MyMedR

Some aspects of refractive errors in West Malaysia

Chandran S, Ooi Eu-sen V

Med J Malaya, 1971 Mar;25(3):193-7.

PMID: 4253246

Matched MeSH terms: Contact Lenses

Fulltext Retained intraocular foreign bodies and visual prognosis

Tan PL

Med J Malaysia, 1980 Sep;35(1):58-60.

PMID: 7254000

3 cases of perforating injury with retention of intra-ocular foreign body are presented. Their clinical presentation, management and final visual results are discussed. Despite the generally poor prognosis associated with these injuries, some cases surprisingly have good visual results.

Matched MeSH terms: Contact Lenses

Fulltext Intraocular lens implant

Sukumaran K

Med J Malaysia, 1983 Dec;38(4):272-4.

PMID: 6599981

Matched MeSH terms: Lenses, Intraocular*

Fulltext Anterior chamber implantation at University Hospital, Kuala Lumpur

Lim TK

Med J Malaysia, 1984 Sep;39(3):205-9.

PMID: 6544921

50 cases of anterior chamber intraocular lens implantation at the University Hospital, Kuala Lumpur were studied. 80% of the cases achieved visual acuity of 6/9 or better. The percentage would be higher if cases with pre-existing pathology are excluded and the period of follow-up is longer. Complications, mainly minor and non sight-threatening, are discussed.

Matched MeSH terms: Lenses, Intraocular*

Fulltext The use of ultrasound in ocular biometry

Kuan BB, Lim TK

Med J Malaysia, 1984 Dec;39(4):280-4.

PMID: 6544933

Ultrasound measurement of ocular dimension is the chosen method for assessing axial length when determining dioptric power for intraocular lens. From the current results of 30 cases studied, the mean axial length ranges from 22 to 23 mm. Despite the limitation of the accuracy of the ultrasonic measurements with the 7.5 mHz transducer, the power of intraocular lens can. be determined satisfactorily in accordance with the knowledge of keratometric reading. Hence, high refractive errors could be avoided post-operatively.

Matched MeSH terms: Lenses, Intraocular

Significance of intraocular lens power calculation

Singh M, Dahalan A

Br J Ophthalmol, 1987 Nov;71(11):850-3.

PMID: 3689737

A total of 94 patients underwent extracapsular cataract extraction and insertion of Sinsky style two-loop posterior chamber intraocular lenses. Forty-six eyes received a standard power IOL and 48 eyes were given a preoperatively calculated IOL. A significant difference was found in the two groups with regard to the postoperative refractive error and uncorrected visual acuity.

Matched MeSH terms: Lenses, Intraocular*

Implantation and diabetes: analysis of 525 cases

Lim AS, Ang BC, Heng LK, Hart PM, Ngui MS, Chew P, et al.

Ann Acad Med Singap, 1989 Mar;18(2):174-7.

PMID: 2751233

This is a retrospective study of 525 posterior chamber implants in diabetics performed by A S M Lim and B C Ang of Singapore. The patients were reviewed by visiting ophthalmologists--J E Kennedy (Sydney), M Ngui (East Malaysia) and P M Hart (Belfast). This study did not show any significant difference in the complication of post-operative visual acuity between diabetics and non-diabetics. 95% obtained 6/12 vision or better when pre-existing disease was excluded. It also showed that posterior chamber implants can be inserted in eyes with maculopathy or proliferative retinopathy if laser treatment was effectively done before or after surgery.

Matched MeSH terms: Lenses, Intraocular*

Sivaraj R, Verghese I, Lai YK, Parasakthi N

Family Physician, 1994;6:18-20.

Contact lenses provide an alternative to spectacles for many people. However, the hazard of bacterial corneal ulcers exists. This article describes a soft contact lens wearer who developed a bacterial corneal ulcer. Prompt diagnosis and treatment is essential for eradication of the infection and prevention of loss of vision.

Matched MeSH terms: Contact Lenses; Lenses

First case of Acanthamoeba keratitis in Malaysia

Kamel AG, Norazah A

Trans R Soc Trop Med Hyg, 1995 11 1;89(6):652.

