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  3. Vol. 3 No. 3 (2021)
  4. Case Report

Vol. 3 No. 3 (2021)

Unilateral Visual loss Due to Methanol Intoxication: A Case Report

  • Hoorvash Faraji Dana
  • Lida Shojaei Arani
  • Kiumars Bahmani

School of Medicine Students' Journal, Vol. 3 No. 3 (2021), , Page 35-36
https://doi.org/10.22037/smsj.v3i3.35810 Published 29 September 2021

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Abstract

Methanol is a toxic alcohol which can cause severe bilateral visual impairment. In this study we report a case of unilateral visual loss due to methanol intoxication.


A 45-year-old man referred to toxicology department of Loghman Hakim Hospital complaining of bilateral blurred vision, vomiting, nausea. He was oriented and he had drunk about 500 cc alcohol two days ago, he underwent 4 hours of emergency hemodialysis and we also prescribed erythropoietin, Methylprednisolone, Amp folinic acid, Na/HCO3. then he was referred to ophthalmologist that reported: right eye’s acuity 7/10, left eye’s acuity 3m, RADP positive, left eye’s abducent movement and its color was disturbed and retinal examination was consistent with methanol intoxication.


Visual impairment due to methanol poisoning usually occurs bilaterally, but rare cases of unilateral vision damage have also been reported in two studies which they stated may be due to anatomical or structural variation.

Keywords:
  • Unilateral Blindness
  • Methanol Intoxication
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How to Cite

1.
Faraji Dana H, Shojaei Arani L, Bahmani K. Unilateral Visual loss Due to Methanol Intoxication: A Case Report. Sch Med Stud J [Internet]. 2021Sep.29 [cited 2022May23];3(3):35-6. Available from: https://journals.sbmu.ac.ir/smsj/article/view/35810
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References

Doreen B, Eyu P, Okethwangu D, Biribawa C, Kizito S, Nakanwagi M, et al.Fatal methanol poisoning caused by drinking adulterated locally distilled alcohol: Wakiso District, Uganda, June 2017.2020;2020.

ROTENSTREICH Y, ASSIA EI and KESLER AJBjoo.Late treatment of methanol blindness.1997;81(5):415-15.

Yang C, Tsai W and Lirng JJE.Ocular manifestations and MRI findings in a case of methanol poisoning.2005;19(7):806-09.

Sharpe J, Hostovsky M, Bilbao J and Rewcastle NJAJoO.Methanol Optic Neuropathy. A Histopathological Study.1983;95(1):134.

Benton Jr C, Calhoun Jr FJT-AAoO, Ophthalmology OAAo and Otolaryngology.The ocular effects of methyl alcohol poisoning: report of a catastrophe involving three hundred and twenty persons.1952;56(6):875.

Lu JJ, Kalimullah EA and Bryant SMJJomt.Unilateral blindness following acute methanol poisoning.2010;6(4):459-60.

Brahmi N, Blel Y, Abidi N, Kouraichi N, Thabet H, Hedhili A, et al.Methanol poisoning in Tunisia: report of 16 cases.2007;45(6):717-20.

Sivilotti ML, Burns MJ, Aaron CK, McMartin KE and Brent J.Reversal of severe methanol-induced visual impairment: no evidence of retinal toxicity due to fomepizole.J Toxicol Clin Toxicol.2001;39(6):627-31.

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