Chronic glaucoma is a very progressive damage to the optic nerve and there is usually no discomfort felt by the patient. It is most often secondary to excessive intraocular pressure and therefore requires medical treatment (eye drops).

When treatment with eye drops is insufficient, surgery may be proposed, allowing the intraocular pressure to be lowered, but not recovering the damaged optic nerve fibers. Other procedures such as the SLT laser or diode laser can also be performed at Caen University Hospital.

The eyelids can be badly positioned congenitally (ptosis) or acquired and most often related to aging.

The eyelids can be the site of benign or malignant tumors, trauma, inflammation, infection, allergy.

After a complete examination, you may be offered medical or surgical treatment.

This is essentially the obstruction of the lacrimal passages, responsible for more or less abundant lacrimation and eye infections.

Treatment can be medical or surgical.

It is a very frequent cause of consultation.

It can cause eye pain, grittiness or sometimes tearing.

An ophthalmological consultation is necessary in order to characterize the dryness and to look for a possible curable cause.

The cornea can be affected by different pathologies: trauma (grindstone, arc ) , ulcerations, abscesses, dystrophies.

There is almost always pain, discomfort with light, tearing and a drop in visual acuity. An ophthalmological opinion is always indicated.

Contact lens adaptation is offered in our service in the event of corneal pathology or in the event of ocular trauma, requiring investigations.

The prescription of contact lenses in the context of simple ametropia (myopia, hyperopia, astigmatism or presbyopia) is done in our department.

They include a large number of pathologies: retinal detachment, age-related macular degeneration (AMD), diabetic retinopathy, central artery occlusion, retinal vein occlusion, vasculitis.

An ophthalmological opinion is always necessary.

The retina is a membrane lining the back of the eye. This membrane contains the visual cells which send the captured images to the brain (via the optic nerve) . If the retina detaches, vision deteriorates . Retinal detachment is most often caused by one or more retinal tears.

The most common signs are:

• the perception of brief and intense flashes of light, the perception of floating bodies, a visual haze which may or may not affect the central vision,
• the clinical examination by the ophthalmologist is completed by an ocular ultrasound examination.

It includes pathologies of the optic nerve (optic neuropathies) , anomalies of the pupil, cerebral pathologies affecting the visual pathways but also anomalies of eye movements: oculo-motor paralysis ( which can cause double vision) , ocular myopathies, nystagmus.

The CHU Caen Normandie has the necessary technical platform (visual evoked potentials, MRI ) and multidisciplinary staff that allow optimal management of these pathologies.

Strabismus is an abnormality in the alignment of the eyes.

The treatment systematically consists of wearing an appropriate optical correction; depending on the type of strabismus, surgical treatment or injection of botulinum toxin can be proposed.

If the eye shows signs of inflammation, there is uveitis. This inflammation can have various origins (infection, inflammatory diseases, vasculitis, etc.) .

An anti-inflammatory treatment with eye drops is then prescribed, other treatments can also be associated depending on the suspected cause. A blood test and/or X-rays may be prescribed to find the cause of this disease and complex cases are discussed in multidisciplinary staff. Follow-up is essential to ensure complete recovery.

A few slots are open for the prescription of corrective lenses. Support by an orthoptist. Medical opinion in view of the results of the examinations.