PMID: 8594684

Matched MeSH terms: Contact Lenses/adverse effects*

Relation between contact lens wear and Meibomian gland dysfunction

Ong BL

Optom Vis Sci, 1996 Mar;73(3):208-10.

PMID: 8725025

This study attempted to determine whether contact lens wear has any adverse effect on the Meibomian glands. The study also tried to elucidate the prevalence of Meibomian gland dysfunction in the general population. The results of the study showed that Meibomian gland dysfunction exists in 43% of the population (lens wearers and nonlens wearers), 49% of the contact lens wearing population (81 subjects), and 39% of nonlens wearers (150 subjects). No statistically significant difference was found in the prevalence of Meibomian gland dysfunction between healthy contact lens wearers and the control group of nonlens wearers. The study therefore could not prove that contact lens wear is a contributing factor to Meibomian gland dysfunction.

Matched MeSH terms: Contact Lenses/adverse effects*

The effectiveness of sub-Tenon's infiltration of local anaesthesia for cataract surgery

Verghese I, Sivaraj R, Lai YK

Aust N Z J Ophthalmol, 1996 May;24(2):117-20.

PMID: 9199741

PURPOSE: To determine if adequate anesthesia and akinesia could be obtained using an inferonasal quadrant sub-Tenons anaesthesia for cataract surgery.
METHODS: The sub-Tenons method of local anaesthesia was used in 50 patients undergoing extracapsular cataract extraction and lens implantation. The technique following was that described by JD Stevens in his study of 50 patients. Posterior sub-Tenons space was approached through a conjunctival incision in the inferonasal quadrant and the anaesthetic solution delivered by an irrigating cannula. The patients were assessed for residual ocular movements just before surgery. Effectiveness of anaesthesia was assessed during surgery using a verbal pain rating score. Scoring was based on the concept of a visual analogue pain score chart.
RESULTS: Total akinesia was obtained in 20% patients and total anaesthesia in 24% patients. The remainder of the patients had adequate akinesia and anaesthesia to proceed with and complete the surgery.
CONCLUSION: This method provides satisfactory anaesthesia for cataract surgery.

Matched MeSH terms: Lenses, Intraocular

Effect of heparin-surface-modified poly(methyl methacrylate) intraocular lenses on the postoperative inflammation in an Asian population

Lai YK, Fan RF

J Cataract Refract Surg, 1996;22 Suppl 1:830-4.

PMID: 9279680

PURPOSE: To compare the efficacy of heparin-surface-modified (HSM), poly(methyl methacrylate) (PMMA) posterior chamber intraocular lenses (IOLs) with that of unmodified PMMA IOLs in reducing postoperative complications caused by inflammatory reactions after extracapsular cataract extraction in an Asian population.

SETTING: Departments of Ophthalmology, University of Malaya, Kuala Lumpur, Malaysia, and Tan Tock Seng Hospital, Singapore.

METHODS: In a randomized, double-blind study performed at two centers, 51 patients received an HSM PMMA lens and 48, an unmodified PMMA IOL. Cell and pigment deposits were evaluated by slitlamp at 1 to 6 days, 2 to 3 weeks, and 3 to 6 months postoperatively.

RESULTS: Significantly more eyes with unmodified IOLs had inflammatory cell deposits than those with HSM IOLs at 3 to 6 months (P < .001) and 12 to 14 months (P = .018) postoperatively. The HSM group also had significantly fewer cell deposits per patient at these two follow-ups. Significantly more eyes in the non-HSM group had pigment deposits 3 to 6 months after surgery (P = .049). One year postoperatively, about 85% of patients in both groups had a best corrected visual acuity of 0.5 or better.

CONCLUSION: Heparin surface modification significantly reduced the inflammatory response to PMMA IOLs in an Asian population for at least 12 to 14 months.

Matched MeSH terms: Lenses, Intraocular*

Taburan Formasi Semantan Semenanjung Malaysia (Semantan Formation Distribution in Peninsular Malaysia)

Kamal Roslan Mohamed

Sains Malaysiana, 1996;25.

