Introduction: Spontaneous retinal venous pulsation (SRVP) is a rhythmic variation in the calibre ... more Introduction: Spontaneous retinal venous pulsation (SRVP) is a rhythmic variation in the calibre of one or more retinal veins. The incidence of SRVP was reduced in glaucoma patients. It was also reduced in people with raised intracranial pressure compared to a healthy population. Purpose: The main objective was to report the frequency and rate of SRVP in primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG) patients and to associate these with the severity of glaucoma in Malay patients. Design of study: A comparative cross-sectional study. Materials and methods: A comparative cross-sectional study involving primary glaucoma patients attending the eye clinic at Hospital Universiti Sains Malaysia (HUSM), Kelantan, Malaysia, was performed between December 2015 and June 2017. The main outcomes measured were the presence and rate of SRVP using a confocalscanning laser ophthalmoscope (Spectralis High-Resolution Optical Coherence Tomography Angiography, Heidelberg En...
The reconstruction of the upper eyelid with medial canthal involvement post extensive removal of ... more The reconstruction of the upper eyelid with medial canthal involvement post extensive removal of malignant tumour remains a challenge. Proper eyelid reconstruction is necessary to re-establish anatomic integrity, restoration of its functions and to maintain the best cosmetic appearance. These case reports illustrate an alternative reconstructive technique for large upper eyelid full thickness defect with medial canthal involvement. Two cases of upper eyelid tumours involving medial canthal region underwent staged reconstruction by glabellar flap advancement and reconstruction of the posterior lamellar with autologous graft using buccal mucosa and ear cartilage. The posterior lamellar graft and flap survived without any complication except for mild eyelid margin notching in one of the two cases. The staged reconstruction with glabellar flap advancement provides adequate defect coverage, excellent blood supply, maintains eyebrow contour and function of the eyelid. The flap also perfec...
Lens-induced glaucoma (LIG) is common in developing countries owing to the delay in cataract remo... more Lens-induced glaucoma (LIG) is common in developing countries owing to the delay in cataract removal.1,2 In Malaysia, cataract is one of the leading causes of blindness and low vision.3 Although LIG is prevalent in developing countries, it also occurs in developed countries.4
An intervention project for the prevention of Diabetes in the community (P.D.D.K)was implemented ... more An intervention project for the prevention of Diabetes in the community (P.D.D.K)was implemented in the operational area of Selising Health Centre for 11 months.The objective of this cross sectional study with the help of community leaders is to determine the distribution and the prevalence of Diabetes Mellitus in this region.The study involved 1,114 cases. Samples were chosen by doing a random blood sugar test (RBS) and if the reading exceeded 8.0 mmol/L, cases would undergo fasting blood sugar (FBS). The test confirmed any aindividuals FBS is 11.0 mmol/L or more hence selected as study samples. The study results revealed that prevalence diabetesin this area was 5.03% with male to female ratio 1:1.24. The average age for new cases of diabetes was 52.5 years (ranging from 35 – 76 years). A total at 71.4% cases were from the high risk group (having a positive family history of diabetes, body mass index of more than 25 and smoked cigarette). Study on these new cases showed that 47% ca...
Page 1. 13 Pressure Lowering Medications Liza-Sharmini Ahmad Tajudin and Yaakub Azhany Department... more Page 1. 13 Pressure Lowering Medications Liza-Sharmini Ahmad Tajudin and Yaakub Azhany Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia Malayasia 1. Introduction Glaucoma is an ...
We report a case of primary non-Hodgkins lymphoma of the lacrimal sac in a 60-year-old Asian lady... more We report a case of primary non-Hodgkins lymphoma of the lacrimal sac in a 60-year-old Asian lady, who presented with persistent epiphora and recurrent medial canthal swelling. Primary lymphoma of the lacrimal sac is rare and it can be easily misdiagnosed. Delayed in diagnosis may be related to mortality. To minimize the risk of overlooking specific pathology it is important to assess the appearance of the lacrimal sac and its surrounding structures intraoperatively. Biopsy of the lacrimal sac is required in cases where specific pathology is suspected.
