Journal Articleshttp://unisep.lib.unishams.edu.my/xmlui/handle/123456789/70132024-03-29T06:55:57Z2024-03-29T06:55:57ZThe Use of Multifocal Electroretinogram to Predict Progression of Diabetic RetinopathyHaizul Ikhwan M., Dr.Faridah Hanum A., Dr.Norshamsiah MD., Dr.Ropilah binti Abdul Rahman, Assoc. Prof. Dr.Sabrizan O., Dr.Hazlita I., Dr.http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/118932020-02-10T14:19:59Z2018-06-01T00:00:00ZThe Use of Multifocal Electroretinogram to Predict Progression of Diabetic Retinopathy
Haizul Ikhwan M., Dr.; Faridah Hanum A., Dr.; Norshamsiah MD., Dr.; Ropilah binti Abdul Rahman, Assoc. Prof. Dr.; Sabrizan O., Dr.; Hazlita I., Dr.
The primary cause of visual loss in diabetic retinopathy (DR) is macular edema. Predicting the occurrence of diabetic macular edema may allow institution of early treatment in diabetic patients. A
prospective observational study was conducted to determine whether abnormal implicit time in multifocal ERG or mfERG (mfERG IT) within the macular region can predict progression of DR after oneyear. A total of fifty patients with type 2 diabetes and mild to moderate non-proliferative diabetic
retinopathy (NPDR) was utilized. At baseline, patients’ mfERG from 61 retinal points within 35 degrees
from the center of fovea were recorded and fundus photographs were taken at baseline and 12 month.
mfERG IT at baseline were measured and fundus photograph were used to monitor progression of DR
within 1-year. The result revealed that 1552 retinal points with abnormal mfERG IT showed DR progression after 1 year. Relative risk of DR progression among retinal points with abnormal mfERG IT
at baseline were 6 times greater than retinal points with normal mfERG IT (RR 6.21; p < 0.001). mfERG
IT at baseline has 89.9% sensitivity and 81.7% specificity to predict progression of DR. In conclusion,
abnormal mfERG IT provides an objective assessment of local retinal health in diabetes and may be
useful to predict DR progression.
2018-06-01T00:00:00ZSevere Ocular Neonatal Herpes Simplex Virus Type 2 Infecton : A Case ReportMuhammad Najmi K., Dr.Aida Zairani MZ., Dr.Norshamsiah MD., Dr.Ropilah binti Abdul Rahman, Assoc. Prof. Dr.http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/118912020-02-10T14:21:34Z2018-06-01T00:00:00ZSevere Ocular Neonatal Herpes Simplex Virus Type 2 Infecton : A Case Report
Muhammad Najmi K., Dr.; Aida Zairani MZ., Dr.; Norshamsiah MD., Dr.; Ropilah binti Abdul Rahman, Assoc. Prof. Dr.
We reported a case of a 42 days old baby girl who was diagnosed with bilateral acute retinal necrosis with tractional retinal detachment. She was earlier diagnosed to have disseminated Herpes Simplex Virus (HSV) type 2 infection with encephalitis and treated by the paediatrics team with intravenous aciclovir. She was referred for routine eye assessment and dilated fundus examination revealed extensive peripheral retinal necrosis with some areas of resolving retinitis involving the right macula but sparing the left macula. The ocular disease progressed and tractional retinal detachment developed bilaterally needing vitreoretinal intervention. However, her systemic diseases worsened and she passed away at another tertiary hospital while waiting for the vitreoretinal surgery. This case demonstrates that a patient with such severe retinal necrosis might have normal anterior segment findings. Therefore, it is recommended that all neonates with systemic herpetic infection should be referred ophthalmological assessment early even in the absence of external eye signs as early antiviral treatment can minimise complications of acute retinal necrosis.
2018-06-01T00:00:00ZCorticosteroid-Induced Glaucoma in Severe Vernal Keratoconjunctivitis : Tube or TrabeculectomyNew Swe Hui, Dr.Norshamsiah Md Din, Dr.Ropilah binti Abdul Rahman, Assoc. Prof. Dr.Suresh Kumar Vasudevan, Dr.http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/118732020-02-10T14:40:41Z2017-06-01T00:00:00ZCorticosteroid-Induced Glaucoma in Severe Vernal Keratoconjunctivitis : Tube or Trabeculectomy
New Swe Hui, Dr.; Norshamsiah Md Din, Dr.; Ropilah binti Abdul Rahman, Assoc. Prof. Dr.; Suresh Kumar Vasudevan, Dr.
Vernal keratoconjunctivitis (VKC) is a severe form of ocular allergy that affects primarily children and young adults living in areas with warm climates. While VKC is self-limiting, chronic forms in Asian eyes may be at higher risk of permanent visual impairment because of complications such as corneal scarring, cataract formation and glaucoma secondary to corticosteroid therapy. The incidence of glaucoma secondary to corticosteroid therapy is 2–7%, most often requiring filtering surgery. We present a case demonstrating the outcome of surgery in a patient; trabeculectomy in one eye versus
Tube/shunt in the other.
2017-06-01T00:00:00ZPerforming Phacoemulsification While Standing for Patient Who Is Unable to Lie FlatNur Aqilah S., Dr.Norshamsiah binti Md Din, Dr.Mazaya binti Mahmud, Dr.Ling Teik June, Dr.Ropilah binti Abdul Rahman, Assoc. Prof. Dr.Othmaliza binti Othman, Dr.http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/118612020-02-10T14:44:14Z2017-06-01T00:00:00ZPerforming Phacoemulsification While Standing for Patient Who Is Unable to Lie Flat
Nur Aqilah S., Dr.; Norshamsiah binti Md Din, Dr.; Mazaya binti Mahmud, Dr.; Ling Teik June, Dr.; Ropilah binti Abdul Rahman, Assoc. Prof. Dr.; Othmaliza binti Othman, Dr.
Phacoemulsification in patients who are unable to lie flat can be challenging for ophthalmic surgeons. Difficulty in positioning the head can lead to inadequate surgical exposure, and awkward position of the body may lead to unnecessary
high vitreous pressure and subsequent posterior capsule rupture. We describe a standing phacoemulsification technique for bilateral cataract in a patient who is morbidly obese, positioned at 30 degrees inclination in a reverse Trendelenburg position with hyperextension of the neck.
2017-06-01T00:00:00Z