This young gentleman (29yo) had methanol intoxication 3 days ago along with his 4 friends. His 4 friends died, and he survived. But had his vision lost completely (NLP, both eyes).
One will say “where there are no RCTs, I will not experiment on the patients”. However, what are my options? I googled. And there are some promising case reports and case series on the effect of erythropoietin IV injections together with IV pulse steroids and supplements of various Vitamins B. There is hope, even in bilateral no light perception, according to few papers, some of such patients recover up to 6/6!
Each of these medications was prescribed. And depending on what the patient will afford, I will see the results in two weeks to one month.
On the pictures: bilateral optic and peripapillary swelling + white infarcts areas; left optic pallor and cherry-red spot.
Acute stage of methanol intoxication: optic neuropathy, bilateral blindness with optic and peripapillary swelling (infarcts?)
Plan (for those, who will google this page, the sources of doses are indicated below):
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