http://oer.ums.edu.my/handle/oer_source_files/2393 2026-04-05T01:38:52Z http://oer.ums.edu.my/handle/oer_source_files/3419 Vision health program "good eye, god vision for everyone" in detecting refractive error among school children in Kudat, Sabah Shee Wen, Chua; Siti Hafizawati, Jusoh; Nur Syafirah Zalaiqah, Ruslan; Nur Syyuhaidah Mahfuzah, Saidil; Halimatul Gustia, Marasal; Sylves, Patrick; Shuaibah, Ab Ghani Purpose: To report the outcomes of the Vision Health Program in detecting refractive error among school children in Kudat, Sabah Methods: In phase I, selected teachers attended the theory and practical workshop regarding refractive error and vision screening. Their level of knowledge and skills in refractive error and vision screening before and after the workshop were assessed through a set of questionnaires. In phase II, teachers performed vision screening among students in their respective schools. Students who had failed the vision screening were referred to the University Malaysia Sabah (UMS) Ophthalmology team for refraction and glasses prescribed (phase III). Results: A total number of 84 teachers from 48 schools were involved in the program. In phase I, prior to program, the knowledge of refractive error and the skills in vision screening among teachers was mainly moderate, 39 (46.4 %) and 33 (39.3%), respectively. After the program, the knowledge and the skills were improved to high level 53 (63.1 %) and 46 (54.8%), respectively. A total more than thousands of students were screened by the teachers at their respective schools. 250 students with visual impairment were referred for refraction. 140 (56%) had refractive errors and required glasses, whereas 6 (2.4 %) had strabismus Conclusion: The findings emphasize the importance of empowering teachers with knowledge and skills in vision screening to ensure early intervention of school children for better visual outcomes. 2025-04-25T00:00:00Z http://oer.ums.edu.my/handle/oer_source_files/3418 Ocular Trauma Anterior Staphyloma: a case of delayed diagnosis leading to enucleation Shee Wen, Chua; Syarul Haziq, Mohd Shah; Nor Fadhilah, Mohamad; Stephanie Evelyn, Fong Mui Ha; Mohamad Israk, Mohamad Isa Purpose: To report a rare case of anterior staphyloma in an 8-year-old boy and highlight the clinical and management considerations. Methods: Case report. Results: An 8-year-old boy was referred to our clinic with a progressively enlarging swelling in his left eye (LE) over four years. He had a history of sand entering his eye during childhood, followed by vigorous eye rubbing, but did not seek medical attention at that time. On presentation, visual acuity was 6/9 in the right eye, while the LE had no light perception. Examination revealed an opaque, pedunculated mass measuring 6x6 cm on the LE, with a vascularised and keratinised surface appearing to protrude from the anterior segment of the globe. An orbital computed tomography scan revealed elongation and anterior protrusion of the LE globe. Following a thorough assessment, enucleation of the LE was performed. Conclusion: Anterior staphyloma is a rare ocular condition requiring careful clinical evaluation to determine the most appropriate management strategy. This case emphasises the importance of early intervention and increased awareness of such conditions in paediatric populations to prevent severe visual impairment. 2025-04-25T00:00:00Z http://oer.ums.edu.my/handle/oer_source_files/3417 An unexpected finding of keratoglobus in down syndrome: a rare case report Shee Wen, Chua; Syarul Haziq, Mohd Shah; Nor Fadhilah, Mohamad; Mohamad Israk, Mohamad Isa Purpose: To present a case of unexpected bilateral keratoglobus in a 12-year-old male patient with Down syndrome. Methods: Case report. Results: We describe a case of a 12-year-old male with Down syndrome who was consulted to our centre for evaluation of buphthalmos, initially suspected to be infantile glaucoma. He had a history of missed ophthalmologic follow-ups for bilateral astigmatism since the age of seven. Over the past three years, his mother had observed a progressive bulging of both eyes and recurrent tearing. A comprehensive ophthalmic examination under anaesthesia was performed. Examination findings revealed diffuse, globular-shaped corneas with deep anterior chambers bilaterally and diffuse corneal thinning, consistent with a diagnosis of keratoglobus. Additionally, bilateral horizontal lower corneal scarring was noted. Intraocular pressure was within normal limits in both eyes. No clinical features suggestive of connective tissue disorders were present. Conclusion: Keratoglobus is a rare and often underrecognized form of corneal ectasia, characterised by diffuse corneal thinning and globular protrusion. Early detection and awareness of this condition are essential for guiding appropriate management and mitigating potential complications, particularly in the paediatric population. 2025-04-25T00:00:00Z http://oer.ums.edu.my/handle/oer_source_files/2898 Retroperitoneal schwannoma and challenges for preoperative diagnosis: A case report Helmy, Ehab; Chin, Yeung Sing; Mohd Fariz, Amri; Abdullah, Nur Ayuni; Pg Baharuddin, Dg Marshitah; M. A. Abdelhafez, Mohsen; Zaw Soe, May Schwannomas are rare neoplasms with non-specific clinical features which may render diagnosis difficult. Ideally, complete surgical excision is preferred, as malignant schwannoma lacks sensitivity to chemo and radiotherapy. We report a 40-year-old female who was referred to our tertiary referral hospital for ultrasound-guided biopsy of a non-palpable left pelvic mass with normal tumour markers and previous history of diffuse large B-cell lymphoma who completed 10 cycles of chemotherapy, with follow-up revealed no bone marrow infiltration by the primary disease. Serial computed tomography suggested retroperitoneal mass while her magnetic resonance imaging of the pelvis revealed a well-encapsulated multiloculated solid cystic mass. The definitive diagnosis was only 2022-12-02T00:00:00Z