Fig. 2.

OCT nerve of patient at presentation and comparison at follow up. At presentation there is fullness to the nerve but no frank edema, consistent with pseudoedema. After treatment with thiamine there is severe temporal thinning noted on the OCT nerves symmetrically in both eyes which can be seen in metabolic optic neuropathy. Global thickness 136 at presentation to 70 at follow up in the right eye, and 131 at presentation to 66 at follow up in the left eye.