• Binocul Vis Strabismus Q · Jan 2003

    Case Reports

    Acute esotropia in heroin withdrawal: a case series.

    • Lionel Kowal, Jared J Mee, Shivram Nadkarni, Susan Kalff, and Michael Kozminsky.
    • Ocular Motility Clinic, the Royal Victorian Eye and Ear Hospital, Locked Bag 8, East Melbourne, Australia 8002. strabism@netspace.net.au
    • Binocul Vis Strabismus Q. 2003 Jan 1;18(3):163-6.

    BackgroundEsotropia during opiate withdrawal is a new clinical syndrome that has only recently been reported in the literature.MethodsClinical case series.ResultsFive patients with acute esotropia during opiate withdrawal are presented. In four there was evidence of underlying hyperopia and/or other strabismogenic features.ConclusionsThe 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.

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