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Ethambutol optic neuropathy.

Padmaja Sudhakar1, Kishor Acharya1, Tonse Ashwini Kini2

  • 1Department of Neurology and Ophthalmology, University of Kentucky, Lexington, KY, United States.

Frontiers in Neurology
|September 29, 2025
PubMed
Summary
This summary is machine-generated.

Ethambutol toxic optic neuropathy is a serious side effect of this tuberculosis drug. Increased use of ethambutol may lead to more cases, requiring careful monitoring and management.

Keywords:
antitubercular therapyarabinosyl transferaseethambutolmycobacteriaoptic neuropathy

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Area of Science:

  • Ophthalmology
  • Neurology
  • Pharmacology

Background:

  • Ethambutol is a key antitubercular drug used globally for Mycobacterium tuberculosis infections.
  • Ethambutol toxic optic neuropathy is a significant adverse effect, alongside peripheral neuropathy and gastrointestinal issues.
  • Revised tuberculosis treatment guidelines may increase ethambutol usage and associated optic neuropathy risk.

Purpose of the Study:

  • To review the clinical features of ethambutol toxic optic neuropathy.
  • To outline neuro-ophthalmic evaluation, screening, and diagnostic methods.
  • To discuss current treatment strategies for ethambutol-induced optic neuropathy.

Main Methods:

  • Minireview of existing literature on ethambutol toxic optic neuropathy.
  • Synthesis of clinical presentations and diagnostic approaches.
  • Analysis of treatment options and management guidelines.

Main Results:

  • Ethambutol toxic optic neuropathy presents with characteristic visual disturbances.
  • Early detection through neuro-ophthalmic evaluation is crucial for management.
  • Prompt discontinuation of ethambutol and supportive care are primary treatment steps.

Conclusions:

  • Ethambutol toxic optic neuropathy is a preventable and manageable condition with timely diagnosis.
  • Increased ethambutol use necessitates heightened awareness and screening protocols.
  • Further research into novel therapeutic interventions is warranted.