Posted by bobble at 06:04 PM on June 13, 2008.
Dear frens.... let us welcome little baby Goh into the family.... she has no name yet, tt's y she's called bab goh for the moment... she's come into this world on the 12-06-08 16:03.... her vital statistics are:
so here's a picture of her 4 hrs old....
Posted by bobble at 03:15 PM on June 9, 2008.
looks like almost every weekend i'm out.. hehe.... out playing, talking cok, eating, blah blah blah.... except staying home and be guai guai gal.... :p
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07-06-08 saturday:
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i was at home the whole day reading up.... hmmm but of cos as night falls, i'm out.... haha... went to a wedding dinner of my cousin... its held at marina meritus orchard road.... there's just so many people at orchard.... omg.. we couldnt find parking lot at all... the whole place is full... the ushers directed us to park at orchard link, but its the same... full!!! in the end my brother parked opposite across the road... i think its behind heerens....
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before that i had already arranged with yihong and gang to meet for dinner.... the wedding dinner was a last min thingy, as in someone last min den inform mi of the dinner.... so in the end i went to the wedding dinner halfway and left to join my colleagues....
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here is helipad... its at central overlooking clarke quay.... it has many nice views....
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it makes u go wow....
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and here's mi happily drinking... hehe...
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here's the little gals gang....
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trying different poses....
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and here's the 'adults'
overall its a nice place to be in.... surprisingly there wasnt many people around... hmmm... speculating that this is a relatively new place, tt's y there's not so many people around.... but this place has a very unique entrance door.... too bad i didnt get a picture of the door.... its a lift look alike door... and wen the door opens, u'll walk into a dark corridor.... its very interesting to walk through that corridor... as u walk, the floor will light up under ur foot steps... it feels so fantasy.... hehe... if there's eva another chance, i shall take a picture of the place..... its a nice chill out place if there's not so many people....
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one more thing.. i'm impress with my camera... haha...
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08-06-08 sunday:
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its another scheduled day outing at MrTan Ai Swee's home....
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ops... a little gambling den... haha...
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the banker....
of cos there were food.... we ate golden pillow, but i guess i was too busy eating, i forgot about taking pictures... haha... then there was watching movies... the ever favoutrites by popluar demand: wu jian dao (无间道）。。。。its so nice to be watching it again.... u'll start to remember many parts and get to understand more of the movie...
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just random pics taken at the park connectors... again, i love my camera... haha...
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eeks... look at my fingers!!! OMG!!! somethings happening!!! i didnt put black on my fingers... my finger nails were coloured pink...!!
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directions anyone???
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and this is the trail.... metal pieces put together... its quite scarey for those people who are afraid of heights... one major advise for people who are afraid and still wanna walk the trail.... DUN LOOK DOWN.... dun look down through ur feet... cos u'll really break into cold sweat, legs will start feeling 'soft'...
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trying different camera functions...
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oh... did i say, the trail is actually quite shaky.... wen people walk pass, u can actually feel it moving.... :p there are also certain parts of the trail tat's totally dark.... no lights at all.... its quite an adventure....
Posted by bobble at 11:31 AM on June 6, 2008.
haha.. i'm on leave again!!! yeah.... hehe... but it gets quite boring after sometimes.... think this year is the best working year i'll eva hav... i've been clearing leave and off days since the begining of the year.... bascially i can even count the number of weeks i've been working... hehe.... i'm going to miss this tai tai life man... haha....
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i've been a lazy 'tai tai'... haha... BUT i've made a second attempt of the bailey's cheesecake... hehe.... this time it looks slightly nicer....
just slightly.... :p
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tuesday 03-06-08:
movie night out.... we were going to watch "sex and the city".... its a nice gal show... haha... guess if guys see it they'll think its boring.... anywayz, here are some pics taken before going off to lido.... hungry galz busy eating and rushing for time...
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each one of us choose an item to buy and share it amongst us.... and i choose FRUITS!!! wahaha... so healthy.... howeva, fruits are so so expensive.... one mango slice cost $3 i might as well buy from super market and cut it myself.... i ordered two honeydew slices, one watermelon, one mango and one 'li' (pear like fruit, but tastier), and it cost mi $7.50!!! so damn expensive man.... even my hosp canteen also selling so much cheaper.... each piece only cost 50cents.... wateva... i'm just trying to eat more healthily.... hehe... look at how fat i am!!! OMG....
