1.Orbital Cellulitis from Untreated Conjunctival Wound
Aimy Mastura Zy ; Norshamsiah Md ; Hazlita Mi ; Othmaliza O ; Ropilah Ar
Medicine and Health 2017;12(1):94-98
Orbital cellulitis is a potential blinding condition resulting from infection of the
orbital contents, including the optic nerve. It may be fatal in cases with extension
into the optic canal and subsequently the brain. Common aetiologies include
extension of infection from paranasal sinusitis or preseptal cellulitis. This case report
depicts the unusual occurrence of orbital cellulitis following a trivial superficial
conjunctiva laceration wound from a motor-vehicle accident. Aggressive treatment
with systemic antibiotics resulted in good visual outcome. All wound on or around
the globe must be diligently treated to prevent such detrimental complication.
Orbital Cellulitis
2.Good Anatomical Outcome of Orbital Plasmacytoma Following Chemo-Radiotherapy
Aimy Mastura ZY ; Othmaliza O ; Khairunisa AA ; Norshamsiah MD
Medicine and Health 2017;12(2):341-347
Extramedullary plasmacytoma is a rare complication from multiple myeloma. We report a 56-year-old lady with underlying multiple myeloma who developed swelling over the left eye. It caused a non-axial proptosis, exposure keratopathy and visual acuity of counting fingers. A tissue biopsy revealed infiltration of tissue fragments with neoplastic plasma cells positive for CD138 and Kappa light chain restrictions consistent with plasmacytoma. Following radio-chemotherapy, the mass shrunk tremendously but her visual outcome remained poor.