The Semantan Formation which is Middle to Upper Triassic age, comprises a rapidly alternating sequence of carbonaceous shale, siltstone and rhyolite tuff with a few lenses of chert, conglomerate and recrystallised limestone. The shale and tuff make up the bulk of the sequence. Jaafar Ahmad (1976) was introduced the formation name of the rock sequence in Karak-Temerloh area, but the similar sequence (in term of lithology, paleontology and structural pattern) found in the other areas were given different names. After an extensive study, the following formations or part of them, may be include in the Semantan Formation; Raub Series (Scrivenor 1911); Calcareous Formation (Richardson 1939); Calcareous Series (Richardson 1947); Younger arenaceous Series (Alexander 1956); Raub Group (Alexander 1959); Jengka Pass Formation (Ichikawa et al. 1966); Kerdau Formation (Burton 1973a); part of Jelai Formation (Burton 1973a); Gemas Formation (Lum 1977); Jurong Formation (Burton 1973a); Pahang Volcanic Series (Hutchison 1973c).
Formasi Semantan merupakan jujukan batuan sedimen yang berusia Trias Tengah - Akhir di Jalur Tengah Semenanjung Malaysia. Jujukan ini terdiri daripada selang lapis batuan syal berkarbon, batu lodak, dan batu pasir yang kebanyakannya bertuf, serta terdapat kekanta konglomerat, batu kapur dan rijang dalam selang lapis ini. Syal adalah unit yang paling dominan dalam formasi ini. Jaafar Ahmad (1976) menamakan jujukan ini untuk kawasan Karak - Temerloh, tetapi jujukan yang serupa (dari segi litologi, paleontologi dan gaya struktur) juga ditemui di kawasan lain, tetapi dipanggil dengan nama lain. Dari hasil kajian menyeluruh yang telah dijalankan, didapati nama-nama unit batuan berikut atau sebahagian daripadanya mungkin merupakan penamaan yang serupa untuk Formasi Semantan, iaitu Siri Raub (Scrivenor 1911), Formasi Berkapur (Richardson 1939), Siri Berkapur (Richardson 1947), Siri Arenit Muda (Alexander 1958), sebahagian Kumpulan Raub (Alexander 1959), Formasi Jengka Pass (Ichikawa et al. 1966), Formasi Kerdau (Burton 1973a), sebahagian Formasi Jelai (Burton 1973a), Formasi Gemas (Lum 1977), Formasi Jurong (Burton 1973a) dan Siri Volkano Pahang (Hutchison 1973).

Matched MeSH terms: Lenses

Fulltext Secondary intraocular lens implantation in University Hospital, Kuala Lumpur

Jaais F

Med J Malaysia, 1998 Sep;53(3):272-6.

PMID: 10968165

Secondary intraocular lens implantation after cataract surgery done in University Hospital between 1983 to 1993 were reviewed. Thirty three patients (37 eyes) underwent secondary intraocular lens implantation during this period. Twenty four eyes had secondary anterior chamber lens implantation while 13 had posterior chamber lens implantation. There was no case of secondary posterior scleral fixation lens implantation. Visual acuity of 6/9 or better was seen in 25 of 37 eyes (67%) in the series. Eyes seeing as good or better than before secondary implantation procedure were noted in 34 of 37 eyes (92%). Vision of 6/9 or better was seen in 9 of 13 eyes (70%) with posterior chamber implants and 16 of 24 eyes in (67%) with anterior chamber lenses. Complications including bullous keratopathy, uveitis and glaucoma were seen with anterior chamber implants of the rigid type resulting in poorer visual acuity than before the secondary procedure.

Matched MeSH terms: Lenses, Intraocular*

Fulltext Intraocular pressure variation following retrobulbar anaesthesia among the different sex, age and ethnic groups in Malaysia

Lee FN, Kong VY, Lee GP, Ho KH, Choon SC, Hoh HB

Med J Malaysia, 1999 Dec;54(4):438-41.