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i'm begining to detest myself... :p only such bad quality pictures can hide my flaws... haha.... a little....
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everyone's all dressed up....
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so here's some left over food.... hungry galz eat until there's not much left... before i realize i havent taken a picture of wat we ordered.... well... here's some of the remnents....
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wednesday 04-06-08:
supposedly CML farewell dinner at minds cafe..... howeva a few people last min cant turn up.... poor cml.. she's so sad..... BUT!!! its hard to be sad wen u are playing at minds... haha... so here we go playing many different games, screaming our heads off and getting injured by the finger nails... haha... i'm one of the culprits.... :p
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i like this blur picture of mi... cos it hides many flaws.. haha....
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while playing saboteur with cml... hehe.... she's so not into taking picture with mi.. .hahaha...
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here's the my nice guy our Ortho reg James Tan... haha.... hey people dun bully him in OT lah.. hehe...
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yasin our cheeky CT-in-charge....
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at the end of the day, our tired looks... haha.... playing those games are really physically and mentally straining....
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"fun" looks.... WE HAD FUN!!!
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the injured patients.... haha.... poor guys....
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Posted by bobble at 12:08 AM on May 28, 2008.
I've written so many things and my comp just go off like that!!! ARGHZ!!! sp irritating again!!! i hate tabulas for always being unable to save the things we type....
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anyway here are the photos... i shall just put it up... any captions shall come later... i'm very tired....
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here are the things i bot tat day i went vivo with yihong... hehe... its like some sort of shopping spree.... its the shopping spree for getting working clothes....
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and here's mi that day eating at kim gary's.... its some mushroom rice... tastes good.... 
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that's yihong trying to open up her eyes cos i always say she take picture close eyes....
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well.. this is another day i went minds cafe witht he OT nurses and... the regular yihong.. haha....
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nice?? here's the candle on the birthday cake for dr clarke, my department HOD... its a surprise cake for him.. hehe....dr dubey was so noty.... he tot us to play a trick on dr clarke.. hehe.... yasin was suppose to call dr clarke up to the IVU room where we were hiding.... den sumari was acting as a screaming VIP inside the room, making him believe that there's really angry patient waiting for an explanation from our HOD... hehe....
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here's some of the drs of our dept.... from left: dr robert Q..(cant remember... hehe..), Dr Dubey, Dr Clarke, Dr john (very soft spoken, speaking with and accent that i always hav to try very hard to understand).... Dr clarke was completely fooled by us.... haha.... but of cos he was happy with the surprise... hehe....
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here's some of the staff.... huiying and shu hui..
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diyana the chairwoman of the welfare committee...
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well, here's sumari the actor of the day....
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here's mr lim our cleaner.... a very nice fella...
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jingxue dragging shuhui to take picture with her....
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from left: kk, mary and meiying....
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evangeline...
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zakariah, the most favourite phototech apart from fatimah... haha....
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this is miss k... the most senior amongst us....
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stanly...
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one of out typist.... "pinky"....
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tt's mi trying to look good after the operation... there's sstill blood in my eye... the surgeon thinks that its blood from burst blood capillaries after i sneezed....
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here's an angle trying to avoid the blood shot eye....
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well... here's another picture of yihong trying to open up her eyes... heheh....
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Posted by bobble at 12:08 AM on May 19, 2008.
last few days b4 i start work again.... here's a show of wat i did the last few days b4 i start work again... hehe.... must treasure the times....
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sorry ah... my eye still not that ok yet... just to update my dear frens a bit... i'm currently feeling ok about my eye... only sometimes it will pain sometimes it will not.... sometimes it feels more swollen sometimes its much beta.... i also dunno where i'm getting to... just hope everything will be alright... this coming tues i've booked an appointment with the surgeon... cos i cant wait until 6 weeks later... hehe.... had to ask him whether i can sing!!! its been so much torture restraining myself from singing..... oh well of cos its amongst other things that i had in mind....
