{"id":72243,"date":"2021-11-18T12:06:57","date_gmt":"2021-11-18T12:06:57","guid":{"rendered":"https:\/\/www.atlasrleye.com\/neuropathie-optique-toxique\/"},"modified":"2025-07-22T00:35:10","modified_gmt":"2025-07-22T00:35:10","slug":"neuropathie-optique-toxique","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/fr\/neuropathie-optique-toxique\/","title":{"rendered":"NEUROPATHIE OPTIQUE TOXIQUE"},"content":{"rendered":"

[vc_row][vc_column][vc_custom_heading text=\u00a0\u00bbMALADIES DU NERF OPTIQUE\u00a0\u00bb font_container=\u00a0\u00bbtag:h5|font_size:22px|text_align:center|color:%23000000″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb link=\u00a0\u00bburl:https%3A%2F%2Fwww.atlasrleye.com%2Ffr%2Fatlas%2F%231635513667903-88e5ccf5-18e6|\u00a0\u00bb][vc_text_separator title=\u00a0\u00bb\u00a0\u00bb i_icon_fontawesome=\u00a0\u00bbfas fa-eye\u00a0\u00bb i_color=\u00a0\u00bbcustom\u00a0\u00bb i_size=\u00a0\u00bblg\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb border_width=\u00a0\u00bb8″ css=\u00a0\u00bb.vc_custom_1637080776101{margin-bottom: -5px !important;}\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb accent_color=\u00a0\u00bb#bababa\u00a0\u00bb i_custom_color=\u00a0\u00bb#bababa\u00a0\u00bb][vc_custom_heading source=\u00a0\u00bbpost_title\u00a0\u00bb font_container=\u00a0\u00bbtag:h1|font_size:44px|text_align:center|color:%235f1b52″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb]

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La neuropathie optique toxique est une l\u00e9sion du nerf optique caus\u00e9e par l\u2019exposition aux m\u00e9dicaments syst\u00e9miques ou toxines de l’environnement. La clinique est caract\u00e9ris\u00e9e par la perte de vision bilat\u00e9rale, progressive, insidieuse et indolore.<\/p>\n

Au d\u00e9but, il y a peu de signes cliniques. Il peut y avoir une l\u00e9g\u00e8re d\u00e9pression de la sensibilit\u00e9 r\u00e9tinienne centrale, progressent \u00e0 une perte de vision diffuse avec diminution de l\u2019acuit\u00e9 visuelle, dyschromatopsie et un scotome central ou caeco-central. Si l’agent toxique n’est pas identifi\u00e9 ou suspendu peut conduire \u00e0 l\u2019atrophie optique.<\/p>\n

Les agents pharmacologiques toxiques plus fr\u00e9quemment impliqu\u00e9s sont les suivants: l’\u00e9thambutol, le chloramph\u00e9nicol, la p\u00e9nicillamine, le cisplatine, et la vincristine. Les toxines de l\u2019environnement incluent: m\u00e9thanol, etinoglicol et les m\u00e9taux lourds.<\/p>\n

Le syndrome le plus fr\u00e9quent avec des l\u00e9sions toxiques du nerf optique est l\u2019amblyopie caus\u00e9e par l\u2019association tabac-alcool. Il est postul\u00e9 que les petites quantit\u00e9s de cyanure contenues dans la fum\u00e9e de cigarette sont les responsables des l\u00e9sions aux fibres nerveuses. L’ abus d’\u00e9thanol est li\u00e9 \u00e0 la neuropathie optique due \u00e0 la malnutrition qui lui est li\u00e9e. Chez ces patients, la suspension des toxines, les multivitamines orales et les injections intramusculaires de hydroxicobalamine aux premiers stades de la maladie peuvent arr\u00eater la progression de la maladie et \u00e9ventuellement inverser la perte de la vision.<\/p>\n

En dehors de la recherche toxicologique, on doit faire une histoire nutritionnelle compl\u00e8te et corriger les carences nutritionnelles.<\/p>\n<\/div>\n

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Cas Cliniques<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\u00a0\u00bb.vc_custom_1748568587454{margin-bottom: 10px !important;}\u00a0\u00bb]<\/p>\n

Cas Cliniques<\/span><\/strong><\/h1>\n

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Cas Clinique 1<\/a><\/h4>\n

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0<\/h3><\/div> <\/div> <\/div> [\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row][vc_column][vc_custom_heading text=\u00a0\u00bbMALADIES DU NERF OPTIQUE\u00a0\u00bb font_container=\u00a0\u00bbtag:h5|font_size:22px|text_align:center|color:%23000000″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb link=\u00a0\u00bburl:https%3A%2F%2Fwww.atlasrleye.com%2Ffr%2Fatlas%2F%231635513667903-88e5ccf5-18e6|\u00a0\u00bb][vc_text_separator title=\u00a0\u00bb\u00a0\u00bb i_icon_fontawesome=\u00a0\u00bbfas fa-eye\u00a0\u00bb i_color=\u00a0\u00bbcustom\u00a0\u00bb i_size=\u00a0\u00bblg\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb border_width=\u00a0\u00bb8″ css=\u00a0\u00bb.vc_custom_1637080776101{margin-bottom: -5px !important;}\u00a0\u00bb add_icon=\u00a0\u00bbtrue\u00a0\u00bb accent_color=\u00a0\u00bb#bababa\u00a0\u00bb i_custom_color=\u00a0\u00bb#bababa\u00a0\u00bb][vc_custom_heading source=\u00a0\u00bbpost_title\u00a0\u00bb font_container=\u00a0\u00bbtag:h1|font_size:44px|text_align:center|color:%235f1b52″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][\/vc_column][\/vc_row][vc_row][vc_column width=\u00a0\u00bb3\/4″][vc_column_text] La neuropathie optique toxique est une l\u00e9sion du nerf optique caus\u00e9e par l\u2019exposition aux m\u00e9dicaments […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-72243","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.atlasrleye.com\/fr\/wp-json\/wp\/v2\/pages\/72243","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlasrleye.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.atlasrleye.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/fr\/wp-json\/wp\/v2\/comments?post=72243"}],"version-history":[{"count":9,"href":"https:\/\/www.atlasrleye.com\/fr\/wp-json\/wp\/v2\/pages\/72243\/revisions"}],"predecessor-version":[{"id":118573,"href":"https:\/\/www.atlasrleye.com\/fr\/wp-json\/wp\/v2\/pages\/72243\/revisions\/118573"}],"wp:attachment":[{"href":"https:\/\/www.atlasrleye.com\/fr\/wp-json\/wp\/v2\/media?parent=72243"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}