Eyecare scare: 'Why didn't our MoH act fast?'
A Malaysian user of Bausch & Lomb ReNu contact lens multi-purpose solution, which is now under clinical investigation in Singapore, has asked Screenshots to ask our Ministry of Health a loud question:
Why didn't Malaysia take similar precautions adopted in Singapore to protect the consumers?
Screenshots reader Johan Taharin from Kuala Lumpur, 45, said he had eye infection after using Acuvue contact lenses, made by Johnson & Johnson, and Bausch & Lomb ReNu multi-purpose contact lens solutions for three weeks.
On March 11, when he replaced a new pair of Acuvue, but continued to use the same bottle of Bausch & Lomb ReNu, he found the lower half of his eyeballs soon became infected. He quickly took off the contacts and the redness cleared some two hours later.
Yesterday, after reading a Screenshots posting on the eyecare scare related to Bausch & Lomb ReNu multi-purpose solution in Singapore, Johan went over to the Ampang Point outlet of England Optical, the shop from which he bought his eyecare products, and sought the shop's help to file a complaint to the pricinpal supplier, Bausch & Lomb Malaysia. Johan also wanted an official explanation over the matter.
According to Johan, England Optical had offered him a new bottle of multi-purpose solution, free of charge. The bottle suspected to have caused the eye infection, which caried batch number Gk5012...7868301, has been retained for further investigation.
Later, Johan went to consult ophthalmologist Dato' Dr Baljit Kaur, who has a practice at the Ampang Puteri Specialist Hospital, and to have his eyes thoroughly checked.
He was later issued a report by the ophthalmologist (see screenshot below), who advised him to disregard wearing the contact lenses until the bilaterally congested conjunctiva has totally eased off. Johan was advised to discontinue using the same multi-purpose solution.

A copy of Johan's eye report was made available to Screenshots. Johan said he would also fax a copy of the eye report to Bausch & Lomb Malaysia.
Johan also told Screenshots that one Yoke Mun, who addressed himself as the commercial director of Bausch & Lomb, called to hear his concerns, and promised to email him an explanation over the matter.
He said he would reserve his option to seek legal redress if no satisfactory explanation was given by the parties concerned.
"But I want to go public, and I want Bausch & Lomb to go public," Johan told Screenshots. "We must warn the public about this matter, and offer them proper advisory."
Johan also expressed his disappointment with the Malaysian Ministry of Health which apparently did not partake similar precautionary actions like those adopted in Singapore and Hong Kong.
If not for the experts...
Last week, Singapore Senior Minister of State for Health Dr Balaji Sadasivan was quoted by the media as saying that Singapore has been quick to detect a rise in fungal corneal infections and its possible link to a popular contact lens solution, even if it did so only six months after an increase in such cases.
Dr Balaji said Singapore was the first to report this problem, which might not even have been picked up if the epidemiologists - disease control specialists - had not been vigilant there.
"This product has been tested extensively, and used around the world and no one has ever noticed this association," he said.
"This episode highlights the good work being done by our epidemiologists...We are quick, we have picked up something new that no one before has recognised."
In the report, ReNu was said to have been put under clinical investigation because 34 of the 39 infected patients had used it.
Screenshots contacted Bausch & Lomb Malaysia yesterday, asking for an official statement on the different treatment in Singapore and Malaysian markets. Bausch & Lomb has been asked to explain why it had not adopted in Malaysia the same procedure in Singapore, specifically withdrawing the implicated products pending the outcome of clinical investigation.
There has been no reply.
Next: What should consumers do when the MoH and Bausch & Lomb choose to remain silent?
Comments
easy..find out who owns the company distributing the brand and check any connections...
Posted by: art chan
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March 14, 2006 09:28 AM
I'm no doctor here but 'bilaterally congested conjuctiva' is a description of a disease sign (hope some medics will help me out here). The infection thus inflammation of the conjunctiva (the outer layer covering the white part of the eye) is called conjunctivitis; which are more of the bacterial and viral origin.
The reported cases of the eye infection in Singapore caused by ReNu are fungal corneal infections (fungal origin). Therefore, a differential diagnosis of what Johan was having is still needed.
Nevertheless, the lackadaisical attitude of our MOH and B&L still needs to be addressed here.
And oh, btw, I posed the same question to Soi Lek a month ago.
Posted by: howsy
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March 14, 2006 09:34 AM
I AGREE with Art Chan
• Who are the owners of the local distributor?
• What are the political connections?
Posted by: dignity2u
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March 14, 2006 09:53 AM
art chan, I doubt you can really find any connection. Similar consumer vs trader problem exist for more than 30+ years.
You cannot expect much since consumer awareness are weak in the country. From time to time, I even heard public Joe say consumer rights like CAP(Consumer Association of Penang) are "trouble maker" by reporting unsafe/unhealthy products.
Perhaps I can say it is plain stupidity inside human gene that for them to trust governing entity. Do you know that it is the same governing body that handle the consumer affairs and trade? When there is conflict of interest, it is always $$$$ that talk.
Oh yes, not to foget, LOCAL MEDIA also play a roles in reporting unsafe product. Again, when conflict of interest happens......
Posted by: moo_t
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March 14, 2006 10:07 AM
Hi Jeff
I marvel at the way you can write, write and write. There’s so much in my mind but I can’t get the damn data into black and white.
The way companies are run, bought, sold, merged make me think of Confucius.
