Acute esotropia in the setting of heroin withdrawal

Abstract

Acute onset of concomitant esotropia presenting with diplopia can be seen in the setting of heroin withdrawal. We report a case of acute esotropia in a young white male during heroin withdrawal. A sudden onset of eye deviation is usually considered an ominous sign and patients are subjected to a multitude of diagnostic tests and investigations. Acute esotropia in the setting of heroin withdrawal is typically self-limiting. This case presentation can increase the awareness among physicians for a timely diagnosis, and prevent unnecessary diagnostic testing and further consultations.