Hooch blindness: a community study report on a few indoor patients of toxic optic neuropathy following consumption of adulterated alcohol in West Bengal.

INTRODUCTION

Hooch blindness following consumption of adulterated alcohol has been known for centuries.

OBJECTIVE

To study cases of mass alcohol intoxication followed by Hooch blindness in eastern India.

MATERIALS AND METHODS

Ten patients of toxic amblyopia collected from a community mass intoxication following consumption of adulterated alcohol were studied. The parameters studied were the findings of ocular examination, applanation tonometry, automated perimetry and visual-evoked potential (VEP). As a part of the special investigations fundus photography and OCT were done. Routine blood examination, fasting lipid profile, postprandial blood sugar estimation were done . All patients were treated with injections of methyl prednisolone and Hydroxy cobalamine, antioxidants and local neuro-protective agents.

RESULTS

Along with diminished vision (from NPL to 3/60), marked pallor of the disc without any other retinal change were noted. The amplitude on VEP was significantly reduced. However, visual improvement (up to 6/18) in 7 patients was observed within 6 weeks of treatment.

CONCLUSION

Hooch blindness in India can be prevented by creating awareness among the target population and reducing the cost of country liquor.