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Malaysian Journal of Ophthalmology最新文献

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Retinoblastoma and its adverse events experienced 视网膜母细胞瘤及其不良反应
Malaysian Journal of Ophthalmology Pub Date : 2023-12-31 DOI: 10.35119/myjo.v5i1.370
Variant Nee Vern Chee, Li Yen Chan, Fazliana Binti Ismail, J. Rahmat
{"title":"Retinoblastoma and its adverse events experienced","authors":"Variant Nee Vern Chee, Li Yen Chan, Fazliana Binti Ismail, J. Rahmat","doi":"10.35119/myjo.v5i1.370","DOIUrl":"https://doi.org/10.35119/myjo.v5i1.370","url":null,"abstract":"Background: Retinoblastoma management has seen a paradigm shift with intra-arterial chemotherapy (IAC). Using IAC as primary management in this paediatric cancer is becoming more widespread in developing countries such as Malaysia. Considerable evidence shows that IAC has a more beneficial globe salvage rate thanintravenous chemotherapy (IVC). Case presentation: This case report describes a successful globe salvage in Group D retinoblastoma with primary IAC and the complications experienced with this mode of treatment, especially the vascular events seen which could possibly contribute to persistent poor vision despite a completely regressed tumour. Conclusion: Despite the remarkable tumour regression and globe preservation, the patient’s vision did not improve in the treated eye. We wish to explore the possibilities resulting in those complications and methods to reduce them in the future.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"115 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139133246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complications from the use of cyanoacrylate glue in conjunctival grafting for pterygium surgery: a case report 翼状胬肉手术结膜移植中使用氰基丙烯酸酯胶引起的并发症：病例报告
Malaysian Journal of Ophthalmology Pub Date : 2023-12-31 DOI: 10.35119/myjo.v5i1.353
Yi Xuan Lim, K. Teow
{"title":"Complications from the use of cyanoacrylate glue in conjunctival grafting for pterygium surgery: a case report","authors":"Yi Xuan Lim, K. Teow","doi":"10.35119/myjo.v5i1.353","DOIUrl":"https://doi.org/10.35119/myjo.v5i1.353","url":null,"abstract":"Background: Pterygium is a wing-shaped fibrovascular tissue overgrowth of the conjunctiva that crosses over the nasal or temporal limbus, or both, and grows onto the corneal surface. We report a case of complications due to the use of cyanoacrylate glue in conjunctival grafting in pterygium surgery. Case presentation: A 70-year-old Iban woman presented with worsening foreign body sensation in the nasal aspect of the left eye 10 years after undergoing nasal pterygium excision. The foreign body sensation had worsened over the course of 1 year. Upon examination, a greyish foreign body in the nasal aspect of the left eye(acrylate-like material) was noted. Conclusion: In this case report, we highlight the complications of the usage of cyanoacrylate glue in pterygium surgery and the possible intraoperative complications in this case.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"106 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139134369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Infectious surgically induced necrotising scleritis presenting 10 years post-pterygium excision: a case report 翼状胬肉切除术后 10 年出现的感染性手术诱发坏死性巩膜炎：病例报告
Malaysian Journal of Ophthalmology Pub Date : 2023-11-06 DOI: 10.35119/myjo.v5i1.303
Ru Jian Jonathan Teoh, Binti Ayob Siti Aeisyah, Y. P. Lai, Alias Rohanah
{"title":"Infectious surgically induced necrotising scleritis presenting 10 years post-pterygium excision: a case report","authors":"Ru Jian Jonathan Teoh, Binti Ayob Siti Aeisyah, Y. P. Lai, Alias Rohanah","doi":"10.35119/myjo.v5i1.303","DOIUrl":"https://doi.org/10.35119/myjo.v5i1.303","url":null,"abstract":"Background: Surgically induced necrotizing scleritis (SINS) is a rare sequela that may occur after ocular surgery. We report a case of infectious SINS as a complication of pterygium excision. Case presentation: A 75-year-old man had undergone pterygium excision in the right eye and developed infectious SINS 10 years post-surgery. The sclera adjacent to the previous site of pterygium excision showed significant thinning with uveal show, complicated with signs of infection including purulent discharge, necrotic sclera, and hypopyon. Conjunctival swab culture yielded Pseudomonas aeruginosa. Blood investigations demonstrated positive rheumatoid factor. The patient was successfully treated with a 2-week course of systemic and topical antibiotics with topical steroid. Conclusion: SINS may develop post-pterygium excision. Early diagnosis and intervention prevent progression and further complications.