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oh well, last friday i think.. *look at the date* went shopping with my colleagues... hehe... shopping for naughty things... hehe.... *shy* :p
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firstly there's mi and my yellowish eye... its getting beta.... just that one side is yellow while the other side is still red.... :p
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i just had to take a few more pics.. haha.... this is to document!!! anyway, this is chio bu Yihong... haha.... looking at this pic reminds mi of wat paul see said.... i had the "most photographed tongue"... hehe....
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and this is the youngest MRI-in-charge cum lowest grade cum lowest paid incharge... haha... poor michael.... *hmmm his food looks yummy though....
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good!!! OMG... looks like another advertisement that hoax people into believing that the food is as good as it looks....
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and this is paul see.... the newly graduated reg... haha.... mr reg... how are u??? hehe.... ops... i've announced to the world.. haha.... look at how skinny he is?? cos he's drinking only tea for dinner... haha..... kidding.... just happen that i dun hav a pic of him and his food.... haha....
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oh welll... wat cann i say about mine??? wahhahaa.... just looks too good... muahahah.... i'm always into food... pls dun blame mi if u are hungry... haha....
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Yihong ordered this Salmon Maru.... a warning for u guys out there who thinks this is good.... its not as good as it looks... its so TINY!! i must empphasize... haha... with reference to the chilli bottle.... look at how small??? cant visualize??? nvm... i'm telling u its so damn small and they are selling it at... $6 + ?? totally not worth it!!!
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well... after all the hard work, a little reward for ourselves... hehe....
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we went shopping for awhile before the dinner.... visited "house of condoms"... haha.... had to get presents for the 6 couples (6!!! i'm telling u... 6!!!) who are getting married this year!!! wah lau... wat a year they must choose... pok gai liao leh.... this is wat we managed to get... there's still a blue lingerie (dunno how to spell lah... brain not working liao... hehe)... pic not taken yet... haha....
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below is a little view of wat happened wen the first person received the present... hehe...
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pls.. show it to everyone...
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some people getting naughty??? hheeheh....
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last night went dempsey road.... had a little chill out session... hehe.... this place is called "house" looks at how nice and comfy the toilet is.... oh... the toilet has a name too.... its pussycat for ladies.... and croakadoodle for males... so males... pls do not give the excuse of not knowing and going into the wrong toilet oh...
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couldnt resist the temptation of taking more photos in the toilet... haha...
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this is still in the toilet oh.... so comfy hor??? and the model?? is my fren qing hahah....
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Yihong had a fren working there and thanks to her we get to book this comfy couch where all of us just had to climb onto it... haha....
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who's leg is more smelly??? hehe.. mine is clean hor!!! hehe....
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a bad photo taken... but wat to do... duno how to use my camera ma... the place was so dark lo... hehe... anyway, just try to make out the background lah... hehe....
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after the house, we didnt want to go home... it was about 1+am.... we were thinking its still too early to go back, so discuss a bit den hong brot up about the yishun dam... its a place i went b4 and i nvr realise its a dam... ahhaa..... we were sitting on a platform eating our supper... hehe....
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i just had to ask them to pose for the camera... haha... join mi.... i'm still so red after the wine session at house....
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silly poses from silly people after getting drunk... haha...
tt's the last of wat u will see.. haha.... its always tiring putting up so many pics... hehe.... but its worth it... ;p i need to sleep liao.. its getting late... nitez....
Posted by bobble at 10:45 PM on May 18, 2008.
"sweats" its so hot today.... looking at my "thermometer" it says 30.3 degrees.... OMG.... *continue sweating*
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look at how one of my dog adapt to the hotness???
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hehe.... she really cannot take it huh....
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so ugly... haha.... a gal leh.... sleep until like that.... hehe....
