heroin and Esotropia

Topics: Acute Disease; Adult; Esotropia; Heroin; Heroin Dependence; Humans; Inactivation, Metabolic; Male

We report on a series of patients with acute strabismus related to heroin and methadone intake or withdrawal, discuss possible mechanisms involved in this clinical picture and make recommendations for work-up and referral.. Retrospective study.. Five patients presented with acute esotropia within days of heroin withdrawal, and two patients developed exotropia related to heroin or methadone intake. Neurological work-up and neuroimaging was non-contributory in all four patients who were examined.. Acute esotropia with double vision is a disturbing side effect of heroin withdrawal, and, similarly, acute exotropia may be related to heroin intake. In the absence of focal neurological signs, further work-up is not mandatory. Referral to a specialised orthoptic service is beneficial in offering the patient symptomatic treatment and reassurance, thus supporting successful withdrawal therapy.

Topics: Adult; Diplopia; Esotropia; Female; Heroin; Humans; Male; Methadone; Narcotics; Retrospective Studies; Substance Withdrawal Syndrome

Topics: Esotropia; Exotropia; Health Care Costs; Heroin; Humans; National Health Programs; Nystagmus, Pathologic; Reoperation; State Medicine; Strabismus; Substance Withdrawal Syndrome; United States; Vision, Monocular

Esotropia during opiate withdrawal is a new clinical syndrome that has only recently been reported in the literature.. Clinical case series.. Five patients with acute esotropia during opiate withdrawal are presented. In four there was evidence of underlying hyperopia and/or other strabismogenic features.. The precise cause of esotropia with heroin withdrawal is uncertain. Most (and possibly all) of these patients have one or more objective strabismogenic features, and these are probably a large factor in the causation.

Topics: Acute Disease; Adult; Disease Susceptibility; Esotropia; Female; Heroin; Humans; Male; Substance Withdrawal Syndrome

To report the possible effects of heroin withdrawal on binocular vision.. A case series of patients is presented in whom esotropia developed on cessation of heroin use.. In each case the esotropia was concomitant and prismatic correction restored binocular single vision. Intermittent spontaneous control occurred in one patient, the deviation resolved in one and one patient was lost to follow-up.. Heroin withdrawal should be considered as a cause of acute concomitant esotropia. However, an accurate history of other medication is needed to ensure that this is not the cause of decompensation.

Topics: Acute Disease; Adult; Esotropia; Female; Follow-Up Studies; Heroin; Humans; Male; Narcotics; Substance Withdrawal Syndrome