Survey of Ophthalmology
Volume 50, Issue 4 , Pages 389-393, July 2005

You Are What You Eat

  • Sonalee Kulkarni, MD

      Affiliations

    • Departments of Ophthalmology
    • ,
  • Andrew G. Lee, MD

      Affiliations

    • Departments of Ophthalmology
    • Neurology and Neurosurgery
    • Corresponding Author InformationReprint address: Andrew G. Lee, MD, Department of Ophthalmology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr., Iowa City, IA 52242-1091.
    • ,
  • Sarah A. Holstein

      Affiliations

    • Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa
    • ,
  • Judith E.A. Warner, MD

      Affiliations

    • Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA

PETER SAVINO AND HELEN DANESH-MEYER, EDITORS

Abstract 

Wernicke encephalopathy consists of a triad of ophthalmoplegia, ataxia, and altered mental status. It is caused by thiamine deficiency and although it is commonly seen in alcoholics, patients undergoing gastric bypass surgery for morbid obesity could be a new group of patients to watch for. Florid papilloedema and optic neuropathy are not commonly seen but are still consistent with the diagnosis of Wernicke encephalopathy. The most striking feature remains the dramatic recovery after replacement of thiamine.

Key words: gastric bypass, optic disk edema, Wernicke

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

 This work was supported in part by an unrestricted grant from Research to Prevent Blindness, Inc., New York, NY. The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this manuscript.

PII: S0039-6257(05)00043-3

doi:10.1016/j.survophthal.2005.04.005

Survey of Ophthalmology
Volume 50, Issue 4 , Pages 389-393, July 2005

Article Tools

* Image Usage & Resolution