Posted by bobble at 04:23 PM on May 10, 2008.
my dear frens.... i'm back again today.... today just to continue wat i havent finish off the last update.... and of cos like that the title says, i attempted making cheesecake today!!!.. hehe.... now waiting for the cheesecake to cool-freeze before eating... :p
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as i was saying, after the operation, i went for the followup check up.... Dr Yip tested my eye again... this time, after the operation, my eye didnt felt as stuck as before... its more free to move around..... the only thing now is that i'm still having diplopia.... he said during the operation, they didnt expect the lobang (hole) to be that big... he had a bit of difficulty trying to mould the implant and place it on my orbital floor (base of eye socket).... and that my eye muscle was badly injured.... folowing the test, he did mention that since the eye was able to move about, now i'll just hav to wait patiently for the muscle to recover... there's a good chance that the muscle will recover by itself... ***pray, pray**** haiz... i wouldnt want to go for another operation to reconstruct my eye muscle.... so by the next follow up he will check again.... hoping that my double vision will resolve and the eye muscle will recover.... *cross fingers* i wanna go back to my normal self..... he did mention that i should exercise... no jogging, no running... no jumping around.... sianz..... that's so difficult!!! He emphasized.... DO NOT SPOIL his MASTERPIECE!!! hehe.... quite funny huh.... so now i'm stuck at home lo..... trying to keep myself entertained... which leads to the main topic for today....
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~~~~~~~~non-bake BAILEY's cheesecake~~~~~~~~~~~
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first attempt... wasnt that fantastic.... but still alright only not as presentable as i tot it should....
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here's the receipe given to mi by sandra...
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so here's some pictures of the step i took....
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using marie biscuits....
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ground the biscuits until fine...
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put in the melted butter..... mix until bonded...
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and it will look like this...
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i like them with only the bottom crust.... tt's y this sides are not crusted.. hehe.... u can differ... up to own imagination.....
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beat cream cheese with bailey's
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mix gelatin and sugar in boiling water.... until clear....
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blend altogether well... erm... try not to get too much bubbles... hehe... mine is negative demo....
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poke holes... den pour in the batter.....
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pour melted chocolate.... den twirl it.... i'm not that skillful enough.. haha... tt y dun look so nice... :p
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alright alright... lastly after every thing just put it in the fridge wait for it to become firm.... den u can start eating... yum yum....
Posted by bobble at 08:17 PM on May 8, 2008.
so here i am.... thinking of a few things.... our eyes is one of the most wonderful things that we own... its so delicate yet there's so many things it can do... its also very strong... haha... based on my experience....
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as i was saying i was waiting for the official result..... so i went home after the scan... knowing how to read the scans is not a good thing... cos i went back that day searching the net on the prognosis and the treatment process.... haiz.... its so scarey lo.... there's two methods... conservative method for those fractures not so serious and there surgical method... and i believed back den mine will sure be surgical method..... from the scans i can see that my inferior rectus (lower eye muscle) was trapped... tt y i cant see at certain angles.... its as if there's something pulling my eye that y i cant turn it.... so i continued reading up on the operation when should it be done blah blah.... there's so many things to read..... briefly here's wat concerns mi that i remember reading....
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warning: there may be many things that cannot be understood using layman terms.... haha.... any queries can ask mi lah....
Indications:
The timing and requirements for surgical intervention in the repair of pure orbital floor fractures are areas of long-standing debate. Most literature supports a 2-week window for repair to prevent fibrosis and resulting tissue contracture and entrapment. The authors often wait several days to allow dissipation of edema and hemorrhage in order to better assess enophthalmos and extraocular muscle function. In the event of tense inferior rectus incarceration, more immediate action is taken.
A pure orbital floor fracture involving more than 50% of the floor, with or without concomitant medial wall fracture and with orbital tissue prolapse, usually results in significant enophthalmos (>2 mm) and is an indication for timely repair. In addition, diplopia may result because of limitations in upgaze and downgaze. If this limitation is present within 30° of primary gaze with a positive forced-duction test and CT scan confirmation of a fracture, undertake an early repair because of the high probability of persistence. Trapdoor or anteroposterior fractures can have clinical findings that are out of proportion to findings on radiologic studies. This must be considered, since a careful review can reveal soft tissue entrapment that should be corrected to diminish the chance of persistent diplopia.
Although diplopia within 30° of primary gaze, extraocular muscle entrapment, and enophthalmos greater than 2 mm are discussed in the context of large floor fractures, each can be an indication for repair.
