PURPOSE: To report a patient with visual loss after systemic administr
ation of gallium nitrate. METHOD: Case report, RESULTS: After receivin
g intravenous gallium nitrate, a 77-year-old man developed bilateral v
isual loss and optic neuropathy with central scotomas on visual field
testing and diminished P-2-wave amplitude on visual evoked potential e
xamination. The condition worsened after oral corticosteroid therapy.
Partial recovery of optic nerve function in both eyes was present afte
r 12 months of oral ferrous sulfate administration. CONCLUSIONS: Parti
ally reversible bilateral optic neuropathy may occur after administrat
ion of gallium nitrate in the absence of other chemotherapeutic agents
, Ophthalmic examinations are indicated in patients who receive galliu
m nitrate.