MyMedR

Displaying publications 381 - 400 of 7255 in total

Abstract:

Sort:

Fulltext A review of pharmacist-led interventions on diabetes outcomes: an observational analysis to explore diabetes care opportunities for pharmacists

Iqbal MZ, Khan AH, Iqbal MS, Syed Sulaiman SA

J Pharm Bioallied Sci, 2019 10 18;11(4):299-309.
PMID: 31619911 DOI: 10.4103/jpbs.JPBS_138_19

A strict and adherence treatment is required by the patient with diabetes mellitus and it demands a proper self-medication by the patient. Pharmacists are involved in providing self-management support to the patients. This review evaluates the interventions of pharmacist for patients to improve self-management with diabetes mellitus and also to improve the clinical outcomes of diabetes mellitus. A comprehensive literature search was performed by using different keywords "pharmacist-led intervention," "diabetes," "effect of pharmacist on outcome of diabetes," and "self-management of diabetes" with the help of various electronic databases such as PubMed, Science Direct, Embase, Web of Science, and the Cochrane Library from the beginning of the database through September 2018. The primary outcome was glycated hemoglobin (HbA1c), whereas the secondary outcomes were blood glucose level, blood pressure (BP) measure, body mass index, lipids, adherence to medication, and quality of life. Twenty-five studies comprising 2997 diabetic patients were included in the analysis. Pharmacist-led intervention was involved in all included studies in the form of education on diabetes and its complications, medication adherence, lifestyle, and education about self-management skills. Pharmacist-led interventions are able to reduce HbA1c levels with a mean of 0.75%. Most studies do not expose the material and methods used in pharmacist-led intervention. The variation in the reduction of HbA1c, fasting blood sugar, BP, and lipid profile was due to the lack of this standardization. The included studies indicated that pharmacist-led interventions in diabetes mellitus can significantly improve the outcomes of diabetes mellitus and its complication later on. Hence, these long-term improvements in outcomes added more value of pharmacists in health-care system of the world.
Fulltext Prospective Application of Palm Oil Mill Boiler Ash as a Biosorbent: Effect of Microwave Irradiation and Palm Oil Mill Effluent Decolorization by Adsorption

Hamzah MH, Ahmad Asri MF, Che Man H, Mohammed A

Int J Environ Res Public Health, 2019 09 17;16(18).
PMID: 31533308 DOI: 10.3390/ijerph16183453

Common conventional biological treatment methods fail to decolorize palm oil mill effluent (POME). The present study focused on using the abundant palm oil mill boiler (POMB) ashes for POME decolorization. The POMB ashes were subjected to microwave irradiation and chemical treatment using H2SO4. The resultant adsorbents were characterized using scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDX), and Brunauer-Emmett-Teller (BET) analyses. The adsorption efficiency was evaluated at various pH levels (2-8.5), adsorption dosages (3-15 g) in 200 mL, and contact times (1-5 h). The microwave-irradiated POMB-retained ash recorded the highest color removal of 92.31%, for which the best conditions were pH 2, 15 g adsorbent dosage in 200 mL, and 5 h of contact time. At these best treatment conditions, the color concentration of the treated effluent was analyzed using the method proposed by the American Dye Manufacturers Institute (ADMI). The color concentration was 19.20 ADMI, which complies with the Malaysia discharge standard class A. The Freundlich isotherm model better fit the experimental data and had a high R2 of 0.9740. Based on these results, it can be deduced that microwave-irradiated POMB-retained ash has potential applications for POME decolorization via a biosorption process.
Fulltext The use of weight loss products among overweight and obese patients in Malaysia

Murni Aliza Abd Malik, Noor Azimah Muhammad, Mohd Fairuz Ali

Malaysian Journal of Medicine and Health Sciences, 2019;15(1):23-30.
MyJurnal

Local profiles on the use of weight loss products are scarce. The study aims to address this together with concerns on the users’ misperception of the safety of these products, and the absence of high-quality evidence to support such use. Methods: This was a cross-sectional study conducted in overweight and obese patients attending a public primary care clinic in Penang. Selected patients were given a set of self-administered questionnaire that assessed types of weight loss products used, factors that influenced the usage and the users’ perception of their own body weight and the diet products they are taking. Results: From 332 participants of this study, 18.7% were users. Mean age of users were 44.6 (SD 11.9) years. The majority (66.1%) only used dietary supplements, 11.3% used weight loss medications and the rest (22.6%) used both products. Reasons for its use were for health, a faster result to lose weight and failing dieting and exercise regimes. The average amount spent on this was RM100 per month. Commonest source of weight loss products were friends. Majority (80.6%) did not discuss the use of the products with doctors. Factors associated with the use of weight loss products were being female (AOR=5.59), had tertiary level education (AOR=2.27), being employed (AOR=3.42), self-perceived of overweight (AOR=3.61) and perception that weight loss products as safe (AOR 2.48). Conclusion: Users of weight loss products are among highly educated working females who perceived themselves as being overweight and assume the products are safe.
Fulltext Ficus carica L

