Acquired mitochondrial optic neuropathy: a reminder of the ocular effects of excessive alcohol...

28 February 2019
Winter 2019
Low vision Public health

Clinical Editor Kieran Loft MCOptom and Consultant Neuro-ophthalmologist James Benzimra FRCOphth discuss a case of toxic nutritional optic neuropathy.

HISTORY AND INITIAL PRESENTATION 

A 42-year-old male ex-publican presented to his optometrist for eye examination, complaining of reduced vision in both eyes, distance and near, for nine months. He divulged a history of recovering alcoholism. He was referred urgently for hospital eye service (HES) assessment due to reduced vision, at 6/45, N10, right and left. No obvious cause was identified. He was emmetropic bilaterally.

Sign in to continue

Forgotten password?
Register

Not already a member of the College?

Start enjoying the benefits of College membership today. Take a look at what the College can offer you and view our membership categories and rates.

benefits of membership

Related further reading

Over half of parents don't fully protect children's eyes in the sun

New research shows that only 30% of kids always wear sunglasses on sunny days and more than a third of parents believe a hat or cap offers the same protection as sunglasses.

Children Public health

Tamoxifen: A review of drug development for use in breast cancer and ocular adverse reactions

The development of tamoxifen - from the early laboratory studies to the present-day use.

Public health

Healthcare reforms must include wider use of primary eye care, optical leaders urge UK government

The College of Optometrists and the Optical Fees Negotiating Committee (OFNC) call on the government to make a long-term commitment to primary eye care in its NHS 10-Year Health Plan as part of the shift from hospital to community.

AI and technology New models of care Policy Public health Workforce