Malaysian Journal of Ophthalmology最新文献_第8页

Treatment of conjunctival squamous cell carcinoma: balancing disease eradication with minimising treatment-induced morbidity 结膜鳞状细胞癌的治疗:平衡疾病根除与最小化治疗引起的发病率

Malaysian Journal of Ophthalmology Pub Date : 2020-12-16 DOI: 10.35119/MYJO.V2I4.122

Cameron A McLintock, J. McKelvie, S. Hamada

引用次数: 0

Leber’s hereditary optic neuropathy 利伯氏遗传性视神经病变

Malaysian Journal of Ophthalmology Pub Date : 2020-12-14 DOI: 10.35119/MYJO.V2I4.88

Adeline I. Low, Y. L. Neoh, Siu Wan Foo, Azida Juana Kadir

引用次数: 0

From my laptop 从我的笔记本电脑

Malaysian Journal of Ophthalmology Pub Date : 2020-04-22 DOI: 10.35119/MYJO.V3I2.231

Ahmad Tajudin Liza Sharmini

引用次数: 1

From my laptop 从我的笔记本电脑

Malaysian Journal of Ophthalmology Pub Date : 2020-04-22 DOI: 10.35119/myjo.v2i1.134

L. A. Ahmad Tajudin

引用次数: 0

Efficacy of selective laser trabeculoplasty in primary open-angle glaucoma: HKL experience, one-year results 选择性激光小梁成形术治疗原发性开角型青光眼的疗效:HKL的经验，一年的结果

Malaysian Journal of Ophthalmology Pub Date : 2019-11-05 DOI: 10.35119/myjo.v1i3.54

Li Chun, Jelinar Mohamed Noor, N. Ramli, Ch’ng Tun Wang, Gan Hui

{"title":"Efficacy of selective laser trabeculoplasty in primary open-angle glaucoma: HKL experience, one-year results","authors":"Li Chun, Jelinar Mohamed Noor, N. Ramli, Ch’ng Tun Wang, Gan Hui","doi":"10.35119/myjo.v1i3.54","DOIUrl":"https://doi.org/10.35119/myjo.v1i3.54","url":null,"abstract":"Introduction: Selective laser trabeculoplasty (SLT) has been demonstrated to lower intraocular pressure (IOP) and reduce the number of topical medications used in patients with primary open-angle glaucoma (POAG). \u0000Purpose: The purpose of our study was to investigate the sustainability and efficacy of SLT in treating POAG at one year following laser. To our knowledge, this is one of the first studies to be published based on local data in Malaysia. \u0000Study design: This was a retrospective study conducted in a specialist eye clinic, Hospital Kuala Lumpur, from July 2017 until January 2019. Data was collected from the medical notes of the patients. \u0000Materials and methods: The study recruited cases of POAG patients who were using topical antiglaucoma medications. Inclusion criteria were patients with unilateral or bilateral POAG aged 50 years and above. Exclusion criteria were secondary open-angle glaucoma and all forms of angle-closure glaucoma. Patients who had undergone trabeculectomy or glaucoma drainage devices were excluded in our study. A single session of 360° SLT using a Q-switched Nd:YAG laser with an initial energy of 0.8 mJ was performed. IOP and number of antiglaucoma medications were recorded at prestudy, 1 week, 1 month, 3 months, 6 months, and 12 months. \u0000Results: In 17 eyes, mean prestudy IOP was 19.3 ± 3.3 mmHg while on 2.18 ± 0.7 eye drops. At 12 months after SLT, mean IOP was 13.3 ± 3.5 mmHg while on 1.88 ± 0.9 IOP-lowering eye drops. This represented a 31% reduction of IOP compared to prestudy levels. However, the reduction of number of medications was not statistically significant. \u0000Conclusion: A single session of 360° SLT treatment for POAG patients is able to lower IOP by 31% at one year following laser. SLT is a safe and effective procedure for reducing IOP. It may be used as adjuvant therapy, especially in noncompliant patients; patients who have difficulty applying topical eye drops or who are intolerant to topical medication.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128421619","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

23-G trocar-assisted cyclopexy: scleral sparing method as a new modality for large cyclodialysis repair 23-G套管针辅助环内固定术:保留巩膜方法作为大环透析修复的新方式

Malaysian Journal of Ophthalmology Pub Date : 2019-11-05 DOI: 10.35119/myjo.v1i3.63

I. Yoo, Yong Meng Hsien, Mushawiahti Mustapha, J. Hamzah

{"title":"23-G trocar-assisted cyclopexy: scleral sparing method as a new modality for large cyclodialysis repair","authors":"I. Yoo, Yong Meng Hsien, Mushawiahti Mustapha, J. Hamzah","doi":"10.35119/myjo.v1i3.63","DOIUrl":"https://doi.org/10.35119/myjo.v1i3.63","url":null,"abstract":"Cyclodialysis cleft results from separation of longitudinal ciliary muscle fibres from the scleral spur. The separation increases the uveoscleral outflow, leading to severe hypotony. Complexity in managing such condition relies on the extent of the injury and its collateral damage. We reported an alternative method of surgical repair for large cyclodialysis. The procedure was less invasive utilizing a scleral sparing technique. A 66-year-old gentleman presented with severe blunt trauma injury to the globe secondary to shuttlecock injury while playing badminton. He presented with a vision of hand motion. There was hyphaema (filling up half of the anterior chamber), complete posterior dislocation of the crystalline lens, and minimal vitreous haemorrhage. Posterior globe rupture was excluded with further imaging of the orbit. Despite significant amount of hyphaema, intraocular pressure (IOP) remained low several days post injury. Further investigations revealed the presence of almost 270° of cyclodialysis. Surgical repair was indicated. In order to avoid an extensive cut on the sclera, the treating surgeon decided to explore a less invasive method utilizing a small gauge vitrectomy trocar. The main instruments used were the trocar, a straight prolene needle, and a bent 25-G needle. The direction of trocar insertion plays a pivotal role in bringing the detached ciliary body back to its original position. The simplified technique did not require the creation of a scleral flap or direct visualization of the ciliary body. The technique was fast and less invasive, with early improvement of IOP post intervention.","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126627976","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