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139288189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antiscarring agents in glaucoma surgery: a literature review 青光眼手术中的抗疤痕剂：文献综述
Malaysian Journal of Ophthalmology Pub Date : 2023-11-06 DOI: 10.35119/myjo.v5i1.277
Sangeetha Manoharan, Norshamsiah Md. Din
{"title":"Antiscarring agents in glaucoma surgery: a literature review","authors":"Sangeetha Manoharan, Norshamsiah Md. Din","doi":"10.35119/myjo.v5i1.277","DOIUrl":"https://doi.org/10.35119/myjo.v5i1.277","url":null,"abstract":"Glaucoma filtering surgery has been gaining popularity as an early surgical intervention in glaucoma management. A thorough review of the literature revealed that the incidence of failure in glaucoma filtering surgery may be reduced with the use of antiscarring agents. Based on the published research, we hereby discuss the available types of antiscarring agents, their regimes, and their complications. Among the drugs used, mitomycin C and 5-fluorouracil are the most prominent. We discuss the indications for their use, mode of action, dosage, techniques, and duration of usage as well as complications. Although these agents have proven efficacy, they also increase the risk of complications. While newer agents have shown promising results, the long-term complications of these drugs are still inconclusive. We also explain the new agents and methods under investigation to control wound healing after filtration surgery. This is a crucial area to explore, as most of these agents are not tissue-selective and therefore their benefits must be weighed against their possible risks.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139288249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improvement of optic nerve head perfusion and reversible visual field defect following XEN Gel Stent implant XEN 凝胶支架植入术改善了视神经头灌注和可逆性视野缺损
Malaysian Journal of Ophthalmology Pub Date : 2023-11-06 DOI: 10.35119/myjo.v5i1.274
Shiivaa Manjare Birapadian, Seng Fai Tang, Chenshen Lam, Norshamsiah Md. Din
{"title":"Improvement of optic nerve head perfusion and reversible visual field defect following XEN Gel Stent implant","authors":"Shiivaa Manjare Birapadian, Seng Fai Tang, Chenshen Lam, Norshamsiah Md. Din","doi":"10.35119/myjo.v5i1.274","DOIUrl":"https://doi.org/10.35119/myjo.v5i1.274","url":null,"abstract":"Background: Patients with juvenile onset ocular hypertension (OHT) have high intraocular pressure (IOP) and may develop early glaucomatous disc damage. Case presentation: A 26-year-old woman with family history of glaucoma was diagnosed with OHT at age 18. Her vision was 6/6, with a bilateral cup-to-disc ratio of 0.5, normal visual field (VF), and IOP in the mid-teens on 2 topical antiglaucoma medications. The patient started having IOP spikes (20–48 mmHg) in her left eye despite maximum tolerable medical therapy, associated with intermittent headache and nasal step defect on VF test. XEN Gel Stent was implanted and IOP reduced to 10–14 mmHg without medical therapy. Optical coherence tomography angiography showed improvement in optic nerve head (ONH) perfusion density and flux, while the VF defect disappeared. Conclusion: Improvement in ONH perfusion and reversibility of early glaucomatous VF defect is feasible with prompt XEN Gel Stent implant in juvenile OHT.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"278 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139287942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cessation of ocular hypertensive attacks following iStent trabecular micro-bypass stent implantation in a patient with Posner-Schlossman syndrome: a case report Posner-Schlossman综合征患者小梁微搭桥支架植入术后眼压发作停止1例报告
Malaysian Journal of Ophthalmology Pub Date : 2023-08-17 DOI: 10.35119/myjo.v5i1.276
