1.Cultivated oral mucosal epithelial transplantation (COMET) andpenetrating keratoplasty in long-standing severe ocular surface injury
Ing Hong Lim ; Rohanah Alias ; Thiageswari Umapathy ; Amir Samsudin
The Medical Journal of Malaysia 2019;74(5):433-435
Ocular chemical injury is a true ophthalmic emergency
requiring immediate medical intervention. Damages can be
devastating and potentially resulting in blindness, corneal
perforation and phthisis bulbi. We describe here a
successful treatment outcome in a patient who sustained
Roper-Hall Grade 4 injury to both eyes. Patient received
medical therapy followed by serial ocular surgeries with
eventual visual recovery in one eye from counting finger to
6/15 after a decade. In conclusion, after maximum medical
therapy, a carefully planned serial surgeries of cultivated
oral mucosal epithelial transplantation (COMET) and PK has
proven beneficial for this patient with advanced limbal stem
cell deficiency (LSCD).
2.Microbial keratitis in West and East Malaysia
Ratnalingam VANITHA ; Umapathy THIAGESWARI ; Sumugam KALA ; Hanafi HANIDA ; Retnasabapathy SHAMALA
International Eye Science 2017;17(11):1989-1992
AIM:To evaluate the epidemiological and etiological factors of microbial keratitis seen in tertiary hospitals in West and East Malaysia.METHODS:A total of 207 patients were enrolled.Patients referred for microbial keratitis to Sungai Buloh Hospital and Kuala Lumpur Hospital in West Malaysia and Queen Elizabeth Hospital and Kuching General Hospital in East Malaysia were recruited.Risk factors were documented.Corneal scrapings for microscopy and culture were performed.RESULTS:The most common risk factor in West Malaysia was organic trauma (28.5%) followed by non organic trauma (18.3%);27.7% of trauma cases was work related with 34.2% involving male foreign workers.The most common risk factor in East Malaysia was contact lens wear (32.9%).Pseudomonas aeruginosa was the most common organism isolated in both places.The most common fungal pathogen in West Malaysia was Fusarium spp representing 60% of all positive fungal cultures.CONCLUSION:In West Malaysia organic trauma was the most common risk factor seen in public hospitals here whereas,contact lens wear was the most common risk factor in East Malaysia (P< 0.05).Fungal keratitis was more commonly seen in West Malaysia.