PURPOSE: To report a case of reversible blindness associated with severe alcoholic ketoacidosis. DESIGN: Observational case report. METHODS: 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. RESULTS: The treatment of acidosis led to a rapid resolution of the patient's blindness. CONCLUSIONS: It is important to understand the role of severe acidosis as the sole causative factor of reversible bilateral blindness.
PURPOSE: To report a case of reversible blindness associated with severe alcoholic ketoacidosis. DESIGN: Observational case report. METHODS: 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. RESULTS: The treatment of acidosis led to a rapid resolution of the patient's blindness. CONCLUSIONS: It is important to understand the role of severe acidosis as the sole causative factor of reversible bilateral blindness.
Authors: Libardo Rueda Prada; Lindsey Knopps; Igor Dumic; Christopher Barusya; Anand Subramanian; Antonios Charokopos; Adel S Zurob Journal: Am J Case Rep Date: 2022-04-18