Tobacco-Alcohol Toxic Optic Neuropathy

Rom J Ophthalmol. 2019 Oct-Dec;63(4):403-405.

Abstract

Purpose. To present the case of a 34-year-old man with sudden bilateral decrease of visual acuity, followed by a complete and fast recovery. Material and methods. We reported a case of an apparently healthy 34-year-old patient with sudden and unpainful decrease of visual acuity, presumed of toxic etiology. The patient was treated at the debut of the symptomatology, thus having a favorable evolution during hospitalization, with the full recovery of his visual acuity, without complications. Conclusions. Tobacco-Alcohol Toxic Optic Neuropathy has an unknown pathophysiological mechanism that allows very good recovery of visual acuity, if treated early.

Keywords: bilateral; decrease of vision; toxic optic neuropathies.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Alcohol Drinking / adverse effects*
  • Evoked Potentials, Visual
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Optic Disk / pathology*
  • Smoking / adverse effects*
  • Tomography, X-Ray Computed
  • Toxic Optic Neuropathy / diagnosis
  • Toxic Optic Neuropathy / etiology*
  • Toxic Optic Neuropathy / physiopathology
  • Visual Acuity*
  • Visual Fields / physiology*