Population-based study on axial ocular dimensions and corneal astigmatism 眼轴向尺寸与角膜散光的人群研究

Malaysian Journal of Ophthalmology Pub Date : 2019-11-05 DOI: 10.35119/myjo.v1i3.98

K. M. Kamal

引用次数: 0

A surgical cause of pseudopapilledema 假性肾小球水肿的外科病因

Malaysian Journal of Ophthalmology Pub Date : 2019-10-29 DOI: 10.35119/myjo.v1i3.34

C. Wen, Teo Shee Kiang, M. Ami, Mushawiahti Mustapha, Tang Seng Fai

{"title":"A surgical cause of pseudopapilledema","authors":"C. Wen, Teo Shee Kiang, M. Ami, Mushawiahti Mustapha, Tang Seng Fai","doi":"10.35119/myjo.v1i3.34","DOIUrl":"https://doi.org/10.35119/myjo.v1i3.34","url":null,"abstract":"We report a case of vitreopapillary traction mimicking optic disc swelling in a 73-year-old female with pseudophakia in the left eye and satisfactory postoperative vision of 6/6 and N5 two years prior. She presented with insidious onset of blurred vision in her left eye for two months. She was referred to Universiti Kebangsaan Malaysia Medical Centre (UKMMC) for further investigations of apparent optic disc swelling in the left eye by a general ophthalmologist. Her left eye vision was 6/18, pinhole 6/12, with near vision at N6. There was no relative afferent pupillary defect and anterior segment examination was normal. Examination of the posterior segment revealed a pink optic disc with blurred and elevated margins without hyperaemia. Vessels of the optic nerve head appeared normal and a lamellar macular hole was present with dull foveal reflex clinically. Right eye examination was normal. Optical coherence tomography (OCT) of the left eye using the raster line scan showed vitreopapillary traction surrounding the optic disc and vitreomacular traction (VMT) with lamellar macular hole. The patient was counselled for surgical release of VMT, however, she opted for conservative management. \u0000Peripapillary vitreoretinal traction is a rare cause of pseudo-optic disc swelling. Thorough fundus examination with the help of OCT is crucial in making a prompt diagnosis, preventing unnecessary investigations, and evaluating other retinal pathologies which may benefit from treatment. \u0000 ","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123053025","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: 1

An atypical presentation of ANCA-associated retinal vasculitis in a young Malay woman 一位年轻的马来妇女的非典型表现的anca相关的视网膜血管炎

Malaysian Journal of Ophthalmology Pub Date : 2019-10-29 DOI: 10.35119/myjo.v1i3.60

Jin Yi Yap, Mohtar Ibrahim, Zunaina Embong

引用次数: 0

Infectious keratitis: findings from a retrospective review in the central zone of Sarawak 传染性角膜炎:沙捞越中部地区回顾性调查结果

Malaysian Journal of Ophthalmology Pub Date : 2019-10-29 DOI: 10.35119/myjo.v1i3.61

Koay Jiah Bou, Tan Teng Siew, C. Wei, T. L. Mun

{"title":"Infectious keratitis: findings from a retrospective review in the central zone of Sarawak","authors":"Koay Jiah Bou, Tan Teng Siew, C. Wei, T. L. Mun","doi":"10.35119/myjo.v1i3.61","DOIUrl":"https://doi.org/10.35119/myjo.v1i3.61","url":null,"abstract":"Introduction: Infectious keratitis is caused by inflammation of the cornea from an infectious pathogen that usually results in corneal scarring. It is a major cause of visual impairment globally. The management of infectious keratitis is challenging, and unfortunately, there is no proper study on this issue in the central zone of Sarawak to date. \u0000Purpose: To identify the demographic characteristics, risk factors, and etiological agents of patients with infectious keratitis in Sibu Hospital, Sarawak, Malaysia. \u0000Design of the study: Retrospective study. \u0000Materials and methods: Data were collected and reviewed from medical records of all patients with infectious keratitis in Sibu Hospital from January 2013 up to May 2018. \u0000Results: A total of 139 patients (143 eyes/cases) were included in the study. The average age of affected individuals was 47.39 years. The most frequently affected patients fell within the age group of 21-30 years (18.9%). The male-to-female ratio was 1.65:1, with 61.5% of patients being males and 38.5% being females. Seventy-four cases were noted to have predisposing factors before the manifestation of symptoms. The commonest predisposing factors were ocular trauma (55.4%), followed by contact lens wear (29.7%), recent ocular surgery (13.5%), and a recent history of swimming (7.4%). At least one pathogen was isolated in 63.1% of the 38 cases that were tested for corneal scraping culture and sensitivity. Pseudomonas aeruginosa was identified as the most common causative pathogen in our study. \u0000Conclusion: Ocular injury stood out as the most common risk factor for infectious keratitis in this study and Pseudomonas aeruginosa was the most common etiological pathogen. A good grasp of local epidemiology and microbial profile of infectious keratitis is essential in aiding and guiding the management of infectious keratitis in hopes of better outcomes for all affected patients. \u0000 ","PeriodicalId":405983,"journal":{"name":"Malaysian Journal of Ophthalmology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123700307","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