Management of cataract and its complication after surgery in a child with complex congenital cataract where accompanied by other ocular abnormality can pose a great surgical challenge. This case report described a case of an 18-year-old girl with slowly decreasing vision after undergoing surgery charity on the right eye (RE) around 4 months ago due to cataract which she had since birth. Best corrected visual acuity (BCVA) preoperatively of the RE and LE was 6/60 and 0,5/60 respectively. Ocular assessment was pseudophakia with Posterior Capsular Opacity (PCO) on the RE and cataract on the left eye (LE) accompanied by microcornea, nystagmus and coloboma of iris and retina on both eyes. Secondary posterior capsulotomy surgery was done on the RE and cataract extraction, Primary Posterior Capsulotomy (PPC) on the LE with Anterior Vitrectomy (AV) on both eyes. Last follow-up postoperatively showed a significant improvement of uncorrected visual acuity on her RE from 0.5/60 preoperatively to 6/30, meanwhile only subjective improvement of VA was found on her LE. This case can achieve visual improvement with promptly surgical treatment without complication and routine monitoring still needs to be done.
Paediatric orbital subperiosteal abscess (SPA) requires prompt and appropriate treatment to prevent further complication. A 10-year-old girl with a history of sinusitis came with progressive swelling on her left eye, non-axial proptosis and visual acuity (VA) was 2/60. A computed tomography scan revealed a SPA formation in the superior left orbit. This report highlights that intravenous antibiotic with incision and drainage surgery improved the VA with resolution of proptosis and swelling.
Background: Postpartum women are commonly prescribed with non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, which is effective for pain management. However, NSAIDs were known to induced hypertension. Thus, the use of NSAIDs in postpartum women with hypertension is still controversial due to a lack of evidence. This study aims to identify the use of ibuprofen as postpartum analgesics in women with hypertensive disorder of pregnancy. Methods: A systematic literature search was conducted using specific keywords with medical subheading (MeSH) terms on PubMed, EBSCOhost, Cochrane, and ProQuest for primary studies published from January 2009 – December 2019. Two authors independently screened and assessed the potential studies using inclusion criteria. The quality of the randomized controlled trial studies was assessed with JADAD scale and Newcastle-Ottawa Quality Assessment Scale (NOS) was used to assess the quality of cohort studies. Result: After screening the literature, four randomized controlled trials (RCTs) and two retrospective cohort studies were identified, comprising of 895 total patients. All studies except one RCT showed that ibuprofen did not increase postpartum blood pressure in postpartum women with hypertensive disorders of pregnancy compared with women without the exposure of NSAIDs. Those who were receiving ibuprofen showed no difference in postpartum mean arterial pressure (MAP) compared to control. No significant adverse events were also found in postpartum women. Discussion: This review demonstrates that the use of ibuprofen may be beneficial and can be used for postpartum women with hypertension. However, further studies with a larger population are still needed to confirm these results.
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