Visual contrast sensitivity (VCS) was measured in 30 alcoholic patient
s and 52 controls. The results showed a significant reduction in VCS f
or all the spatial frequencies. The mean reduction for all spatial fre
quencies was 2.49 dB below the level of the control group. Optimal sen
sitivity corresponded to a lower spatial frequency in patients than co
ntrols, i.e. 1 cycle/degree (c/d) versus 2 c/d curves for VCS were nor
mal for five patients. Abnormalities in VCS were suggestive of optic n
erve dysfunction for 15 patients (50%), which were probable in seven c
ases (23%) and possible in eight others (27%). For 10 subjects, the ab
normalities were indicative of ametropia. Daily alcohol intake and dai
ly tobacco consumption were not significantly different in the patient
s who displayed VCS abnormalities, reflecting alcohol-tobacco amblyopi
a, from those who did not. The presence of higher gamma-glutamyl trans
peptidase and mean corpuscular volume levels in patients who had VCS a
bnormalities indicative of alcohol-tobacco amblyopia suggests that alc
ohol consumption is involved in the development of these abnormalities
.