ISSN: 1300-0365
Dil: Türkçe
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Nutritional Optic Neuropathies(tobacco-alcohol Amblyopia)
Faruk ÖZTÜRK*, S.Sami İLKER**, Emin KURT*, Tahir YOLDAŞ***,Murat SARUÇ****, Ertan ÖZDEMİR*****, Bekir Sami UYANIK******
* Yrd.Doç.Dr.,Celal Bayar Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,** Doç.Dr.,Celal Bayar Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,*** Yrd.Doç.Dr.,Celal Bayar Üniversitesi Tıp Fakültesi Nöroloji AD,**** Araş.Gör.Dr.,Celal Bayar Üniversitesi Tıp Fakültesi İç Hastalıkları AD,***** Doç.Dr.,Celal Bayar Üniversitesi Tıp Fakültesi Hematoloji BD,****** Doç.Dr.,Celal Bayar Üniversitesi Tıp Fakültesi Biyokimya AD, MANİSA
Although visual loss due to toxic and nutritional causes are very rare, the results of it are important. Sporadic cases of nutritionel amblyopia are encountered, mainly amoung abusers of alcohol and tobacco. The debate about the roles of toxines and dietary deficiency in the pathogenesis of the disorder in these individuals is going on. The field defects in our two patients were cecocentral and central, and they were searched for etiology. When they get balanced and adequate diet, and administered intramusculer hydroxocobalamin therapy, the results were successful.
This disease is now thought to be rare. Since there are many similarities in the clinical presentation of tobacco-alcohol amblyopia and Leber's hereditary optic neuropathy, misdiagnosis is probable. We treated two men whose clinical and laboratory findings suggested they had this disease. This is the first report about this subject in our country as far as we know.Keywords: Tobacco-alcohol amblyopia,
Nutritional optic neuropathy,
Vitamin B12 deficiency, Leber's HONTurkiye Klinikleri J Ophthalmol 1998, 7:128-133
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