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Abstract #20835 Published in IGR 10-1
Optical coherence tomography in a patient with tobacco-alcohol amblyopia
Kee C; Hwang JMEye 2008; 22: 469-470
AIM: To report optical coherence tomography (OCT) finding in a patient with tobacco-alcohol amblyopia. METHODS: A 45-year-old man presented with a gradual decrease in vision over 4 years. He had smoked a half to one pack of cigarettes per day and had consumed 350 cc of gin per day for 30 years. A detailed ophthalmologic examination was performed. RESULTS: His corrected visual acuities were 20/800 OD and 20/200 OS. A Goldmann visual field examination showed ceco-central scotomas in both eyes. OCT using a peripapillary Fast RNFL (retinal nerve fiber layer) programme showed a small decrease in the RNFL thickness of the superotemporal quadrant in the normative diagram of the right eye in spite of a markedly increased RNFL thickness in both eyes. CONCLUSION: During the phase of visual loss in a patient with tobacco-alcohol amblyopia, visual loss may precede optic disc changes as detected by OCT.
Dr. C. Kee, Department of Ophthalmology, Samsung Medical Center, School of Medicine Sungkyunkwan University, Seoul, Korea
Classification:
6.9.2.2 Posterior (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.2 Optical coherence tomography)