Muhammad Aiman, Mohammad Rahimi, Siti Zaharah Sakimin, Mohd Fauzi, Ramlan

The Pertanika Journal of Scholarly Research Reviews, 2019;5(1):37-43.
MyJurnal

Ficus carica L. or fig is the oldest fruit tree that being cultivated by man. Grouped under genus Ficus, this species is grown widely in Mediterranean region and now being cultivated in an area with temperate or sub-temperate climate. Fig planting in Malaysia is still new, which was brought by a man as a hobby at first. Fig is a unique fruit tree as some variety can produce fruits without pollination. Contain lots of carbohydrates, essential amino acids, vitamins and minerals such potassium, fibre, calcium, iron compared to other fruits, fig have become an important source of diet to people especially in Mediterranean region since ancient time.
Fulltext The impact of casemix reimbursement on hospital revenue in Indonesia

Aljunid, Syed Mohamed, Amrizal Muhammad Nur, Irwan Saputra

Jurnal Sains Kesihatan Malaysia, 2020;18(2):1-8.
MyJurnal

The objective of this study is to examine the impact of the casemix reimbursement on the hospital revenue at three selected hospitals (Type B, C and D) reimbursed using 602 groups from 14,749 cases. The results of the study showed that the hospitals received 32.4% higher income when reimbursed with Indonesia Case Bases Groups (INA-CBG) as compared to fee-for-service. Type D hospitals is the biggest gainer with 81.0% increased in income followed by Type B hospital that obtained 34.7% higher revenue. In conclusion, the use of INA-CBG as a prospective payment method has benefitted the hospitals by the increase in the revenues. It is hope that additional resources gained in this programme will allow the hospitals to provide optimum care to the population. It is recommended that the JKA management will use the INA-CBG casemix data to monitor the performance of the hospitals to ensure that quality and efficiency of the services provided to the population is continuously maintained.
Fulltext Environmental influence and intention to quit smoking among college students

Muhammad Adil Zainal Abidin, Hayati Kadir Shahar, Rosliza Abdul Manaf

Malaysian Journal of Medicine and Health Sciences, 2019;15(104):77-77.
MyJurnal

Introduction: Secondhand tobacco smoke is a known carcinogen and has shown positive association with smok-ing status, susceptibility and cessation. Smoke free environment policy seem to reduce this exposure and influence intention to quit and frequency of quit attempts. Despite having a smoke free policy, smokers are still exposed to second hand smoke and this might influence their smoking behaviour and cessation. The objective of this study was to examine the association between environmental tobacco smoke exposures with intention to quit smoking among young adults in college with smoke free policy. Methods: Data were drawn from a cluster based randomised controlled trial in 10 government colleges in Selangor. Baseline characteristics of 160 college smokers were mea-sured using adapted questionnaire. Intention to quit was measured using Transtheoretical Model and environmental influence of tobacco smoke exposure. Results: Majority of the smokers were male (99.4%), single (100%), of Malay ethnicity (94.4%) and Muslim (95.6%). Most of them are in pre-contemplation stage where they do not have any intention to quit (65.6%). On environmental influence, at work or college environmental exposure, majority were exposed between 1 to 2 hours (36.9%) and 3 to 8 hours (40.6%). On exposure at home or hostel, majority were exposed between 1 to 4 hours (44.4%) and 5 to 14 hours (21.9%). In terms of friend’s exposures, majority have most of their friends smoking (68.1%). We found no statistically significant association between environmental influence and intention to quit smoking. Conclusion: Although we found no relationship, future research should examine the pathway between environmental influence and smoking behaviour.
Fulltext Effect of sago and tapioca starches on the physicochemical and textural properties of expanded rice product coloured with red beetroot (Beta vulgaris) powder

Abdul Alam, N. A., Karim, R., Muhammad, K.

