TY - JOUR PY - 2020// TI - COVID casualty: bilateral blindness due to ingestion of spurious sanitizer JO - Oman journal of ophthalmology A1 - Kochgaway, Lav A1 - Nair, Akshay Gopinathan A1 - Mitra, Ankita A1 - Bhargava, Sagar A1 - Singh, Maneesh SP - 164 EP - 166 VL - 13 IS - 3 N2 - Intentional ingestion of alcohol-based handrub (ABHR) or sanitizer solution is uncommon. The coronavirus disease-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 has led to lockdowns being put in place in many countries across the globe and resulted in a surge in ABHR usage to maintain hand hygiene. In this communication, we report the case of a 56-year-old male, a chronic alcoholic who presented during the lockdown period, with acute bilateral loss of vision following ingestion of ABHR. The handrub was found to be a nonstandardized sanitizer with no labels mentioning its constituents. Typically, the ingestion of ABHR solutions results in isopropanol or ethanol poisoning, both of which have low toxicity. Based on the clinical history and findings in our patient, a diagnosis of optic neuropathy due to accidental ingestion of sanitizer containing methyl alcohol as an unlisted ingredient was made. Our report underscores the need for strict guidelines, toxicovigilance, and surveillance systems to be in place to prevent such adulterated ABHRs from being commercially available.
Language: en
LA - en SN - 0974-620X UR - http://dx.doi.org/10.4103/ojo.OJO_277_2020 ID - ref1 ER -