Male patient over 50 yrs visited my clinic in January 2018 with gross visual loss of right eye. The patient confessed about occasional drinking of alcohol . Visual acuity in right eye barely hand movements and it left 6/18 Your diagnosis ?
TOXIC AMBLYOPIA ALCOHAL METHAYL
AION
Primary optic atrophy right eye
Pale disc with margins are blurred and vascular sheething suggestive of secondary optic atrophy
If the history of visual loss in R/E is of long duration, it may be optic atrophy following optic neurits /Reterobulbar neurits
Bilateral temporal palar right> lt
This may be a case of toxic optic neuritis due to hooch liquor consumption, however OCT image of optic nerve and green filter may throw more light wid meticulous history and pupilary reaction to rule out (RAPD)
Toxic Amblyopia RE>LE
Rt eye is anterior ischaemic optic neuropathy. Lt eye is having arteriolar attenuation
REOptic atrophy following AION ,LE optic neuritis
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