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    Zuri Natul

    Uploaded by

    dr.mann

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    © All Rights Reserved
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    Zuri Natul

    Uploaded by

    dr.mann
    3 views2 pages

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    © © All Rights Reserved

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    Copyright:

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    3 views2 pages

    Zuri Natul

    Uploaded by

    dr.mann

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    57 yo/ Malay Lady

    u/L DM, HPT, ESRF HD 1,3,5

    ∆ RE Endophthalmitis with Subretinal Abscess & Inferior RD

    - p/w RE progressive BOV 2 weeks after intravitreal anti VEGF injection (DEC 2021) a/w eye
    redness and pain, floaters, treated as exogenous endoph in H. Mizan then referred for PPV
    - (31/12/2021) RE Diagnostic Vitrectomy/IVT Vanco& Fortum
    o Gram stain: pus cells+, C+S NOG
    o KOH: neg, Fungal C+S: NOG
    o TB PCR: neg
    o Cytology: no evidence of malignant cells
    o Immunophenotype: Inconclusive

    - Referred selayang for choroidal mass biopsy


    - (21/1/2022) RE PPV/ Vitreous washout/Retinectomy/subretinal fluid drainage/ EL/ IVT Fortum&
    Vanco/Sio 5000 (Selayang) - Dr Khairuddin/Dr Zabri
    o Gram stain: few pus cells, C+S NOG
    o Cytology: Atypical cell seen, lymphoproliferative lesion cannot totally excluded
    o HPE: not valid as the sample received - fluid, not tissue
    - (3/2/2022) Last IVT antibiotic (Selayang)

    Currently c/o worsening right sided headache, no nausea/vomiting


    On regular t.pcm 1g- pt took 4hrly, no body weaknesses

    Examination RE LE
    VA HM 6/9 niph
    Conjunctiva Generalized injection, no White
    dilated/ torturous vessel
    Cornea Clear, endothelium-Old KP’s Clear
    AC Cells 3+, Deep Deep/Quiet
    Pupil Round, pharmacodilated 5 3mm, round, RTL
    mm, no PS
    Lens NS + NS+
    IOP 12 10
    Anterior Vitreous Cells - -
    Fundus Silicone oil filled 80% OD pink, CDR 0.3, multiple
    OD covered by fibrosis DBH in all quadrant , No
    Previous yellowish subretinal NVE/NVD
    exudate more fluffy /dense Subretinal hypodense lesion,
    no HE
    Current medication: Gutt fortum 5% QID RE

    Gutt Vancomycin 5% QID RE

    Gutt Pred Forte 4hourly RE

    Gutt Atropine 1% TDS RE

    Occ Duratears TDS RE

    Gutt ATPF 2hourly BE

    We referring for KIV drainage. Thank you

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