International Food Research Journal, 2018;25(101):21-27.
MyJurnal

Colour plays an important role in food especially in increasing the aesthetic value of food products. However, the increasing awareness on health implications of synthetic colourants has led to increased market for natural colourants. In this study, the retention of colourant from red beetroot powder in extruded rice flour containing 20% sago or tapioca starch was investigated. The moisture content of the rice flour-starch blends and 100% rice flour (control) was adjusted to 10% and the samples were extruded at 80ºC - 160ºC, with 120 rpm screw speed and 40 rpm feeder speed. The expansion, density, water absorption index (WAI), water solubility index (WSI), hardness, crispness, colour, and betanin content of the extrudates were measured. The results showed that rice flour-sago starch extrudates (RSE) and rice flour-tapioca starch extrudate (RTE) had better expansion compared to the control (100% rice flour) extrudate. The expansion of RTE was not significantly different from that of RSE and no significant difference was found in the densities of these two extrudates. Presence of sago or tapioca starch decreased the WAI and increased the WSI of the extrudates. The WAI of RSE, however, did not differ significantly from that of RTE. The hardness (18.37 kg) and crispness (126.55 kg.sec) of the control extrudate were higher than that of the RSE (16.97 kg, 110.07 kg.sec) and RTE (14.84 kg, 92.77 kg.sec). There was no significant difference between the redness values of the extrudates. However, retention of betanin in the extrudates was highest in RTE (36.06% retention), followed by RSE (34.14%) and lowest in the control extrudate (27.82%). Addition of tapioca starch or sago starch can help to improve the physical and textural properties of betanin coloured rice extrudates with tapioca starch giving higher betanin retention.
Fulltext An audit of paediatric dental patient assessment and recall in faculty of dentistry UiTM Sungai Buloh

Aimi Shafiqah Shukri, Muhammad Syazwan Hassan, Venkiteswaran, Annapurny

Compendium of Oral Science, 2019;6(1):26-34.
MyJurnal

Objective: To assess if the recall appointments and the use of radiographs for paediatric dental patients at Faculty of Dentistry, UiTM comply with current guidelines. Materials and Method: A retrospective study was conducted using patients’ dental records that were registered at the Faculty of Dentistry UiTM. The sample consisted of 350 randomly chosen treatment records of paediatric patients aged between birth and 16 years of age at the time of data collection which was in the year 2016. Data collection included demographic details, whom the cases were treated by, caries risk assessment, radiographs taken and time taken for the patient’s review appointments. Results: An initial sample size of 350 records were assessed. The mean age of patients seen when they were first seen is 6.3 years old. Caries Risk Assessment was not reported in majority of the cases (58%,). Baseline radiographs were taken in 44.6% of the cases. For the assessment of recall attendance, only samples with data on CRA was analysed (n=145). The review appointments at 3 months interval was 70% whereas at 6 months was 6.2% and one year recall was 6.7%. A chi-square test showed significant difference (p=0.013) between the category of operators for the 1-year review whereby review was higher among students and specialists as compared to dental officers. Conclusion: This study shows poor adherence to the recommended recall protocol as suggested by NICE and AAPD guidelines. Further studies need to be done to assess the patients’ and clinicians awareness regarding the recall protocol and determine the problems causing poor recall attendance.
Fulltext Explorative Xylitol Detection from Lignocellulosic Biomass Fermentation of Coconut Husk Using HPLC C18 Column

Mariam-Aisha Fatima, Muhammad Fahmi Mehdin, Nurain Nasrudin, Neelam Shahab

Journal of Management & Science, 2018;16(2):29-38.
MyJurnal

Lignocellulosic biomass, found in wooden plant husks is a potent renewable material source which can be utilised to form various chemicals and biomaterials including polyols such as xylitol. Xylitol has been used commercially as an alternative to sucrose in many products as bulk sweetener in non-cariogenic confectionery as well as in diabetic diets and solutions for parenteral nutrition. Therefore, this study aims to optimise separation parameters of the Shimadzu high performance liquid chromatography (HPLC) (Model No: LC-20A) and quantify the potential of coconut husk as substrate for Candida albicans in producing xylitol using HPLC. Pretreatment to depolymerise components of biomass i.e. cellulose, hemicellulose and lignin were done using dilute acid hydrolysis method which yielded fermentable reducing sugars, xylose. Xylose is a monosaccharide with an aldehyde functional group, a reducing sugar which is then utilised and fermented by the yeast Candida albicans to form xylitol. In this study, the media used for fermenting pretreated coconut husk and Candida albicans is a synthetic defined (SD) minimal broth. Growth curves against concentration of reducing sugar were plotted to determine utilisation and production trends with specific mixes of carbon sources. The presence of reducing sugars were tested using 3,5-dinitrosalicylic acid (DNS) assay in pretreated coconut husk yielded 13.22 g/L. In order to analyse the product with HPLC, an existing protocol is modified for Hypersil GOLD™ C18 column with acetonitrile as the mobile phase. Results obtained from HPLC analyses using developed protocol suggested the formation of xylitol from the fermentation of pretreated husk by Candida albicans. These can be followed by purification of fermented media in obtaining a better separation of contaminating peaks.
Fulltext Is Pakistan prepared to tackle the coronavirus epidemic?