PMID: 11072460

A total of 114 patients (48 Chinese, 34 Malay and 32 Indian) undergoing extracapsular cataract extraction (ECCE) with intraocular lens implantation, were enrolled. All were given 3 ml of local anaesthetic (combination of equal amounts of lignocaine 2% and bupivacaine 0.5%) using retrobulbar technique. Intraocular pressure (IOP) was measured at different time intervals; before, immediately after and 5 minutes after injection with Honan balloon compression. Mean IOP increased by 5.0 mmHg immediately after injection (p < 0.001) and reduced to baseline level after 5 minutes of external compression. Although there were no statistical difference in terms of IOP variation between sex and age groups, Chinese patients demonstrated the highest IOP rise following retrobulbar anaesthesia. This is the first study to demonstrate the influence of race in the IOP response with Chinese subjects having the highest IOP rise.

Matched MeSH terms: Lenses, Intraocular*

Fulltext Crystal deposits in cornea from the use of vitamin C eye drops

Choong YY, Arumugam G

Med J Malaysia, 1999 Dec;54(4):526-7.

PMID: 11072476

There are a number of differential diagnoses for crystal deposits in the cornea. With the presence of a corneal epithelial defect, the differential diagnosis can be narrowed down to either infective causes or deposits from topical medications. This report describes a case of crystal deposits in the cornea from the use of Vitamin C eye drops.

Matched MeSH terms: Lenses, Intraocular

Fulltext A case of trauma related Acanthamoeba keratitis

Kamel AG, Faridah H, Yusof S, Norazah A, Nakisah MA

Trop Biomed, 2004 Dec;21(2):135-8.

PMID: 16493405 MyJurnal

Acanthamoeba is an uncommon cause of keratitis but one of the most severe because of the prolonged and painful course of the disease and poor visual outcome. Although contact lens use is the principal risk factor, about 10% of cases occur following trauma and exposure to contaminated soil or water. Two cases of Acanthamoeba keratitis involving women contact lens wearers have previously been reported in Malaysia but this is the first time, a non contact lens related Acanthamoeba keratitis is reported. The case involved a 28 year old Indonesian male construction worker who had a trauma of the right eye during work. His eye was struck by sand and dust particles after which he quickly washed with water from an open tank at the construction site. He experienced pain, redness, glaring and blurring of vision of the right eye three days later. The diagnosis was missed at initial presentation but culture of the corneal scraping had proven Acanthamoeba as the aetiological agent. The history and clinical findings of this trauma related Acanthamoeba keratitis are briefly discussed.

Matched MeSH terms: Contact Lenses

Combinational system of a truncated ball lens and a hyperbolic lens for collimating a highly divergent source

Chen LC, Low AL, Chien SF

Appl Opt, 2004 Dec 10;43(35):6380-3.

PMID: 15617273

We propose the use of a truncated ball lens in a collimating system to transform a spherical wave from a highly divergent source into a plane wave. The proposed scheme, which incorporates a hyperbolic lens, is discussed, and the overall system is found to have a large acceptance angle and to be free of spherical aberration. Diffraction and polarization effects are neglected, as well as skew rays.

Matched MeSH terms: Lenses

Fulltext Easy lens cleaning solution for laboratory microscopes

Pramanik T, Ghosh A, Roychowdhury P

Med J Malaysia, 2005 Mar;60(1):116.

PMID: 16250297

Matched MeSH terms: Lenses*

Fulltext Bilateral anterior chamber intraocular lenses dislocation in a patient with habitual eye rubbing

Poh EP, Fariza NN, Mariam I

Med J Malaysia, 2005 Aug;60(3):370-2.

PMID: 16379196

A 61-year-old Chinese man presented with bilateral posteriorly dislocated anterior chamber intraocular lenses (AC IOLs) one year after successful vitrectomy, removal of bilateral dislocated mature cataractous lenses and AC IOLs implantation. A thorough clinical evaluation revealed habitual eye rubbing as the only possible cause.

Matched MeSH terms: Lenses, Intraocular/adverse effects*

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