1.Ocular and renal sarcoidosis in an Asian teenager: a case report
Muji ROSLINAH ; Nor Mohd MUZALIHA ; Selvathurai ANUSIAH ; Omar Raja Norliza RAJA ; Jalaluddin JULIANA ; Jalil Abd Fadzillah NOR ; Shatriah ISMAIL
International Eye Science 2010;10(9):1659-1661
Sarcoidosis typically affects young adults with bilateral hilar lympadenopathy, lung parenchymal disease and/or skin lesion. Childhood sarcoidosis is relatively a rare entity. Concurrent ocular and renal involvements are extremely uncommon especially in childhood sarcoidosis. We presented a case of an Asian teenager with bilateral recurrent anterior uveitis and features of renal failure due to childhood sarcoidosis. He showed remarkable clinical improvements after combination of oral corticosteroids and methotrexate. His final visual outcome was satisfactory following augmented trabeculectomy in both eyes due to intractable glaucoma. It is essential to make a prompt diagnosis and initiate proper management to avoid ocular mobidity in this unusual presentation.
2.Restoring vision with an early penetrating keratoplasty after bee sting injury: a case report
Roslinah MUJI ; Muzaliha Mohd NOR ; Anusiah SELVATHURAI ; Raja Norliza Raja OMAR ; Juliana JALALUDDIN ; Norfadzillah Abd JALIL ; Shatriah ISMAIL
International Eye Science 2009;9(10):1852-1854
·A 27-year-old man was stung by a bee presented with severe pain in the right eye. It was associated with reduced vision and swelling of the eyelids. A retained stinger was identified at the center of the cornea, surrounded by dense corneal oedema and numerous folds in the Descemet's membrane. The sting was removed completely. He subsequently developed persistent corneal oedema and heterochromia iridis. He was treated with intensive topical steroids. He underwent penetrating keratoplasty five months after the injury. His visual acuity was satisfactory one year after the surgery. Corneal oedema is an uncommon complication of bee sting injuries. It can be persistent and results in severe visual impairment. An early penetrating keratoplasty offers a good visual outcome after bee sting injury.