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Incidence, Risk Factors and Ophthalmic Clinical Characteristic of Ethambutol-induced Optic Neuropathy: 7-year Experience in Rajavithi Hospital, Thailand.

Completed
Conditions
Ethambutol, optic neuropathy, tuberculosis, risk factor, incidence, clinical
Ethambutol optic neuropathy
Registration Number
TCTR20220207006
Lead Sponsor
Rajavithi Hospital
Brief Summary

The incidence of EON in patients treated with Ethambutol was 0.5%. Age, hypertension, smoking, and duration of ethambutol prescription were risk factors for EON. Some intriguing ophthalmic studies showed loss of retinal nerve fibers, which was more noticeable in the ganglion cell layer.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
20
Inclusion Criteria

1. The patients who received ethambutol for TB treatment at Rajavithi Hospital, Bangkok, Thailand from January 2012 to August 2019.
2. The patients who had decreased vision after ethambutol treatment and were diagnosed as ethambutol-induced optic neuropathy (EON) by experienced neuro-ophthalmologists were included as EON group.
3. The patients who received ethambutol during the study period without visual symptoms were included as Control group.

Exclusion Criteria

1. EON patients with other ophthalmic conditions resulting in significant visual obscuration such as retinal and macular diseases, cataract, diabetic retinopathy, glaucoma, or other optic neuropathies were excluded.
2. The patients who had incomplete or lost medical record.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
incidence, risk factor, clinical n/a number and opd record
Secondary Outcome Measures
NameTimeMethod
ophthalmic investigation result n/a ophthalmic investigation machine
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