A rare case of toxic optic neuropathy secondary to consumption of neem oil
| Title: | A rare case of toxic optic neuropathy secondary to consumption of neem oil |
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| Authors: | A R Suresha, P Rajesh, K S Anil Raj, Radhika Torgal |
| Source: | Indian Journal of Ophthalmology, Vol 62, Iss 3, Pp 337-339 (2014) |
| Publisher Information: | Wolters Kluwer Medknow Publications, 2014. |
| Publication Year: | 2014 |
| Collection: | LCC:Ophthalmology |
| Subject Terms: | Clinical profile, Indian population, optic neuritis treatment trial, optic neuritis, Decompression of the orbit, diplopia, orbit, thyroid exophthalmos, thyroid ophthalmopathy, Limbus incision, subconjunctival incision, sutureless manual small-incision cataract surgery, wound construction, Central retinal vein occlusion, intravitrealbevacizumab, intravitrealtriamcinolone acetonide, macular edema, Contrast sensitivity, fixation, microperimeter, normative data, retinal sensitivity, Optical coherence tomography, optic disc pit, retinal detachment, retinoschisis, Homocysteine, retinal vein occlusion, visual impairment, Diabetic macular edema, monocyte chemoattractant protein-1, soluble intracellular adhesion molecule-1, vascular endothelial growth factor, Compressive optic neuropathy, humphrey visual field, ischemic optic neuropathy, multifocal visual evoked potential, Age, body mass index, gender, high density lipoprotein, intraocular pressure, lipid profiles, total cholesterol, triglyceride, Capsular tension ring, cataract, intraocular lens, myopia, phacoemulsification, posterior capsular opacification, Ethnicity, Indian, macular thickness, normative, retinal nerve fiber layer, Ocular torticollis, superior oblique palsy, surgery, Barriers to follow-up, pediatric cataract, visual outcome, Cataract, intracameral mydriatic solution, no preoperative mydriatic, Disc edema, neem oil, putamen, toxin-induced encephalopathy, Toxic Optic Neuropathy Secondary to Consumption of Neem Oil, Ophthalmology, RE1-994 |
| More Details: | A 35-year-old female was referred to our hospital with bilateral loss of vision of two days duration. She gave history of consumption of about 150 ml of neem oil five days back.Examination revealed no perception of light in both eyes. Both pupils were dilated and sluggishly reacting to light. Her fundus examination showed bilateral hyperemic, edematous discs and also edema extending along the superior and inferior temporal vascular arcade. Magnetic resonance imaging (MRI) scan showed bilateral putaminal regions with altered signal, hypointensities in T1-weighted images, hyperintensities on T2-weighted, images and hyperintense on Fluid Attenuation Inversion Recovery (FLAIR) images suggestive of cytotoxic edema due to tissue hypoxia. Her vision improved to 20/200 in both eyes with treatment after two months. This is the first case report of such nature in the literature to the best of our knowledge. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 0301-4738 1998-3689 |
| Relation: | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=337;epage=339;aulast=Suresha; https://doaj.org/toc/0301-4738; https://doaj.org/toc/1998-3689 |
| DOI: | 10.4103/0301-4738.121129 |
| Access URL: | https://doaj.org/article/08f97f0c9dc3416bb2c4cc4616eca5e1 |
| Accession Number: | edsdoj.08f97f0c9dc3416bb2c4cc4616eca5e1 |
| Database: | Directory of Open Access Journals |
| ISSN: | 03014738 19983689 |
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| DOI: | 10.4103/0301-4738.121129 |
| Published in: | Indian Journal of Ophthalmology |
| Language: | English |