PT - JOURNAL ARTICLE AU - Karina Pique AU - William Taber AU - Anthony Thompson AU - Charles Gerry Maitland TI - Isolated optic neuropathy due to folate deficiency with associated iron overload AID - 10.1136/bcr-2021-242399 DP - 2021 Jul 01 TA - BMJ Case Reports PG - e242399 VI - 14 IP - 7 4099 - http://casereports.bmj.com/content/14/7/e242399.short 4100 - http://casereports.bmj.com/content/14/7/e242399.full SO - BMJ Case Reports2021 Jul 01; 14 AB - Isolated optic neuropathy due to folate deficiency is rarely reported. Poor dietary practices, malabsorption, and tobacco/alcohol abuse are usually responsible. We examined a patient with blinding optic neuropathies and isolated folic acid deficiency. Visual acuity recovered after folate replacement. At the same time, serological investigation revealed high ferritin and iron saturation levels with negative genetic markers for haemochromatosis consistent with the diagnosis of iron overload syndrome. There are no reports of blindness associated with iron overload syndrome.