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  1. Fulltext Central retinal artery occlusion and ophthalmoplegia following spinal surgery in the prone position
    Asok T, Aziz S, Faisal HA, Tan AK, Mallika PS
    Med J Malaysia, 2009 Dec;64(4):323-4.
    PMID: 20954560 MyJurnal
    A 14 year old boy underwent a 7 hour long spinal surgery for scoliosis in the prone position. In the immediate postoperative period, he developed right proptosis, periorbital swelling, chemosis and total ophthalmoplegia. The vision in his right eye was only counting fingers and the intraocular pressure was 68 mmHg. Fundus examination revealed occlusion of the right central retinal artery. A rare manifestation of both vein and artery occlusion was possible in this patient as a result of external ocular compression due to a prolonged period in the prone position. This report highlights the importance of being aware of the possible complications of external ocular compression in non-ocular surgery.
  2. Pattern of ocular trauma in kuching, malaysia
    Mallika P, Tan A, Asok T, Faisal H, Aziz S, Intan G
    Malays Fam Physician, 2008;3(3):140-5.
    PMID: 25606139 MyJurnal
    OBJECTIVES: To analyze the causes and characteristics of ocular injuries presenting to Sarawak General Hospital (SGH), Kuching.

    DESIGN: It is a prospective hospital-based study done for a period of 1 year.

    SETTING: Department of Ophthalmology, Sarawak General Hospital, Malaysia.

    PARTICIPANTS: All ocular injury patients seen for the first time in the Eye Department during the period January 2006 to December 2006 were included in the study. Eye injury patients on follow-up and treated elsewhere were excluded.

    RESULTS: A total of 233 patients, and 257 eyes, were studied. Men had six-fold higher rates of injury than women. The average age of presentation was 30 years. The predominant age group was between 21-30 years, 26.2 % (n=61). Eye injuries related to work were seen in 36.9% of patients. There was a gross negligence in the use of personal protective devices in the work-related group. The common settings in which the injuries occurred included home 34.3% (n=80) and industrial premises 31.8% (n=74). Assault-related injuries 7.7% (n=18) were seen mostly among young men in the age between 20-30 years. The initial presenting visual acuity of the patients with blunt ocular trauma was better than penetrating injury.

    CONCLUSION: Ocular injuries were common in young males. Work related eye injuries were noted in a significant number of cases. Health education and preventive strategies both in the working place and at home will help to decrease the occurrence of ocular injuries.

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