Browsing by Author "Lim, Lik Thai"

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    Macula Retinal Vasculitis and Choroiditis Associated with Granulomatosis with Polyangiitis
    (Wolters Kluwer, 2017) Lim, Lik Thai; Vasudevan, Vinaya; Shelton, Julie; Vitale, Albert T.; Moorthy, Ramana; Ophthalmology, School of Medicine
    Purpose: To report a case series of two cases of granulomatosis with polyangiitis, previously known as Wegener granulomatosis, which developed macular necrosis, not previously associated with granulomatosis with polyangiitis, healed with fibrosis, despite aggressive immune-modulating therapy and good control of systemic disease. Methods: Case series of two cases with observation of treatment progress. Results: The results reported the progress of response to treatment in the two cases, which resulted in the final outcome of fibrosis in the macula region, despite being on aggressive immune-modulating therapy and good systemic control. Conclusion: Granulomatosis with polyangiitis can be associated with macular necrosis leading to fibrosis, unresponsive to immune-modulating therapy.
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    The management of gas-filled eyes in the emergency department
    (Hindawi, 2014-11) Lim, Lik Thai; Ah-kee, Elliott Y.; House, Beve P.; Walker, Jonathan D.; Medicine, School of Medicine
    BACKGROUND: Intraocular gas bubbles are commonly used in retinal surgery. There are specific management guidelines that need to be followed to ensure surgical success, and there are also unique ophthalmic and systemic complications that can occur in such patients. OBJECTIVE: To educate emergency department personnel about important issues in the management of patients who have a gas-filled eye following retinal surgery. CASE REPORT: A patient with a gas-filled eye developed several complications including pain, severe vision loss, high-grade atrioventricular (AV) block, and pneumocephalus. CONCLUSION: Awareness of potential problems that may arise in patients with gas-filled eyes who present to the emergency department may help minimize morbidity for such patients.