{"title":"Water drinking test in glaucoma management: a review of the literature","authors":"Phong Yue Khoo, T. Cheng, Norshamsiah Md. Din","doi":"10.35119/myjo.v4i3.306","DOIUrl":"https://doi.org/10.35119/myjo.v4i3.306","url":null,"abstract":"Purpose: To describe the methods of performing the water drinking test (WDT) and its applications in glaucoma management. \u0000Methods: This review is based on pertinent publications retrieved by a selective search in PubMed, supplemented by further articles chosen by the authors. \u0000Results: Intraocular pressure (IOP) changes throughout the day. IOP peak has been identified as a risk factor in glaucoma onset and progression. WDT is a simple stress test used by many researchers to elicit IOP peaks in assessing response to glaucoma treatments. \u0000Conclusions: Studies have shown the reproducibility and promising results of WDT in various pharmacological and surgical treatments of glaucoma. It is an important tool in glaucoma management.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"1 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":"134514614","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}
T. Otulana, O. Bodunde, Haroon Adetunji Ajibode, O. Onabolu
{"title":"Prevalence and pattern of refractive error in a tertiary health facility in southwest Nigeria","authors":"T. Otulana, O. Bodunde, Haroon Adetunji Ajibode, O. Onabolu","doi":"10.35119/myjo.v4i3.241","DOIUrl":"https://doi.org/10.35119/myjo.v4i3.241","url":null,"abstract":"Background: Globally, uncorrected refractive error (RE) is a major cause of blindness, visual impairment (VI), and low vision. \u0000Aim: To determine the prevalence, pattern, and level of visual impairment among clinic patients with refractive error in a tertiary health facility. \u0000Methods: This was an analytical cross-sectional study conducted on patients who presented at a tertiary health facility in Ogun State, Nigeria. The biodata of the patients, level of education, occupation, the symptoms, and signs including the visual acuity (at presentation and after correction), and diagnosis were considered. Lenses that gave the patient the best vision were recorded as the type and magnitude of refractive error for that individual. \u0000Results: The prevalence of RE was 10.6%. Children and adolescents comprised 23.3% of the cases of refractive error while traders comprised 17.1%. Those who did not have formal education were 3.7%. Blurring of vision for near was the most common presenting symptom. Normal visual acuity (6/6) and better was 33.4% at entry and 77.4% with correction. Myopia was observed to be the most common type of RE in children and adolescents. The prevalence of VI and blindness was 6.7%. \u0000Conclusion: RE is a major cause of blindness and VI, with the prevalence of myopia higher in age group thirty years and below: lack of formal education may be a barrier for uptake of refractive error services in population with low literacy level.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"327 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124615812","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}
Sharifah Azira Mohd Taufik, L. Thavaratnam, N. Ramli
{"title":"Paediatric optic neuritis: experience from a tertiary referral centre in Malaysia","authors":"Sharifah Azira Mohd Taufik, L. Thavaratnam, N. Ramli","doi":"10.35119/myjo.v4i3.213","DOIUrl":"https://doi.org/10.35119/myjo.v4i3.213","url":null,"abstract":"Background: Optic neuritis typically presents with acute or subacute onset of mild or profound blurring of vision. There are very limited reports regarding optic neuritis in the paediatric population compared to adults from the South Asian region. We report a series of 7 cases of paediatric optic neuritis. \u0000Methods: All optic neuritis cases aged less than 12 years old in 2016 were studied retrospectively. \u0000Results: Out of 44 patients with optic neuritis, 7 of them were of paediatric age. The mean age was 9.9 years. All patients had sudden onset profound vision loss (range 3/60 to hand movement). Four patients had bilateral involvement, all had reduced colour vision. Three had underlying acute disseminated encephalomyelitis. All were treated with high-dose intravenous corticosteroids. Five patients made full recovery, one patient had partial recovery, and one patient had no visual recovery. Interestingly, none of them had multiple sclerosis (MS) or neuromyelitis optica (NMO) at the time of diagnosis. \u0000Conclusion: Prognosis is generally good for isolated cases of paediatric optic neuritis. Outcome of cases secondary to ADEM depends on the degree and extent of demyelination. A diagnosis of chronic relapsing inflammatory optic neuropathy can be considered in recurrent cases that are steroid responsive. None of our cases had underlying MS or NMO during the study period.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115626402","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}
Ru Jian Jonathan Teoh, N. Bahari, Juhaida Zahri, Jamalia Rahmat
