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The Fourth International Symposium on Menière’s Disease was held in Paris in April 1999, in the Montparnasse area close to Prosper Menière’s tomb. This meeting followed the three earlier symposia on Menière’s disease, which have been organized every six years since 1981 in Düsseldorf, Boston and, most recently, in Rome. 1999 saw the bicentenary of Menière’s birth, and to commemorate this, François Legent organized a historical symposium on the different aspects of Prosper Menière’s life. Together with Michel Portmann, the two honorary presidents, Robert Kimura and Jean-Marc Sterkers, gave excellent lectures on the two main topics of Menière’s disease: on experimental endolymphatic hydrops, and the role of both vestibular neurectomy and sac surgery. Numerous papers were presented on research and clinical experiences, and were particularly devoted to the better understanding of both the development of experimental endolymphatic hydrops and the evolution of Menière’s disease. Attention was also drawn to the local treatment of Menière’s disease by the application of drugs to the round window, and furthermore, the indications for and results of surgery for incapacitating vertigo were well defined. Finally, we are pleased to say that this was a very successful meeting and we would like to express our thanks to all the companies, and in particular Solvay Pharmaceuticals, that supported this event. We are certain that the first international symposium of the new millennium on Menière’s disease, which is to be organized by David Lim in the USA, will be even more successful and fruitful than this one. The organizing committee
The topics presented at the XIIIth Symposium embraced all aspects of perimetric science. A total of ten sessions were held and covered: fundamentals of perimetry, visual psychophysics, new perimetric techniques, new algorithms for estimating threshold, perimetric variability, color perimetry, optic nerve head imaging, and visual field investigation in glaucoma and in retinal and neurological disorders. The new perimetric techniques included frequency doubling technology, flicker perimetry and pupil perimetry. The new algorithms included the Swedish Interactive Threshold Algorithm (SITA) and Tendency Orientated Perimetry (TOP). The session on perimetric variability addressed some of the issues contributing to short-term fluctuation, and also contained papers on the use of univariate linear regression of point-wise sensitivity against time to follow-up for the identification of progressive visual field loss. The session on color perimetry was almost exclusively concerned with Short Wavelength Automated Perimetry (SWAP), particularly in glaucoma and high risk ocular hypertension. However, one group described a seemingly promising additional use for SWAP; namely, in the detection of diabetic macular edema. The presentations within the imaging session described the latest morphometric and topographic parameters derived by optic nerve head and nerve fiber layer analysis, and compared these structural measures with those of the functional assessment.
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