Phong Yue Khoo, Seng Fai Tang, T. Cheng, Norshamsiah Md. Din
{"title":"Cessation of ocular hypertensive attacks following iStent trabecular micro-bypass stent implantation in a patient with Posner-Schlossman syndrome: a case report","authors":"Phong Yue Khoo, Seng Fai Tang, T. Cheng, Norshamsiah Md. Din","doi":"10.35119/myjo.v5i1.276","DOIUrl":"https://doi.org/10.35119/myjo.v5i1.276","url":null,"abstract":"Background: Posner-Schlossman syndrome (PSS) is an ocular condition with self-limiting recurrent episodes of markedly elevated intraocular pressure (IOP) and non-granulomatous anterior chamber inflammation. Surgical treatment is indicated if medical therapy fails to control IOP. \u0000Case presentation: A 58-year-old male presented with intermittent attacks of blurred vision and pain in the right eye for 6 months. Examination revealed keratic precipitates with IOP of 56 mmHg in the right eye. Gonioscopy revealed open angles in both eyes. Erythrocyte sedimentation rate was within normal limits, while aqueous tapfor viral PCR, rapid plasma reagent test, and Mantoux test were negative. IOP was in the high-teens (inappropriate) on 2 topical antiglaucoma medications and the patient developed ocular surface problems. iStent was implanted. IOP remained stable within the mid-teens with no further episodes of raised IOP in the following 6 months. \u0000Conclusion: This case showed cessation of ocular hypertensive attacks in PSS after iStent implantation.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124130049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare case of fulminant idiopathic intracranial hypertension 一例罕见的暴发性特发性颅内高压
Malaysian Journal of Ophthalmology Pub Date : 2023-08-17 DOI: 10.35119/myjo.v5i1.201
Sylvester Leong Kiat Wong, V. Tan, C. Lam, Li Mun Tan
{"title":"A rare case of fulminant idiopathic intracranial hypertension","authors":"Sylvester Leong Kiat Wong, V. Tan, C. Lam, Li Mun Tan","doi":"10.35119/myjo.v5i1.201","DOIUrl":"https://doi.org/10.35119/myjo.v5i1.201","url":null,"abstract":"Background: Idiopathic intracranial hypertension (IIH) is characterised by raised intracranial pressure and normal cerebrospinal fluid composition with no detectable intracranial aetiology. Fulminant IIH is rare and is defined by the acute onset of symptoms and signs (less than 4 weeks between onset of symptoms and severe vision loss) with progressive vision loss over days. \u0000Case presentation: A 22-year-old woman with body mass index of 27.6 was diagnosed with fulminant IIH. Her presenting vision was hand movement and it progressed rapidly to no light perception by day 4. She was managed with oral acetazolamide and intermittent lumbar punctures. Nevertheless, she did not regain her vision. \u0000Conclusion: Fulminant IIH is a vision-threatening condition that must be recognised and treated early to prevent irreversible vision loss.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127318535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complications of uneventful phacoemulsification on the first postoperative day: to determine the necessity of the first day review 术后第一天顺利超声乳化术的并发症:确定第一天复查的必要性
Malaysian Journal of Ophthalmology Pub Date : 2023-08-17 DOI: 10.35119/myjo.v5i1.273
Sieng Teng Seow, Begam Binti Mohamed Iqbal Tajunisah
{"title":"Complications of uneventful phacoemulsification on the first postoperative day: to determine the necessity of the first day review","authors":"Sieng Teng Seow, Begam Binti Mohamed Iqbal Tajunisah","doi":"10.35119/myjo.v5i1.273","DOIUrl":"https://doi.org/10.35119/myjo.v5i1.273","url":null,"abstract":"Purpose: To establish the type and number of complications detected on the first postoperative day and to determine the necessity of the first day review. \u0000Study design: Clinical audit. \u0000Methods: This is a retrospective review of 297 patients who underwent routine phacoemulsification cataract surgery by qualified ophthalmologists and trainees from September to December 2020 at our day-care operation theatre. All cases of uncomplicated phacoemulsification were analysed for the types and frequency ofcomplications on postoperative day one. \u0000Results: Of 297 cases of routine cataract surgery, 6.7% of cases were