A Case Report of Nystagmus with Acute Comitant Esotropia Secondary to Heroin Withdrawal: A Novel Presentation

A Case Report of Nystagmus with Acute Comitant Esotropia Secondary to Heroin Withdrawal: A Novel Presentation

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Background: Acute comitant esotropia secondary to heroin withdrawal is a rarely reported phenomenon that has never been described with nystagmus.Adverse effects of heroin on eye alignment were first reported in soldiers returning from Vietnam, yet no theory is generally Hi-Ball Glasses accepted as the cause of these abnormalities.Method: We present a case of a 22-year-old female who developed 40 prism diopters of alternating comitant esotropia with nystagmus 8 days after abrupt heroin cessation, review the existing literature, and propose a novel hypothesis for this phenomenon.

Results: After 76 days, her esotropia resolved, and she was left with 7 prism diopters of esophoria.Conclusion: This case demonstrates that acquired nystagmus can present in addition to acute-onset esotropia after abrupt SCALP FOUNDATION heroin cessation.We compare and contrast the theories of this mechanism and review the literature.