Saqlain M, Munir MM, Ahmed A, Tahir AH, Kamran S

Drugs Ther Perspect, 2020;36(5):213-214.
PMID: 32218652 DOI: 10.1007/s40267-020-00721-1
Urbanization and energy consumption effects on carbon dioxide emissions: evidence from Asian-8 countries using panel data analysis

Abbasi MA, Parveen S, Khan S, Kamal MA

Environ Sci Pollut Res Int, 2020 May;27(15):18029-18043.
PMID: 32170610 DOI: 10.1007/s11356-020-08262-w

The developing world is facing pivotal challenges in recent times. Among these, global warming has ominous repercussions on every segment of society, thus tracing its underlying causes is imperative. This research attempts to investigate the impact of urbanization and energy consumption on carbon dioxide emissions (CO2) for a panel of 8 Asian countries (Bangladesh, China, India, Indonesia, Malaysia, Nepal, Pakistan, and Sri Lanka) over the period 1982 to 2017. The analyses are executed using panel co-integration and Granger causality techniques. The main findings of panel co-integration reveal a long-run relationship between urbanization, energy consumption, and CO2 emissions. Furthermore, the results indicate a positive and significant impact of urbanization and energy consumption on CO2 emissions, indicating that urban development and high energy consumptions are barriers to improve environmental quality in the long run. The results also highlight bi-directional causality between energy consumption and urbanization, while unidirectional causality exists between energy consumption and CO2 emissions. Based on the obtained results, this study offers useful policy implications for plummeting carbon emissions.
Fulltext Creating effective awareness campaign on the importance of martial arts among youth

Muhammad Hadriee bin Hasnan, Rusyaizila Ramli, Safinaz Mustapha

Journal of Management & Science, 2019;17(1):19-34.
MyJurnal

Bullying tends to happen most often in and around the school, specifically in the areas where adult supervision is little or none at all. Campaigns on bully awareness is proven unsuccessful considering the situation has been going on and keep happening. This also due to the lack of firm and indecisive action against the bully. This research will focus on encouraging the victims to participate and learn how to defend themselves against bully. By learning martial arts, the victim will be able to defend themselves independently and stop putting hopes for others to do so in their rights. The objective of this marketing campaign is to encourage the bully victims to learn martial arts in order to defend themselves. The promotional marketing items that will be distributed along with the campaign shall explain the benefits of learning martial arts and where they can sign up for the courses. The concept and design theme for the promotional items will be made suitable and appealing for the target audiences. An attractive publishing is proved effective as a promotional items since it has the ability to persuade and pique the interest of the victims in learning how to defend themselves against bully. This, in hope will slowly but surely reduce the frequency of bully.
Fulltext Protection challenges of pregnant women against vertical transmission during COVID-19 epidemic: A narrative review

Hasnain M, Pasha MF, Ghani I, Budiarto R

Am J Infect Control, 2020 12;48(12):1516-1519.
PMID: 32621859 DOI: 10.1016/j.ajic.2020.06.206

This paper presents a narrative review study of 5 popular data repositories focusing on challenges of pregnant women protection during the COVID-19 pandemic. The study concludes that the likelihood of a vertical transmission of COVID-19 infection from pregnant women to neonates was not observed. Nevertheless, it remains a serious risk for them during their earlier stage of pregnancy, thus, special attention from health professionals has been recommended.
Fulltext Thoughts in cyber novel Kasih Damia from the aspect of intergrated aesthetic theory

