de Poitiers, elles rel\u00e8vent d\u2019un traitement sp\u00e9cialis\u00e9 propos\u00e9 par le service d\u2019ophtalmologie\u00a0:<\/p>\n<ul>\n<li>consultation sp\u00e9cialis\u00e9e de larmoiement,<\/li>\n<li>chirurgie palp\u00e9brale adapt\u00e9e,<\/li>\n<li>dilatation des voies lacrymales,<\/li>\n<li>dacryo cysto rhinostomie par voie externe (d\u00e9rivation du sac lacrymal dans les fosses nasales).<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Nos consultations Prise en charge des anomalies palp\u00e9brales Sup\u00e9rieures\u00a0: Ptosis (chute de la paupi\u00e8re sup\u00e9rieure)\u00a0: chirurgie de correction de la position de la paupi\u00e8re sup\u00e9rieure. Dermatochalasis\u00a0: exc\u00e8s de peau en paupi\u00e8re sup\u00e9rieure amputant le champ visuel. Inf\u00e9rieures\u00a0: Entropion\u00a0: inversion de la paupi\u00e8re inf\u00e9rieure et cils irritant la surface du globe oculaire &nbsp; Ectropion: \u00e9version de [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-7889","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PATHOLOGIES PALP\u00c9BRALES ET ORBITAIRES - Ophtalmologie<\/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:\/\/www.chu-poitiers.fr\/specialites\/ophtalmologie\/pathologies-palpebrales-et-orbitaires\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PATHOLOGIES PALP\u00c9BRALES ET ORBITAIRES - Ophtalmologie\" \/>\n<meta property=\"og:description\" content=\"Nos consultations Prise en charge des anomalies palp\u00e9brales Sup\u00e9rieures\u00a0: Ptosis (chute de la paupi\u00e8re sup\u00e9rieure)\u00a0: chirurgie de correction de la position de la paupi\u00e8re sup\u00e9rieure. Dermatochalasis\u00a0: exc\u00e8s de peau en paupi\u00e8re sup\u00e9rieure amputant le champ visuel. 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