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Review
. 2014 Oct-Dec;7(4):472-6.

Tobacco-alcohol optic neuropathy--clinical challenges in diagnosis

S M Chiotoroiu  1 , M Noaghi  2 , G I Stefaniu  3 , F A Secureanu  1 , V L Purcarea  2 , M Zemba  2
Affiliations
Review

Tobacco-alcohol optic neuropathy--clinical challenges in diagnosis

S M Chiotoroiu et al. J Med Life. 2014 Oct-Dec.

Abstract

Part of the large group of nutritional and toxic optic neuropathies, tobacco-alcohol optic neuropathy is a disease often underdiagnosed or detected at a stage when the full recovery of vision is not possible. This article summarizes its signs and symptoms, describes the pathophysiological processes involved and provides the necessary information for diagnosis and treatment of the entity previously known as tobacco-alcohol amblyopia, reporting in the end, a challenging case along with its findings.

Keywords: alcohol; optic neuropathy; tobacco; toxins; visual field.

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Figures

Fig. 1
Fig. 1
Bilateral disc pallor in a 62-year-old woman with tobacco-alcohol syndrome
Fig. 2,3
Fig. 2,3
Static Goldman perimetry examinations taken at the onset of the disease, back in 1986
Fig. 4,5
Fig. 4,5
Standard automated perimetry using the central 30-2 threshold test showing concentric narrowing in both eyes
Fig. 4
Fig. 4
OCT image analyzing the average of RNFL thickness with a mild loss in this specific layer
See this image and copyright information in PMC

References

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