Noor Hazwany Haji Arifin, Salmah Jan Noor Muhammad

Malaysian Journal of Social Sciences and Humanities, 2019;4(4):46-54.
MyJurnal

The cyber world is actually an easy medium which does not need complicated procedures in order to
publish ones literary works. This has been the reason on why the young authors choose it as the best
medium to create more literary works actively. The works of the young authors will be published in the
cyber world especially in their own personal websites. However, this also has caused misunderstanding
between the scholars about the aesthetical and the quality that have always been focused on literary
works. Therefore, this study will find out and analyse the aesthetical value through the thoughts that are
found in cyber novel Kasih Darmia by Naniey TJ based on the application of Intergrated Aesthetic
theory. Cyber novel Kasih Darmia is the first cyber literary work of Naniey TJ which was written
somewhere in November 2011 in her personal blogsite. The study uses the Intergrated Aesthetic which
is introduced by Abdul Halim Ali based on the concept of beauty which is divided by the beauty of
thoughts and the religious messages from Al-Quran as the original text that represents the real beauty
and reflects the manifestation of literary text. Analysing the thoughts in cyber novel Kasih Darmia shows that the inside beauty actually answers the aesthetical problems in the literary works in the cyber
world.
Fulltext Awareness on smoking behaviour among students in faculty of quranic and sunnah studies, Islamic Science University of Malaysia (USIM)

Zainora Daud, Muhammad Arif Musa, Siti Nor Azirah Mohd Riduan

Malaysian Journal of Social Sciences and Humanities, 2019;4(4):67-70.
MyJurnal

Research has shown that smoking has bad implications on smokers and society as a whole. For that
matter, the Ministry of Health Malaysia (MOHM) have taken various initiatives through information
technology and social media to educate the public and students about the negative effects of smoking.
The objective of this study is to identify the level of awareness among students on factors which lead to
smoking behaviour and the negative effects it has on society. This study was conducted on 228
students at the Faculty of Quranic and Sunnah Studies, Islamic Science University of Malaysia. The
research is quantitative in nature using questionnaire method. The quantitative data were then analysed
descriptively in Statistical Package for Social Science (SPSS) to obtain the frequency and percentage.
The finding of the study shows that the level of students’ awareness on factors leading to smoking
habit is at a satisfactory level. The students are aware that peers are the main contributing factor
towards smoking habit. The level of awareness on the harmful effects of smoking is also at a
satisfactory level. The students’ awareness is influenced by their field of study which is Islamic studies
as well as their modest purchasing power considering their average family income range from RM1000
to RM3000. The conclusion of the study is the importance to educate students on the harmful effects of
smoking, as well as to maintain the level of awareness among them.
Burden of communicable diseases and cost of illness: Asia pacific region

Shah S, Abbas G, Riaz N, Anees Ur Rehman, Hanif M, Rasool MF

Expert Rev Pharmacoecon Outcomes Res, 2020 Aug;20(4):343-354.
PMID: 32530725 DOI: 10.1080/14737167.2020.1782196

BACKGROUND: Communicable diseases such as AIDS/HIV, dengue fever, and malaria have a great burden and subsequent economic loss in the Asian region. The purpose of this article is to review the widespread burden of communicable diseases and related health-care burden for the patient in Asia and the Pacific.
AREAS COVERED: In Central Asia, the number of new AIDS cases increased by 29%. It is more endemic in the poor population with variations in the cost of illness. Dengue is prevalent in more than 100 countries, including the Asia-Pacific region. In Southeast Asia, the annual economic burden of dengue fever was between $ 610 and $ 1,384 million, with a per capita cost of $ 1.06 to $ 2.41. Globally, 2.9 billion people are at risk of developing malaria, 90% of whom are residents of the Asia and Pacific region. The annual per capita cost of malaria control ranged from $ 0.11 to $ 39.06 and for elimination from $ 0.18 to $ 27.
EXPERT OPINION: The cost of AIDS, dengue, and malaria varies from country to country due to different health-care systems. The literature review has shown that the cost of dengue disease and malaria is poorly documented.
Fulltext Prevalence and predictors for Post-Traumatic Stress Disorder (PTSD) among firefighters: a systematic review

Muhammad Naim Mat Salleh, Halim Ismail, Hanizah Mohd Yusoff

Int J Public Health Res, 2020;10(1):1183-1194.
MyJurnal

Emergency work with regular exposure to traumatic events may cause a large burden of mental health consequences. Among the first responders, firefighters are generally said to have a larger risk for PTSD as they involve directly and indirectly with critical incidents and traumatic events as part of their duties. This systematic review will determine the prevalence of PTSD and identify factors which associated to the PTSD among firefighters.
Fulltext The use of complementary and alternative medicine among malaysian chronic kidney disease patients

Muhammad Yusuf, A.S., Abdul Halim, A.G., Shamsul Azhar, S.

