Ocular manifestations of transconjunctival heroin abuse: a case report of an unusual route of substance abuse.
OBJECTIVE
The purpose of this study was to present a patient with atypical corneoconjunctival lesions as a result of transconjunctival heroin abuse.


METHODS
The authors conducted a prospective 8-month follow up of a 16-year-old girl who presented with bilateral atypical corneoconjunctival lesions.


RESULTS
After a period of close observation, running diagnostic tests, and conservative treatment, the nature of the disease was suspected. Further discussion with the patient's family and her final confession revealed that she was using heroin through the conjunctiva.


CONCLUSIONS
Substance abuse should be considered in the list of differential diagnoses in patients with an unusual presentation of ocular disease.
Alipour
Fatemeh
F
Eye Research Center, Farabi Hospital, Department of Ophthalmology, School of Medicine/Medical Sciences, University of Tehran, Tehran, Iran.
Alipour
Fatemh
F
Hashemi
Hassan
H
Piri
Niloofar
N
Pirim
Niloofar
N
Asghari
Hossein
H
D000293:Adolescent; D003229:Conjunctival Diseases / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006556:Heroin Dependence / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D011446:Prospective Studies; D014792:Visual Acuity / Q000502:physiology