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2025 MarsdenLR 3044

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

The failure to detect an intraocular foreign body and to provide timely treatment by the defendant constitutes medical negligence, leading to serious impairments and damages.

Headnote:(A) Medical Negligence - Duty of care standard - Failure to detect intraocular foreign body (IOFB) - Standard of care not met as physician did not conduct necessary imaging or examinations - Legal precedent established: Bolam v. Friern Hospital Management Committee; Dr Hari Krishnan & Anor v. Megat Noor Ishak Megat Ibrahim - Plaintiff suffered severe infections, vision loss, and subsequent health issues following negligence. (Para 15, 52, 66)

(B) Evidence Examination - Weight of expert testimonies analyzed; allegations of medical record tampering, contrasting medical evidence provided by plaintiff's experts deemed credible. (Paras 45, 98)

(C) Damages Assessment - Awarded for pain and suffering and loss of vision, combined with future medical costs due to negligence resulting in glaucoma. (Paras 102, 106, 134)

(D)

Result: Defendant found liable for medical negligence; awarded general and aggravated damages totaling RM1,600,000 with conditions for interest. (Para 134)

Table of Content
1. establishment of medical negligence background. (Para 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8)
2. arguments from defendant regarding factual discrepancies. (Para 9 , 10 , 11 , 12 , 13 , 14)
3. legal standards for medical negligence. (Para 15 , 16 , 17)
4. court's observations on credibility of evidence. (Para 18 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27)
5. analysis of medical records and delays. (Para 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37)
6. observations on the necessity of ct scans. (Para 38 , 39 , 40 , 41 , 42 , 43 , 44 , 46 , 47)
7. duty of care in medical practice. (Para 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55)
8. expert opinion on failed standard of care. (Para 56 , 57 , 58 , 59 , 60)
9. causation in medical negligence. (Para 61 , 62 , 63 , 64 , 65 , 66)
10. infection complication leading to glaucoma. (Para 67 , 68 , 69 , 70 , 71 , 72)
11. impact of surgery delay on outcomes. (Para 73 , 74 , 75 , 76 , 77 , 78)
12. evaluation of current condition of plaintiff. (Para 79 , 80 , 81 , 82 , 83)
13. implications of monocular vision. (Para 84 , 85 , 86 , 87 , 88 , 89)
14. daily life impact due to vision loss. (Para 90 , 91 , 92 , 93 , 94)
15. selection of expert witnesses. (Para 95 , 96 , 97 , 98 , 99)
16. assessment of damages. (Para 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114)
17. loss of income calculations. (Para 115 , 116 , 117 , 118 , 119 , 120 , 121)
18. awarding aggravated damages. (Para 122 , 123 , 124 , 125 , 126)
19. summary and conclusion of damages. (Para 127 , 128 , 129 , 130)
20. final judgment summary. (Para 131 , 132 , 133 , 134 , 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 thou

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