Methanol toxicity: a case of blindness treated with adjunctive steroids

A 42‐year‐old man presented to our emergency department with sudden bilateral visual loss. Background history included treated hepatitis C virus infection, heavy tobacco and alcohol use, and previous LSD and ecstasy use. Visual loss developed within 48 hours of consuming home‐distilled liquor from fermentation of molasses. He reported seeing a “whitewash” on awakening from sleep, but was able to differentiate shapes and shadows. At presentation, best corrected visual acuity (BCVA) was counting fingers only in both eyes. Cranial nerve and neurological examinations were otherwise unremarkable.