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How Can Vision Loss Due To Ethambutol Intake Be Treated?

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Posted on Wed, 10 Apr 2019
Question: My son aged 48 ,an asthma patient was infected by TB & under treatment with antibiotics (UTHUMBUTOL(computol 1000mg) for a course of 6 months. Now suffering from side effects1) Numbness of his body below the waist for 3 months. & lately for the past 1 month ,losing his vision gradually in both eyes. T.B DRUG Stopped now. Opthalmalagic treatment -steroids given with no tangible improvement.Dr.says optical nerves affected termed the condition as OPTIC NEUROPATHY. We are much worried. Can my son regain his vision?please advice.
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
Optic neuropathy is reversible in most of the cases.

Detailed Answer:

Hi,

Optic nerve damage is known to a side effect of ethambutol.

But this is usually reversible after stopping ethambutol.

So you should wait and watch for at least 3 months. He will mostly regain his vision.

Don't give ethambutol further.

Also, give vitamin A supplement.

Hope I have solved your query. I will be happy to help you further.

Regards,
Dr. Kaushal Bhavsar, Pulmonologist
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Drkaushal85 (18 hours later)
Dear Doctor,
Thank you for your reply on my son's side effect of vision loss & you have mentioned that the vision will be back after 3 moths. Will you please inform me the names of patients in XXXXXXX who have survived T.B & who had this side effect but recovered in 3-6 months. Their e mail ID/ addresses will be useful to contact & enquire them about their experiences which may be helpful in my son's case.
doctor
Answered by Dr. Drkaushal85 (18 minutes later)
Brief Answer:
Sorry to say but this is a breach of secrecy.

Detailed Answer:

Hi,

But we doctors cannot share patients details with anyone. It is a breach in professional secrecy and so it is against law.

You need to be patient and keep calm.

Wait and watch is the only thing I could suggest for your son's condition.

Hope I have solved your query.

Regards,
Dr. Kaushal Bhavsar, Pulmonologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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How Can Vision Loss Due To Ethambutol Intake Be Treated?

Brief Answer: Optic neuropathy is reversible in most of the cases. Detailed Answer: Hi, Optic nerve damage is known to a side effect of ethambutol. But this is usually reversible after stopping ethambutol. So you should wait and watch for at least 3 months. He will mostly regain his vision. Don't give ethambutol further. Also, give vitamin A supplement. Hope I have solved your query. I will be happy to help you further. Regards, Dr. Kaushal Bhavsar, Pulmonologist