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Nerve Fiber Layer Infarcts in Thiamine Deficiency.

Paul I Sia1, David I T Sia, John L Crompton

  • 1Department of Ophthalmology & Visual Sciences, South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, Australia.

Journal of Neuro-Ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
|March 28, 2015
PubMed
Summary
This summary is machine-generated.

Thiamine deficiency can cause rare optic neuropathy. Two unique cases revealed peripapillary retinal nerve fiber layer thickening on fundus examination, without typical optic disc swelling or pallor.

Area of Science:

  • Neurology
  • Ophthalmology
  • Nutritional Science

Background:

  • Thiamine deficiency classically presents as Wernicke encephalopathy, a triad of confusion, ataxia, and ocular dysfunction.

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  • However, atypical presentations are common, and optic neuropathy is a rare manifestation.
  • Funduscopic findings in thiamine-related optic neuropathy typically include optic disc swelling or pallor.