Reversible blindness associated with alcoholic ketoacidosis.

Yanagawa, Youichi; Kiyozumi, Teturou; Hatanaka, Kousuke; Itoh, Toshitaka; Sakamoto, Toshihisa; Okada, Yoshiaki · Am J Ophthalmol · 2004

case_report · Level V

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Abstract

To report a case of reversible blindness associated with severe alcoholic ketoacidosis. Observational case report. A 44-year-old male presented with gradual bilateral blindness that developed within a 24-hour period. He suffered from ethanol-induced severe ketoacidosis and shock and was resuscitated with epinephrine and sodium bicarbonate. The treatment of acidosis led to a rapid resolution of the patient's blindness. It is important to understand the role of severe acidosis as the sole causative factor of reversible bilateral blindness.

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