http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/6439 Wed, 22 Apr 2026 22:11:08 GMT 2026-04-22T22:11:08Z http://localhost:80/xmlui/bitstream/id/2e88b4d2-3614-408f-9681-8d8b3117e2e2/ http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/6439 http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/32098 Rubber Bark Fungal Kerantitis in a contact lens wearer Fatin Noor Farzana Mohd Shaful Bahri; Muzaliha Mohamed Nor; Ropilah Abdul Rahman Fungal keratitis is one of the leading cause of vision threatening ocular morbidity. Due to its slow pathologic progress, it posts a clinical diagnostic challenge. The increasing trend of fungal keratitis is attributed to the use of contact lens, non-judiciary corticosteroid, and corneal trauma by vegetative matter. We report a case of fungal keratitis in a 33-year-old man who has 2 risk factors; a contact lens wearer and corneal trauma by vegetative matter from rubber bark. The initial symptoms mimic bacterial keratitis. A presumptive diagnosis of fungal keratitis was made on 5 days after symptoms started based on the characteristic Slit-lamp biomicroscopic signs and treatment with topical as well as systemic antifungal drugs was started. In the absence of fungal elements and a positive culture, recognizing the characteristic appearance enable immediate treatment and minimizing complication, resulting in good outcome. Wed, 01 Nov 2023 00:00:00 GMT http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/32098 2023-11-01T00:00:00Z http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/32097 Diplopia Post Glaucoma Drainage Device (GDD): A Case Series Izzaifa Hassan; Norshamsiah Md Din; Jemaima Che Hamzah; Ropilah Abdul Rahman Diplopia is one of complications of glaucoma treatment especially patient treated with glaucoma drainage device (GDD) due to restrictions of the ocular motility. We reported a series of three cases who developed diplopia following GDD surgery. Case 1, a 46-year-old man who had right eye Baerveldt done in February 2021 after previous 2 trabeculectomies failed. Case 2, a 38-year-old man, a case of bilateral pseudophakic glaucoma. who had bilateral Ahmad glaucoma valve implant 19 years prior. Case 3, a 34-year-old lady who underwent right eye Ahmed glaucoma valve implant in 2004 for congenital glaucoma. All cases developed ocular motility problem and diplopia post operatively. Diplopia is an important complications of glaucoma drainage device which affect the patients with existing restricted visual function. It is important to counsel patients on the occurrence of diplopia associated with GDD surgery. Wed, 01 Nov 2023 00:00:00 GMT http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/32097 2023-11-01T00:00:00Z 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. Wed, 01 Dec 2021 00:00:00 GMT http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/28469 2021-12-01T00:00:00Z 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. Wed, 01 Dec 2021 00:00:00 GMT http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/28468 2021-12-01T00:00:00Z