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       XXVIII Annual Congress of the Iranian Society of Ophthalmology        بـیــست و هشتمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Methanol optic toxicity; a report of delayed successful treatment
Author(s): Pejvak Azadi
Presentation Type: Poster
Subject: Strabismus & Neuro-ophthalmology
Others:
Presenting Author:
Name: Pejvak Azadi
Affiliation :(optional) eye research center, emam khomeini hospital, kermanshah university of medical sciences, kermanshah, iran
E mail: azadipe@yahoo.com
Phone: 08338451549
Mobile: 09126757827
Purpose:

To report a case of methanol-induced optic toxicity, in whom late treatment with steroid pulse resulted in significant improvement.

Methods:

A 26 year-old man with sudden severe bilateral decreased vision of both eye was consulted from the toxicology department. He was admitted since 1 week ago for hand-made alcohol usage toxicity.

Results:

At the time of presentation the vision was hand motion bilaterally. Fundus examination showed bilateral optic disc swelling. steroid pulse therapy with intravenous methyl prednisolone acetate was begun for the patient which resulted in significant vision improvements. Six months later the vision was 10/10 bilaterally, although the peripapillary OCT revealed severely reduced peripapillary nerve fiber layer thickness.

Conclusion:

Hospitalized patients for mathanol toxicity, should be soon consulted with the eye ward, improving the vision prognosis; especialy the patients with decreased consciousness should not be neglected.

Attachment: 1185congress 28, methanol (1).pptx





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