Ophthalmologica Indonesiana
Vol 42 No 1 (2016): Ophthalmologica Indonesiana

Methanol Toxic Optic Neuropathy (Characteristic and Evaluation of Therapy)

Ardiella Yunard (Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jakarta)
Syntia Nusanti (Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jakarta)
M. Sidik (Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jakarta)



Article Info

Publish Date
11 Sep 2016

Abstract

Background: Methanol toxic optic neuropathy is and optic neuropathy caused by methanolintoxication. Management of methanol toxic optic neuropathy is a therapeutic challenge and theoutcome is often unsatisfying. The aim of this study is to know the characteristics and evaluate theoutcome of corticosteroid therapy in methanol toxic optic neuropathy.Methods: Medical records of patients diagnosed with methanol toxic optic neuropathy from January2013 to December 2014 were reviewed retrospectively. Demographic characteristic, clinicalcharacteristic and visual acuity were evaluated.Results: During the period of January 2013 until December 2014, 31 patients were diagnosed withmethanol toxic optic neuropathy. All of them were males. The mean age was 31.87±9.23 years. Ocularsymptoms were found in 93.5%, most of them occured in 24-96 hours after methanol consumption.There were 85.4% patients at initial presentation had visual acuity (VA) less than 3 m finger counting,and 72.6% showed optic disc edema. Among the patients, 42% got intravenous high-dosemethylprednisolone, 19% got combination of intravenous high-dose methylprednisolone andhemodyalisis, 26% got oral methylprednisolone, and 3% got neuroprotector. VA improvement aftertherapy occured in 67.7%, no changes in 26.47%, and worsening in 5.88%. All patients who gottherapy in 6 days after methanol consumption showed VA improvement.Conclusion: The administration of intravenous high-dose steroids showed an improvement of visualstatus in most of the patients. Intravenous high-dose steroids gave benefit the visual status of patientswith methanol optic neuropathy, especially in patients with short interval between the consumption ofmethanol and starting the treatment. Keywords: methanol intoxication, optic neuropathy, methylprednisolone

Copyrights © 2016






Journal Info

Abbrev

journal

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Ophthalmologica Indonesiana is an open accessed online journal and comprehensive peer-reviewed ophthalmologist journal published by the Indonesian Ophthalmologist Association / Perhimpunan Dokter Spesialis Mata (PERDAMI). Our main mission is to encourage the important science in the clinical area of ...