Journal of Clinical Toxicology
Open Access

Aviv Talmon

Publications

• Case Report
  Reversal of Severe Methanol Induced Visual Impairment Due to Prompt Hemodialysis
  Author(s): Ohad Gabay, Aviv Talmon, Erez Tsumi and Carmi Bartal Ohad Gabay, Aviv Talmon, Erez Tsumi and Carmi Bartal
  
  We report a case series of recovery from severe visual impairment due to methanol intoxication following treatment with fomepizol and prompt hemodialysis. Three adult males presented to our hospital few hours after unintended methanol intoxication. All patients reported weakness and dizziness, two of them suffered visual impairment with visual acuity loss and one of them presented complete blindness and unresponsive dilated pupils. Fundoscopy examination revealed edema of the disk margin. Their laboratory findings included severe high anion gap metabolic acidosis with elevated osmolar gap and methanol levels. All three patients were treated with fomepizole, folic acid IV, and 2-3 sessions of hemodialysis four hours each. The first session of dialysis was performed about 16 h after the methanol ingestion. They all exhibited a full recovery including the patient with the blind.. View More»
  DOI: 10.4172/2161-0495.1000379

  Abstract PDF

Relevant Topics