{"title":"Prevalence and causes of visual impairment in children aged seven years and below in a tertiary eye care centre in Malaysia","authors":"Ru Jian Jonathan Teoh, N. Bahari, Juhaida Zahri, Jamalia Rahmat","doi":"10.35119/myjo.v4i3.279","DOIUrl":"https://doi.org/10.35119/myjo.v4i3.279","url":null,"abstract":"Purpose: To determine the prevalence and causes of visual impairment among children aged 7 years and below in a tertiary eye care centre in Kuala Lumpur, Malaysia. \u0000Study design: Cross-sectional retrospective study. \u0000Methods: Medical records of all children aged 7 years and below who attended the paediatric ophthalmology clinic in a tertiary eye care centre in 2020 were reviewed. \u0000Results: In 2020, 2,460 children were seen in the clinic, of whom 549 (22.3%) presented with visual impairment. At the time of presentation, 73.2% of the visually impaired children were diagnosed with blindness; of these children, 62.8% were under 1 year old. The percentage of treatable causes of visual impairment was 38.4%, while 31.1% of them were preventable. The most common causes of visual impairment were cerebral visual impairment (24.2%), congenital cataract (16.6%), and retinoblastoma (6.2%). \u0000Conclusion: More than half of the causes of childhood visual impairment were preventable or treatable. The majority of children were under 1 year old. Cerebral visual impairment was the main cause of visual impairment. This study highlights the importance of early screening and intervention programs to prevent childhood visual impairment.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"338 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134350789","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}
Binti Basiron Siti Farhah ‘Adilah, Adeline Mae Li Khaw, T. W. Ch’ng
{"title":"Growing pearls in the eye","authors":"Binti Basiron Siti Farhah ‘Adilah, Adeline Mae Li Khaw, T. W. Ch’ng","doi":"10.35119/myjo.v4i3.289","DOIUrl":"https://doi.org/10.35119/myjo.v4i3.289","url":null,"abstract":"","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131761136","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}
Dharshana Thiagarajan, S. Tharmathurai, M. Bastion, N. Hamzah, R. Alias, Jamalia Rahmat
{"title":"Uveitis masquerade syndrome as an early manifestation of precursor B-cell acute lymphoblastic leukaemia: a case report","authors":"Dharshana Thiagarajan, S. Tharmathurai, M. Bastion, N. Hamzah, R. Alias, Jamalia Rahmat","doi":"10.35119/myjo.v4i3.261","DOIUrl":"https://doi.org/10.35119/myjo.v4i3.261","url":null,"abstract":"Background: To report a case of paediatric precursor B-cell acute lymphoblastic leukaemia (ALL) presenting as uveitis masquerade syndrome (UMS). \u0000Case presentation: A 3-year-old girl with neutropenic sepsis presented with poor fixation and right preferential gaze. Vision was light perception and counting fingers in OD and OS with bilateral panuveitis, and OS Roth spots, retinal haemorrhages, and exudates. Vitreous biopsy was negative for organisms, malignant cells, and blasts. Bone marrow aspiration and trephine biopsy (BMAT) was inconclusive for leukaemia and orbital MRI showed no infiltration. She improved with antimicrobials and steroids. During rehospitalization 6 months later for neutropenic sepsis, BMAT showed 80% blasts confirming B-cell precursor ALL, requiring chemotherapy. OD vision remained poor with band keratopathy, keratoconjunctivitis sicca, seclusio pupillae, cataract, and vitreous haemorrhage. OS vision improved partially with a macular scar. \u0000Conclusion: Paediatric precursor B-cell ALL may present as UMS. Prompt diagnosis and treatment may increase survival and visual potential.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133398138","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}
Shiivaa Manjare A/P Birapadian, Norshamshiah Md Din
{"title":"A perspective on neural tissue measurements in glaucoma","authors":"Shiivaa Manjare A/P Birapadian, Norshamshiah Md Din","doi":"10.35119/myjo.v4i3.295","DOIUrl":"https://doi.org/10.35119/myjo.v4i3.295","url":null,"abstract":"Given the present advancement in the management of glaucoma, in comparison to retinal nerve fibre layer (RNFL), neural tissue parameters are much more reliable and accurate in discriminating glaucomatous and non-glaucomatous changes. Pertaining to the article titled Retinal nerve fibre layer thickness measured by spectral domain optical coherence tomography amongst early primary open-angle glaucoma patients at Hospital Melaka , published in Malaysian Journal of Ophthalmology issue 2-3, it was concluded that optical coherence tomography (OCT) of the RNFL is not suitable to be used as a diagnostic tool alone to detect early glaucomatous changes. Here we would like to suggest the use of neural tissue parameters such as Bruch’s membrane opening-minimum rim width (BMO-MRW) and prelaminar neural tissue thickness (PNTT) to assess these changes reliably (Fig. 1). As Bruch’s membrane ends around the optic nerve head (ONH), it forms Bruch’s membrane opening (BMO), i.e. , an aperture for the passage of retinal ganglion cells (RGC) as they exit","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"289 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123291680","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}
{"title":"Cavernous sinus syndrome: a case report","authors":"Jee Yan Ong, D. C. Y. Ling, K. I. Tiong","doi":"10.35119/myjo.v4i2.239","DOIUrl":"https://doi.org/10.35119/myjo.v4i2.239","url":null,"abstract":"Background: Cavernous sinus syndrome (CSS) is a rare, but potentially life- and sight-threatening condition. We report a case of multiple cranial neuropathies with CSS.Case presentation: A 70-year-old woman presented with unilateral complete ptosis, ophthalmoplegia, and diplopia. Examination showed left-sided multiple cranial nerve palsies, with the involvement of cranial nerve III (oculomotor nerve), IV (trochlear nerve), V1 and V2 (ophthalmic and maxillary branches of trigeminal nerve), and VI (abducens nerve). A clinical diagnosis of CSS was made. Neuroimaging revealed a left-sided cavernous sinus mass for further investigation.Conclusion: In this case report, we highlight the clinical and radiological features of CSS to raise clinical suspicion for similar diagnosis in the future.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131188984","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}