Introduction: Spontaneous retinal venous pulsation (SRVP) is a rhythmic variation in the calibre ... more Introduction: Spontaneous retinal venous pulsation (SRVP) is a rhythmic variation in the calibre of one or more retinal veins. The incidence of SRVP was reduced in glaucoma patients. It was also reduced in people with raised intracranial pressure compared to a healthy population. Purpose: The main objective was to report the frequency and rate of SRVP in primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG) patients and to associate these with the severity of glaucoma in Malay patients. Design of study: A comparative cross-sectional study. Materials and methods: A comparative cross-sectional study involving primary glaucoma patients attending the eye clinic at Hospital Universiti Sains Malaysia (HUSM), Kelantan, Malaysia, was performed between December 2015 and June 2017. The main outcomes measured were the presence and rate of SRVP using a confocalscanning laser ophthalmoscope (Spectralis High-Resolution Optical Coherence Tomography Angiography, Heidelberg En...
The reconstruction of the upper eyelid with medial canthal involvement post extensive removal of ... more The reconstruction of the upper eyelid with medial canthal involvement post extensive removal of malignant tumour remains a challenge. Proper eyelid reconstruction is necessary to re-establish anatomic integrity, restoration of its functions and to maintain the best cosmetic appearance. These case reports illustrate an alternative reconstructive technique for large upper eyelid full thickness defect with medial canthal involvement. Two cases of upper eyelid tumours involving medial canthal region underwent staged reconstruction by glabellar flap advancement and reconstruction of the posterior lamellar with autologous graft using buccal mucosa and ear cartilage. The posterior lamellar graft and flap survived without any complication except for mild eyelid margin notching in one of the two cases. The staged reconstruction with glabellar flap advancement provides adequate defect coverage, excellent blood supply, maintains eyebrow contour and function of the eyelid. The flap also perfec...
Lens-induced glaucoma (LIG) is common in developing countries owing to the delay in cataract remo... more Lens-induced glaucoma (LIG) is common in developing countries owing to the delay in cataract removal.1,2 In Malaysia, cataract is one of the leading causes of blindness and low vision.3 Although LIG is prevalent in developing countries, it also occurs in developed countries.4
An intervention project for the prevention of Diabetes in the community (P.D.D.K)was implemented ... more An intervention project for the prevention of Diabetes in the community (P.D.D.K)was implemented in the operational area of Selising Health Centre for 11 months.The objective of this cross sectional study with the help of community leaders is to determine the distribution and the prevalence of Diabetes Mellitus in this region.The study involved 1,114 cases. Samples were chosen by doing a random blood sugar test (RBS) and if the reading exceeded 8.0 mmol/L, cases would undergo fasting blood sugar (FBS). The test confirmed any aindividuals FBS is 11.0 mmol/L or more hence selected as study samples. The study results revealed that prevalence diabetesin this area was 5.03% with male to female ratio 1:1.24. The average age for new cases of diabetes was 52.5 years (ranging from 35 – 76 years). A total at 71.4% cases were from the high risk group (having a positive family history of diabetes, body mass index of more than 25 and smoked cigarette). Study on these new cases showed that 47% ca...
Page 1. 13 Pressure Lowering Medications Liza-Sharmini Ahmad Tajudin and Yaakub Azhany Department... more Page 1. 13 Pressure Lowering Medications Liza-Sharmini Ahmad Tajudin and Yaakub Azhany Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia Malayasia 1. Introduction Glaucoma is an ...
We report a case of primary non-Hodgkins lymphoma of the lacrimal sac in a 60-year-old Asian lady... more We report a case of primary non-Hodgkins lymphoma of the lacrimal sac in a 60-year-old Asian lady, who presented with persistent epiphora and recurrent medial canthal swelling. Primary lymphoma of the lacrimal sac is rare and it can be easily misdiagnosed. Delayed in diagnosis may be related to mortality. To minimize the risk of overlooking specific pathology it is important to assess the appearance of the lacrimal sac and its surrounding structures intraoperatively. Biopsy of the lacrimal sac is required in cases where specific pathology is suspected.
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