SupremeToday Landscape Ad
Back
Next
Judicial Analysis Court Copy Headnote Facts Arguments Court observation
Listen Audio Icon Pause Audio Icon
judgment-img

2025 MarsdenLR 1739

HIGH COURT MALAYA IPOH
Bhupindar Singh Gurcharan Singh Preet, J
LOGANATHAN THIAGARAJAN – Appellant
Versus
DR LEE MUN TOONG – Respondent
[Civil Suit No: AA-23NCvC-6-07/2019]



Petitioner Advocates:Balakrishna Balaravi Pillai ,Respondent Advocate: Fazleeza Azli

A medical practitioner must meet the established standard of care in diagnosing and treating injuries; failure to do so resulting in harm constitutes negligence.

Headnote:(A) Medical Negligence - Standard of Care - The plaintiff brought a claim against an ophthalmologist for negligence leading to loss of vision due to failure to detect an intraocular foreign body (IOFB) after an eye injury - The court applied the Bolam test, establishing that the defendant did not meet the standard of care expected of a skilled ophthalmologist in diagnosing and treating the plaintiff's injury (Paras 15-16).

(B) Causation - The court found that the defendant's failure to perform timely imaging and surgery resulted in endophthalmitis and subsequent loss of vision (Paras 60-67).

(C) Evidence - The defendant was found to have tampered with medical records, affecting the credibility of his testimony (Paras 45-49, 125-128).

(D) Damages - The court awarded damages for loss of vision, glaucoma, and psychiatric illness, totaling RM250,000 for glaucoma treatment and RM200,000 for loss of vision (Paras 104-106, 102). (E) Aggravated Damages - The court awarded RM500,000 in aggravated damages due to the defendant's conduct in fabricating medical records and misleading the court (Paras 121-130). (F)

Result: The plaintiff's claim was upheld with significant damages awarded for medical negligence.

Table of Content
1. medical negligence and its consequences. (Para 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8)
2. defendant's account of events and medical examination. (Para 9 , 10 , 11 , 12 , 13 , 14)
3. court's analysis of evidence and credibility. (Para 15 , 16 , 17 , 18 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99)
4. determination of liability and damages. (Para 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 , 128 , 129 , 130 , 131 , 132 , 133 , 134)
5. final ruling and order. (Para 135)

Bhupindar Singh Gurcharan Singh Preet J:

Introduction

[1] The plaintiff brought an action for medical negligence against Dr Lee Mun Toong, the defendant, an Eye Consultant/Ophthalmologist and Surgeon who attended and treated the plaintiff at the Ipoh Specialist Hospital (ISH), a member of KPJ Healthcare Berhad Group. The plaintiff pleads that due to the defendant's negligence, the plaintiff had been diagnosed with a penetrating left eye injury with an intraocular foreign body (IOFB) and endophthalmitis. Consequently, the plaintiff had to undergo surgery and suffered loss of perfect vision.

Plaintiff's Case

[2] The plaintiff was working as a mechanic at Syarikat Raja & Co On 6 July 2011, while working, he used a hammer to open a part of an engine compressor, whereby a hard object struck his left eye, and it started bleeding. Initially, the plaintiff was brought to a private clinic, but on the doctor's advice, he was taken to ISH. When the plaintiff arrived at ISH, he was taken to the Emergency Department and examined by the defendant.

[3] The plaintiff 'stated, he informed the defendant that "mata saya terkena suatu serpihan objek keras yang memasuki mata saya, sewaktu saya menghentak sebatang besi dan cuba membuka sebuah enjin". On the same day, the defendant performed a minor surgery on the eyelid to suture the wound.

[4] On 7 July 2011, the defendant conducted another surgery under general anesthesia, and the plaintiff's eye was bandaged. The defendant informed the plaintiff that there was no IOFB in the injured eye. The plaintiff was further assured that the eye would heal completely. On the third day (8 July 2011), when the bandage was opened, the plaintiff informed the defendant that his left eye vision was blurry and he was having immense pain in the said eye. After that, the plaintiff was brought to the examination room for a vision test. Accordingly, the defendant said that there was nothing to be worried about. The plaintiff's vision was slightly blurred due to the second surgery, and the defendant assured it would improve after two or three days.

[5] The plaintiff was kept in the ward for almost six days, from 6 to 11 July 2011. He complained about the pain in the left eye to the defendant from 9 to 11 July 2011. The plaintiff was to be discharged on 11 July 2011. He once again complained about the excruciating pain he suffered, even though three days had passed after the surgery. Following the complaint of excruciating pain, the defendant then made the decision for the plaintiff to undergo a CT scan. The CT scan result revealed that there was a foreign body embedded inside the injured eye.

[6] The defendant then told the plaintiff to seek treatment in Kuala Lumpur and informed the plaintiff that if the plaintiff did not go to Kuala Lumpur for treatment, he might most probably lose his vision or go blind. The plaintiff mentioned that he did not have the means to seek treatment in Kuala Lumpur as his father had just suffered a stroke. Subsequently, the plaintiff went to Hospital Raja Permai

Click Here to Read the rest of this document
1
2
3
4
5
6
7
8
9
10
11
SupremeToday Portrait Ad
supreme today icon
logo-black

An indispensable Tool for Legal Professionals, Endorsed by Various High Court and Judicial Officers

Please visit our Training & Support
Center or Contact Us for assistance

qr

Scan Me!

India’s Legal research and Law Firm App, Download now!

For Daily Legal Updates, Join us on :

whatsapp-icon Back to top