Infraorbital nerve dysfunction occurs and is often the only complaint following pure orbital floor fracture. This sensory disturbance traditionally has not been an indication for repair. Some authors have reported improvement of this neuropathy following repair and nerve decompression.
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its quite a mouthful here... but its really wat i was experiencing....
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Related Anatomy:
The adult orbital floor has contributions from the maxillary, zygomatic, and palatine bones. It is the shortest of all the walls; it does not reach the orbital apex, measures 35-40 mm, and terminates at the posterior edge of the maxillary sinus. The infraorbital groove, canal, and foramen are contiguous and tunnel through the maxilla, encasing the maxillary branch of the trigeminal nerve. The maxillary branch of cranial nerve V exits as the infraorbital nerve, providing sensory innervations to the floor, mid face, and posterior upper gingival in an ipsilateral fashion. The infraorbital artery, a tributary of the maxillary artery, and the infraorbital vein also are found within the infraorbital groove flanking the infraorbital nerve and exiting the infraorbital canal.
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Imaging studies:
(This is the imaging studies that i've undergone... if got chance i shall put up my own CT scans here....)
Radiographs can be used for soft tissue but are limited by the lack of ability to detect differences in tissue density of less than 10%, making evaluation of soft tissue difficult at best.
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Surgical Method:
(there's many approach to this method too... but i shall only put up the method that was used on mi... and of cos this is the approach that is relatively scarless....)
The orbital floor can be accessed through a conjunctival approach, through cutaneous exposure, or through a transmaxillary approach. Access to this region allows for exploration and release of displaced or entrapped soft tissue, thereby correcting any extraocular motility disturbances. In addition, repair of the bony defect with removal or repositioning of bony fragments allows for restoration of the partition between the orbit and maxillary antrum, thereby preserving orbital volume and eliminating any impingement on soft tissue structures.
Transconjunctival approach
The transconjunctival approach can be combined with a lateral canthotomy for exposure of the orbital floor.
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Preoperative details:
Intraoperative details:
Postoperative Details:
(oh well, i was warded for observation)
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Complications for the operation that could occur:
As with any surgical procedure, bleeding, infection, and the need for additional surgery are risks. The possible loss of vision is the most ominous complication associated with floor repair.
Residual or new-onset diplopia, neuralgia, and extraocular muscle dysfunction are potential complications. The patient should understand these risks completely, and no promises are to be made concerning resolution of any presurgical neuralgia.
Implant extrusion and residual enophthalmos are postoperative sequelae requiring additional surgical intervention.
Although the surgery may be a complete success in the eyes of the surgeon, the patient may view the outcome as unsatisfactory. To minimize this, the surgeon and patient should be in mutual agreement regarding the realistic outcome of the repair.
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Outcome and prognosis:
(after reading all these i was a bit scared... surgical method is not 100% recovery...)
Successful repair of orbital blowout fractures may be complicated by persistent problems. Neuralgia in the distribution of the infraorbital nerve may worsen after surgery. Improvement of this problem, if any, may take 6 months or more.
More troubling is persistent diplopia. If isolated to extreme positions of gaze, it may go unnoticed or may not be bothersome to the patient. However, if the diplopia affects functional positions of gaze, corrective prisms can be tried. Ultimately, eye muscle surgery may be required to address this problem with repositioning of the extraocular muscles to allow for orthophoric fixation of images.
Enophthalmos can worsen over time. Despite adequately repairing the fracture, atrophy of the orbital fat can occur, resulting in further enophthalmos.
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The timing and indications for reconstruction of orbital floor fractures remain controversial.
Early repair (within the first 2 wk) often is indicated when criteria discussed within this article are met. However, these are at best broad guidelines and not absolute criteria for management. Patients who demonstrate significant improvement without signs of entrapment can be treated conservatively. Delayed repair is also an option in select patients. Even after an orbit is repaired, further surgery may be needed for persistent diplopia. Each case must be addressed individually and discussed with the patient to maximize the potential for restoration of the orbital structures, visual function, and cosmetic appearance.