Confucius’ teachings on “The Commonwealth State” carry this meaning:
• That able people become leaders of business organizations
• That these business operations benefit the people in the community
• That these business organizations share the wealth by providing jobs that can feed families and educate the young
• That these business organizations serve to protect the weak, the poor, the handicapped and the widowed
Today, we hear criticisms, doubts and suspicions about the way companies are run and the way the regulators function.
Personally, I’ve come to the stage I’m suspicious of every move in the commercial arena.
I ask “Who gains? The shareholders? The business advisers? The employees? The citizens of this country?"
Posted by: dignity2u
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March 14, 2006 10:32 AM
I have used B&L solution for 6 years and (thank God) nothing bad has happened so far. Besides stopping usage of the product itself as a precaution, I think it's also important to point out that proper lens care is required to prevent fungal infections. It was noted that a significant number of the cases in Spore had poor contact lens practice:
http://www.moh.gov.sg/corp/about/newsroom/pressreleases/details.do?id=36077570
So even if you don't use B&L, you are still susceptible to infections if no proper lens care regime is followed.
Posted by: isaac_larn
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March 14, 2006 11:36 AM
Must not propagate that this country squeeze,not protecting his own citizens yet benefits from it. This should be an isolated incident where the MoH has oversighted or has low sensivity and did not act per accordance to standard practice. Or all of them are out for hunting seasons, looking all the way out for birds.
Our question should still turn to 'Why didn't our MoH act fast'? And also question Bausch & Lomb on why did not pull it OFF-D-SHELF concurrently worldwide, their initial answer from Bausch & Lomb is scarily really. Just tell them, Malaysian are not white mice, we could not accept by just the simple reason that Malaysia has no such a reported cases and does not need to withdraw from the shelf.
There must be some very interesting treasure in it. Please dig deep..and deeper... You'll be surprise or won't you ?
Posted by: BaganSPU
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March 14, 2006 11:45 AM
Funny, I remember a few years ago there was an email in circulation about the very same infection happening to contact lens users and the argument was that users do not clean out their containers regularly and drying them properly before re-using them. Now we have this issue...
Posted by: LC Teh
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March 14, 2006 01:20 PM
I've used contact lenses for the past 10 years, and have used B&L lense solutions for most of that time. While there is always the possibility of a contaminated batch (or batches), I think that user carelessness in how lenses AND solutions are handled are the more likely culprits here.
Having said that both B&L and MoH should do random sample checks on what's on the shelves just to make sure. An unconditional product recall should then be instituted if there really is a problem.
In the meantime, contact lens users, handle your lenses with care and clean hands, and avoid leaving your lense solution bottles uncapped after use.
Posted by: walski69
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March 14, 2006 01:50 PM
LC Teh,
What do you mean by drying before reusing?
Afaik, there is no need to dry the lenses before using..
What I usually do is, put the lens in the case and squeeze the multipurpose solution in...and let it soak overnight (at least 4 hrs) and straight away use it without needing to rinse...
I never dry it before...and I dont think the step is necessary for disposable type of lens when use with multipurpose solution..
Posted by: izudeen
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March 14, 2006 01:53 PM
LOL - izudeen, LC Teh means drying the lens case, not the lenses... ever tried to pop in a dried-up contact lense before? One of the most painful things to do to yourself!
Posted by: walski69
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March 14, 2006 04:32 PM
If in doubt..then MOH must suspend the product. What happens if there indeed was a batch that was contaminated..wait for the people to go blind? MOH has failed to protect consumers who have no access to news/internet. I can only think that this decision not to suspend the B&L has vested interest.
Posted by: art chan
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March 14, 2006 05:49 PM
aiseh why you all so kepo about the contact lense solution!!! worse case you lose your eyes only
our national cars do not even pass the minimum safety standard set by country like US which is known to be very sensitive about product safety and yet we all willingly pay premium price for them, that alone can cause you to lose more than your eyes. You can lose your family, your arms and legs, your head and even your life.
You all here have very active conspiracy theory mind lah, MOH have share in B&L lah etc.
Just accept it lah they don't have any share they just being garmen.
come to work 8am
read paper until 9.30am
make coffee in pantry and go sit on table, sip coffee slowly while resting for a while after long walk to pantry
10am go drink with everyone in nearby warung
go back to work 11.30
go to pantry and wash the coffee mug and chit chat with collegue in pantry
12 noon go lunch
come back 1.30pm
read jeffooi blog until 2.30pm
do little work until 3pm
3pm go drink again
come back nearly 4pm
pack bag and look at watch and get ready to go home
how to expect to have any advisory or decision made when effective working time daily is maybe 30minutes to 1 hour a day
don't believe me? go see lah 10am and 3pm... all those warungs etc sure full house and 90% garmen staff, the 10% are the warung workers
if you throw a stone around 10am or 3pm in any warung in any part of Malaysia, you can be sure to hit a man, a woman and a consultant and then bounce on the table and hit a monkey and they all work for garmen :)
looks like I also got infected by your all conspiracy theorist
Posted by: chrispeduck
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March 14, 2006 06:12 PM
"PETALING JAYA, Feb 24 (Bernama) -- Eye health company Bausch & Lomb (M) Sdn Bhd has volunteered to suspend sales of its ReNu multi-purpose solution in Hong Kong and Singapore to facilitate investigation on the recent fungal keratitis incidents reported in the two countries."
Posted by: Jaymee
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March 14, 2006 08:51 PM