Optical coherence tomography in a patient with tobacco-alcohol amblyopia.
OBJECTIVE
To report optical coherence tomography (OCT) finding in a patient with tobacco-alcohol amblyopia.


METHODS
A 45-year-old man presented with a gradual decrease in vision over 4 years. He had smoked a half to one pack of cigarettes per day and had consumed 350 cc of gin per day for 30 years. A detailed ophthalmologic examination was performed.


RESULTS
His corrected visual acuities were 20/800 OD and 20/200 OS. A Goldmann visual field examination showed ceco-central scotomas in both eyes. OCT using a peripapillary Fast RNFL (retinal nerve fiber layer) programme showed a small decrease in the RNFL thickness of the superotemporal quadrant in the normative diagram of the right eye in spite of a markedly increased RNFL thickness in both eyes.


CONCLUSIONS
During the phase of visual loss in a patient with tobacco-alcohol amblyopia, visual loss may precede optic disc changes as detected by OCT.
Kee
C
C
Department of Ophthalmology, Samsung Medical Center, School of Medicine Sungkyunkwan University, Seoul, Korea.
Hwang
J-M
JM
D000437:Alcoholism / Q000150:complications*; D000550:Amblyopia / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009412:Nerve Fibers; D009900:Optic Nerve / Q000648:ultrastructure*; D012607:Scotoma / Q000175:diagnosis; D012907:Smoking / Q000009:adverse effects*; D041623:Tomography, Optical Coherence / Q000379:methods