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OPTIC NERVE DISEASES

Toxic Optic Neuropathy

Clinical Case 01

Toxic Optic Neuropathy - Clinical Case 01

Fundus photograph in a 24-years-old male patient complaining of loss of central vision, presenting with VA < 20/400 OU. He had tuberculosis and was treated with ethambutol until 3 months ago, when this medication was suspended. He started treatment with intramuscular injections of B1, B6 and B12 vitamins. Note the pale optic disc surrounded by a yellow ring, suggestive of toxic optic neuropathy

Toxic Optic Neuropathy - Clinical Case 01

Fundus photograph in a 24-years-old male patient complaining of loss of central vision, presenting with VA < 20/400 OU. He had tuberculosis and was treated with ethambutol until 3 months ago, when this medication was suspended. He started treatment with intramuscular injections of B1, B6 and B12 vitamins. Note the pale optic disc surrounded by a yellow ring, suggestive of toxic optic neuropathy

Evaluations

1st evaluation

60 0

26 04 2012 - Anterior Segment Photo

Anterior segment photograph in a 24-years-old male patient complaining of loss of central vision, presenting with VA: < 20/400 OU. He had tuberculosis and was treated with ethambutol until 3 months ago, when this medication was suspended. He started treatment with intramuscular injections of B1, B6 and B12 vitamins

Anterior segment photograph in a 24-years-old male patient complaining of loss of central vision, presenting with VA < 20/400 OU. He had tuberculosis and was treated with ethambutol until 3 months ago, when this medication was suspended. He started treatment with intramuscular injections of B1, B6 and B12 vitamins

26 04 2012 - Autofluorescence

26 04 2012 - Biometry

Biometry. Visumetry was 0,02 OU

26 04 2012 - Colour Retinography

Ultra-widefield photograph in a 24-years-old male patient complaining of loss of central vision, presenting with VA < 20/400 OU. He had tuberculosis and was treated with ethambutol until 3 months ago, when this medication was suspended. He started treatment with intramuscular injections of B1, B6 and B12 vitamins

Ultra-widefield photograph in a 24-years-old male patient complaining of loss of central vision, presenting with VA < 20/400 OU. He had tuberculosis and was treated with ethambutol until 3 months ago, when this medication was suspended. He started treatment with intramuscular injections of B1, B6 and B12 vitamins

Fundus photograph in a 24-years-old male patient complaining of loss of central vision, presenting with VA < 20/400 OU. He had tuberculosis and was treated with ethambutol until 3 months ago, when this medication was suspended. He started treatment with intramuscular injections of B1, B6 and B12 vitamins. Note the pale optic disc surrounded by a yellow ring, suggestive of toxic optic neuropathy

Fundus photograph showing a pale optic disc, mainly in the temporal region

Note the pale optic disc surrounded by a yellow ring, suggestive of toxic optic neuropathy

Note the pale optic disc surrounded by a yellow ring, suggestive of toxic optic neuropathy

26 04 2012 - Infrared

26 04 2012 - Microperimetry

26 04 2012 - Nervous Fiber Analysis

RNFL analysis by OCT, showing a bilateral decrease in nerve fiber thickness in the temporal and inferior quadrants

26 04 2012 - OCT B-Scan (Longitudinal)

26 04 2012 - Perimetry

Humphrey perimetry, strategy 24-2 of the RE, showing an enlarged blind spot and generalized depression of retinal sensitivity

Humphrey perimetry, strategy 24-2 of the LE, showing an enlarged blind spot, cecocentral scotoma and generalized depression of retinal sensitivity

26 04 2012 - Red-free

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