van Noort B A, Bos P J, Klopping C, Wilmink J M
Department of Ophthalmology, University of Amsterdam, The Netherlands.
Doc Ophthalmol. 1987 Sep-Oct;67(1-2):45-51. doi: 10.1007/BF00142696.
A 35-year-old man with ulcerative colitis who was receiving parenteral feeding with large amounts of glucose, suddenly developed severe optic neuropathy and oculomotor palsy. The visual acuity fell bilaterally to 0. Although it was stated that thiamine has been regularly supplemented in the preceding period, high doses of vitamin B1 were given. Visual acuity promptly returned to 1.0 but large visual field defects persisted. Later on it appeared that erroneously no vitamin B1 has been given before.
一名35岁患有溃疡性结肠炎的男子，正在接受大量葡萄糖的肠外营养支持，突然出现严重的视神经病变和动眼神经麻痹。双眼视力降至零。尽管据称在此之前已定期补充硫胺素，但仍给予了高剂量的维生素B1。视力迅速恢复到1.0，但大的视野缺损仍然存在。后来发现之前错误地未给予维生素B1。