excluded due to intraoperative complications. Of the remaining 277 cases, a total of 54 cases (19.5%) were found to have complications on day 1 postoperative review. These included raised intraocular pressure (67.0%), epithelial defect (20.0%), intense inflammation with presence of fibrin (5.0%), retained soft lens matter (4.0%), retained fibres (2.0%), and exposed corneal suture (2.0%). Two patients (0.7%) needed the removal of soft lens matter. Of 36 cases of raised intraocular pressure, 1 patient required anterior chamber paracentesis for retained viscoelastic, 18 patients required topical antiglaucoma medication, 15 patients needed systemic oral acetazolamide, and 2 patients with pre-existing glaucoma were instructed to continue their antiglaucoma medications. \u0000Conclusions: Following uneventful phacoemulsification, only 19.5% of patients were found to have complications on day 1 postoperative review. The most frequent complication was raised intraocular pressure, which can be detected on the day of surgery. Reviewing patients on the same day of surgery can reduce workload and demands on clinician time. It can also significantly reduce health care costs without compromising patient safety.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130859278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visual impairment in developing countries 发展中国家的视力障碍
Malaysian Journal of Ophthalmology Pub Date : 2022-10-28 DOI: 10.35119/myjo.v4i3.325
Othmaliza Othman, A. Samsudin
{"title":"Visual impairment in developing countries","authors":"Othmaliza Othman, A. Samsudin","doi":"10.35119/myjo.v4i3.325","DOIUrl":"https://doi.org/10.35119/myjo.v4i3.325","url":null,"abstract":"of COVID-19, a brought upon tremendous effects in our lives, and especially to the children and the elderly... the vulnerable ones. For children in particular, the impact of these has been tremendous. The consequences have been the acceleration of myopia and the threat of digital eye strain, which make up an emerging public health problem globally.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134429903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound cycloplasty: a case series examining the efficacy on a local Malaysian cohort of patients 超声环成形术:一个病例系列检查对马来西亚当地队列患者的疗效
Malaysian Journal of Ophthalmology Pub Date : 2022-10-28 DOI: 10.35119/myjo.v4i3.248
S. Sothirachagan, J. Che Hamzah
{"title":"Ultrasound cycloplasty: a case series examining the efficacy on a local Malaysian cohort of patients","authors":"S. Sothirachagan, J. Che Hamzah","doi":"10.35119/myjo.v4i3.248","DOIUrl":"https://doi.org/10.35119/myjo.v4i3.248","url":null,"abstract":"Introduction: Ultrasound cycloplasty (UCP) is commercially available in Europe. It has been shown to have less side effects than its trans-scleral diode laser cyclophotocoagulation counterpart in reducing intraocular pressure (IOP) in refractory glaucoma patients. \u0000Case presentation: This retrospective case series followed seven patients treated with UCP for refractory glaucoma at the Ophthalmology Clinic, Hospital Universiti Kebangsaan Malaysia. Patients were aged 52–80 years, with baseline IOP 14–27 mmHg. All patients received sequential activation of the transducers lasting 8 seconds. Postoperatively, patients were followed-up at 1 week, 1 month, and 3 months. No complications or changes in best-corrected visual acuity were recorded postoperatively. One patient underwent a trabeculectomy 3 months post-procedure, whilst the others continued regular medication. At 1-month postoperative, there was IOP reduction of 6–10 mmHg in six patients. At the 3-month follow-up, IOP returned to the preoperative levels. Conservative power and duration of the shots were used to ensure patients safety. \u0000Conclusion: Most studies on UCP safety and efficacy have been conducted on Caucasian populations. A longer duration of UCP may be necessary in the Asian population. Further studies are required to determine the efficacy of UCP in the Asian population.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"206 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132727032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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