A rare case of toxic optic neuropathy secondary to consumption of neem oil.
Loading...
Date
2014-03
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
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.
Description
Keywords
Disc edema, neem oil, putamen, toxin-induced encephalopathy, Toxic Optic Neuropathy Secondary to Consumption of Neem Oil
Citation
Suresha A R, Rajesh P, Anil Raj K S, Torgal Radhika. A rare case of toxic optic neuropathy secondary to consumption of neem oil. Indian Journal of Ophthalmology. 2014 Mar ; 62 (3): 337-339.