Medicine & Health, 2019;14(2):219-234.
MyJurnal

Many of our chronic kidney disease (CKD) patients venture into complementary and alternative medicine (CAM) to seek a cure for the disease beyond conventional management. The objective of this study was to determine the prevalence and pattern of CAM usage; and its association with the progression of CKD in our population. This was a cross-sectional survey recruited CKD patients from Universiti Kebangsaan Malaysia Medical Centre (UKMMC). Data was collected via interview using questionnaires which explore the demographics, type and pattern of CAM use. Patients’ comorbidities and serum creatinine were extracted from the medical notes to assess the association between progression of CKD and usage of CAM. Chi-square, Independent Samples t-test, Mann-Whitney U test and logistic regression were used to evaluate for an association. Three hundred and seventy two eligible patients were recruited. The prevalence of CAM use was 29% in the past year. Younger age, higher education and higher income level were associated with significantly more usage of CAM. Natural products were the commonest type of CAM used (86.1%). The belief in the effectiveness of CAM was the main reason for its uptake and about 57.8% revealed their practice to their physician. We found that the use of CAM in Malaysian CKD patients did not influence the progression of the disease.
Fulltext Genipin-crosslinked gelatin scaffold in tissue engineering: a systematic review

Muhammad Mior Amirul, A., Mohd Heikal, M.Y., MH Busra, F.

Medicine & Health, 2019;14(2):1-16.
MyJurnal

Gelatin has been frequently used in tissue engineering scaffold due to its favorable biological properties in wound healing enhancement. Genipin, a natural compound derived from Gardenia plants, was shown to be effective in improving physicochemical characteristics of the gelatin scaffold. This systematic review reported the utility of genipin as a crosslinker in gelatin scaffold fabrication. Two electronic databases, namely Scopus and MEDLINE via Ebcoshost were searched for publication between January 1999 and December 2018, using the keywords ‘gelatin’ and ‘genipin’. Articles published in English, reporting the utility of genipin in the fabrication of gelatin sponge were included. The keywords search yielded 830 articles, in which 14 articles were selected and examined in this review. The result of the search provided input in terms of the optimum concentration, crosslinking temperature, and fabrication method of genipin to be used. From the literature, it was found that 0.5% is the optimum genipin concentration and 25˚C is the optimum crosslinking temperature. The result also revealed a gap in the knowledge regarding genipin crosslinker and justifies the need to create awareness of the utility of genipin as a gelatin scaffold crosslinker. The current review provides an extensive overview on the current knowledge on genipin crosslinking and be a guide to an optimal fabrication of the genipin-crosslinked gelatin scaffold.
Fulltext Posterior polymorphous dystrophy: an unusual presentation

Muhammad Syamil, M.S., Umi Kalthum, M.N., Jemaima, C.H.

Medicine & Health, 2019;14(1):191-196.
MyJurnal

Posterior Polymorphous Dystrophy (PPD) is a rare, innocuous and asymptomatic condition in which corneal endothelial cells display characteristics similar to epithelium. It is often bilateral and frequently asymmetric. We report a case of a 10-year-old girl with a family history of glaucoma who presented with right eye blurring of vision since few years. She had frequent spectacle-prescription changing due to unimproved visual acuity. Cycloplegic refraction revealed high astigmatism and moderate amblyopia over the right eye. Her best corrected vision was 6/9 for the right and left eyes. Slit-lamp examination showed a vesicular-like lesion at the periphery of corneal endothelial layers in both eyes. Endothelial cell density was much reduced on the right eye compared to the left, with more severe astigmatism. Other ocular examinations were unremarkable. Patient was instructed to patch her better left eye periodically. Although patients with Posterior Polymorphous Dystrophy (PPD) present at the age of adulthood, the age at diagnosis is highly variable. It is rare and inherited through an autosomal dominant pattern. PPD may rarely lead to astigmatism, by which was present in the patient due to the features of non-keratoconic and keratoconic cornea on the right and left eye, respectively. Endothelial cell counts were reduced more on the right eye compared to the left, which later may worsen her visual acuity thus indicating corneal transplant in the future. Patient also had a strong family history of glaucoma. Hence, screening of associated disease of corneal endothelial dystrophy in the family may be necessary.

Filters

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links