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Acute esotropia in heroin withdrawal: a case series
Lionel Kowal1, Jared J Mee, Shivram Nadkarni
1Ocular Motility Clinic, the Royal Victorian Eye and Ear Hospital, Locked Bag 8, East Melbourne, Australia 8002. strabism@netspace.net.au
Binocular Vision & Strabismus Quarterly
|October 3, 2003
Abstract
Background:
Esotropia during opiate withdrawal is a new clinical syndrome that has only recently been reported in the literature.
Methods:
Clinical case series.
Results:
Five patients with acute esotropia during opiate withdrawal are presented. In four there was evidence of underlying hyperopia and/or other strabismogenic features.
Conclusions:
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.