Ropilah Binti Abdul Rahman, Assoc. Prof. Dr.
http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/6439
2024-03-28T21:02:23ZAcute Submacular Haemorrhage: A case of Early Spontaneous Displacement
http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/28469
Acute Submacular Haemorrhage: A case of Early Spontaneous Displacement
Izwan Kamal Tan; Mushawiahti Mustapha; Ropilah Binti Abdul Rahman, Assoc. Prof. Dr.
A case report of submacular haemorrhage that spontaneously displaced within 24 hours, thereby improving visual acuity. A case of subretinal haemorrhage over the macula of the right eye was presented to the eye clinic. The visual acuity of the affected eye was "counting fingers" at presentation. The patient was asked to return the next day for a pneumatic displacement of subretinal blood and was instructed on how to properly propped her head at home. Visual acuity of the affected eye improved dramatically to 6/24 the next day. Fundus examination showed a smaller submacular haemorrhage which was away from the foveal area.
2021-12-01T00:00:00ZInflammatory Lens Deposition Following Supramid Ripcord Removal
http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/28468
Inflammatory Lens Deposition Following Supramid Ripcord Removal
Siti Izzaifa Hassan; Tang Seng Fai; Norshamsiah Md Din; Ropilah Binti Abdul Rahman, Assoc. Prof. Dr.
This is a case report of anterior chamber inflammation after removal Supramid intraluminal Stent suture used to prevent postoperative of hypotony in a patient with non-velved Glaucoma drainage device (GDD). Removal of Ripcord Supramid intraluminal stent from galucoma drainage device caused sudden ocular decompression and hypotony, this induced breakdown in the blood-aqueous barrier (BAB) causing anterior uveitis and deposition on the anterior surface of the intraccular lens. In conclusion, hypotony following removal of the intraluminal Supramid stent result in intraocular inflammation.
2021-12-01T00:00:00ZThe Use of Multifocal Electroretinogram to Predict Progression of Diabetic Retinopathy
http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/11893
The 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 Report
http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/11891
Severe 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.
2018-06-01T00:00:00Z