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all the above information was taken from this webbie: http://www.emedicine.com/plastic/topic485.htm
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after reading these, i was counting the number of days that had passed.... it was about one week plus already.... when i went back the next day to the other MO for the official result, i knew wat was going to happen.... ~~~operation~~~
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however, he did some more test, den told mi that this case is too complicated for him... they need the expert who's specialised in this type of case to hav a look.... (more heads are beta than one....) and so they referred mi to the surgeon specialist dealing with this type of orbital reconstruction... its considered a major operation for the eye specialist....
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and so i had to wait patiently for my next appointment with this Dr, which was the following monday (11 days after my fall... keeping in mind that from the webbie it says the operation has to be within a certain time frame....) .... actually throughout the consultation, Dr Tiak was quite nice... gives mi the feeling of i'm being looked after.... i would like him to know that i truely appreaciate the fact that he had stayed with mi thoughout the whole process....
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here's some pictures i've gotten during the search about the operation.... (big fat warning!!! disgusting pictures coming below)
."seriously not for the faint hearted".
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pls heed the advice.... :p
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first they dig open the eye lo hehe... from the lower eye lid they cut open and push the eyeball aside.... clear the "rubbish" inside... measure the area of fracture, den next they cut and mould the implant (looks like a wire mesh or gauze....)... 
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here's the bending and foldiing....
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putting it into the eye....
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making sure everything is alright before closing the wound....
and of cos that's not my eye....
well, guess the most disgusting part is over....
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after finish reading all that, i waited for the consultation with the surgeon.... to mi, its just another thing that has to be done... i didnt think that there was other choice.... cos i had to go for the op i know.... if i dun go for the op, my eye will nvr recover.... it will forever be stuck in that position.... if i go for the op, there's at least a chance of getting beta..... anyway, wen i went for the consultation on monday, i didnt hav any choice either....
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Dr Yip was very clear cut in his diagnosis.... he did a few tests that was done before by the other doctors, took a few pictures.... there was no choice... he wanted mi to hav the op on the same day.... but i had already taken my meal, he had no choice.... so he tried to arrange the operation asap.... and so after much hoo hah, checking here and there, the op was to be done on wed (2 days later)....
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therefore, here are a few more pictures of before and after my operation.... of cos its all about mi.. haha...
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before the operation... was waiting in the ward lay on the bed, had nothing to do... hehe.... notice there's not much blueblack left already.... but outside its ok... inside is not ok.... my eye ball couldnt focus....
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fortunately i hav many good frens... they accompanied mi all the way from my long long wait to the operating theatre and wen i came out they were there for mi... *** lucky gal***
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here are a few more pictures of the people who came before the operation....
sandra.... trying to smile... candid shot... haha...
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my kor kor.... shuai ge hor??? hmmm... but recently he too stressed...haha....
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here's my beloced colleagues... hehe.... wen i'm fasting they hav to eat mr bean in front of mi!!!... .
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bathing before going to the operation.... hehe... scared smelly... :p changed into operation gown.... so big!!!... they took the wrong size for mi lah.... that was a large!!
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while i'm bathing, sandra's trying to get a picture of herself... haha.... oh... the backdrop is actually my room... hehe.... A class ward oh.....
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before i went in... was so scared lo.... but still take picture... haha.... to hide the fear???
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this was two hours after i went into the surgery room.... successful surgery!!!
YEAH!!! still drowsy k... hehe...
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this is my anaesthetist... hehe.... now he's become my favourite doctor... haha.... he really did a very good job.... truely impressed by his skills.... oh... and he visited mi after the op oh... hehe....
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trying to act sweet after i got back to my room.... my eye was bleeding non stop from the wound.... look so haggard lo....
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my good frens in the room waiting for mi to come out.. hehe....
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my papa and mama....
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next day i had to go to the clinic to check my eye... it was labour day oh.... and Dr Tiak was there working....
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and here's mi again.... hehe....
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oh... not to forget my fav prof was there to see mi too...
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there's still 3 more pics... hehe.... some gifts i've collected dunring my 4 days stay... hehe...
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and the last day... i was too bored.... walked myself to my dept on sat... hehe.... bad gal....
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here's my HOD...
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.alright... this is getting very long winded... time to rest again.....
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