Clinical and electrophysiological findings in three patients with toluene dependency

We recorded the electrophysiological findings of three patients with toluene dependency who developed visual disturbance. In five of six eyes the peak latency of the pattern visual evoked cortical potential was prolonged as compared with that of normal subjects. The amplitude and the latency of the a-wave of the electroretinogram were decreased in five of the six eyes and prolonged in four. Those of the b-wave in patients were less affected than the a-wave: in one of six eyes the amplitude of the b-wave was decreased and in two the b-wave latency was prolonged. The amplitudes of the oscillatory potentials were decreased in three of six eyes. The electroretinogram was investigated in one patient and showed little increase in amplitude during light stimulation, so that a lowered light peak to dark trough ratio was obtained. Our findings suggest that any part of the visual pathway, including the distal part of the retina and retinal pigment epithelium, might be impaired by the chronic inhalation of toluene vapors.