Wernicke's Encephalopathy: The Role of Vision Rehabilitation, and Related Considerations-A Case Report.

Background: Wernicke's encephalopathy acutely affects individuals due to thiamine deficiency. If not treated promptly, the patient will suffer neurological damage that will impair his memory, cognition, and overall psycho-logical state, known as Korsakoff's psychosis or syndrome. Wernicke's, in conj...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Behavioral Optometry Vol. 23; no. 5/6; pp. 149 - 152
Autor principal: Romsdahl, Erik
Formato: case study Journal Article
Publicado: Optometric Extension Program 2012
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Background: Wernicke's encephalopathy acutely affects individuals due to thiamine deficiency. If not treated promptly, the patient will suffer neurological damage that will impair his memory, cognition, and overall psycho-logical state, known as Korsakoff's psychosis or syndrome. Wernicke's, in conjunction with Korsakoff's psychosis, can have a devastating outcome, even leading to death. For those who survive, a myriad of long-term complications can result. Case Report: A 54-year-old Caucasian woman with resolved Wernicke's encephalopathy subsequent to alcohol abuse, presented with residual visual complaints that directly affected her quality of life. She was referred by a low vision specialist for a functional vision evaluation due to oculomotor disturbances and convergence insufficiency. Due to complicating factors related to Wernicke's, vision rehabilitation was not possible. Conclusion: This case serves as an example of the possible visual sequelae and ultimately the role vision rehabili-tation could have in the care of such patients. Despite the inability of the patient to follow through with the recom-mended course of vision rehabilitation, there is a strong case for the future role of such service.