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Journals and Conferences
Ligation under controlled hypotension is a simple, quick and effective surgical management of patent ductus arteriosus. In this study 413 cases are reviewed: clinical presentations, cardiac catheterization and operative findings are studied in relation to the surgical procedures. Ligation of the ductus was the treatment of choice in 357 cases irrespective… (More)
In May 2008, a 21-year-old single, non-obese, diabetic lady was referred to our clinic for routine eye examinations. The patient had been diagnosed with diabetes mellitus three months earlier and was receiving 100 milligrams of metformin daily and 80 milligrams of gliclazide twice daily orally, consistently maintaining her blood glucose levels between 72-90… (More)
A fractured tracheostomy tube is a rare complication; cases have been reported in the past, usually associated with prolonged usage in patients with chronic airway obstruction. We present here a fracture occurring in a new tube, and also describe a method for retrieving the tube from the tracheobronchial tree.
Kearns-Sayre syndrome (KSS) belongs to the group of neuromuscular disorders known as mitochondrial encephalomyopathies. It has characteristic syndromal features, which include: chronic progressive external ophthalmoplegia, bilateral atypical pigmentary retinopathy, and cardiac conduction abnormalities. So far, only a single case has been reported where a… (More)
Mutations in the PAX6 gene that cause aniridia have been identified in various ethnicities but not in the Malaysian population. Therefore, the objective of this study was to investigate the PAX6 mutation in a Malaysian family with congenital aniridia. In this study, a complete ophthalmic examination was performed on a Dusun ethnic family with aniridia.… (More)
One of the less known complications in thyroid surgery is the development of an arteriovenous (A.V.) fistula. Reports of this unusual condition have appeared only six times in English literature. In each of the reported cases, the A.V. fistula, appeared after thyroidectomy. A patient is presented here that illustrates the clinical presentation and the… (More)
An 11-year-old boy was involved in an injury with a fish-hook to his eye. The hook had impaled itself to the cornea and deeper structures. There was associated corneal edema and hyphema, making visualization difficult. In this case, we performed the unusual "cut-it-out" technique to remove the hook from the eye.
Pigmentary glaucoma (PG) is considered as an entity within the spectrum of secondary open angle glaucomas. The condition usually starts in the third or fourth decades of life with disruption of the iris pigment epithelium. The released pigment granules deposit on anterior segment structures such as the corneal endothelium, trabecular meshwork and… (More)
BACKGROUND Plasmodium knowlesi causes severe malaria, but its pathogenesis is poorly understood. Retinal changes provide insights into falciparum malaria pathogenesis but have not been studied in knowlesi malaria. METHODS An observational study was conducted in Malaysian adults hospitalized with severe (n = 20) and nonsevere (n = 24) knowlesi malaria… (More)