title: Ocular manifestations of transconjunctival heroin abuse: a case report of an unusual route of substance abuse.
abstract: 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.
authors.affiliation: Eye Research Center, Farabi Hospital, Department of Ophthalmology, School of Medicine/Medical Sciences, University of Tehran, Tehran, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Alipour
authors.forename: Fatemh
authors.initials: F
authors.lastname: Alipour
authors.forename: Hassan
authors.initials: H
authors.lastname: Hashemi
authors.forename: Niloofar
authors.initials: N
authors.lastname: Piri
authors.forename: Niloofar
authors.initials: N
authors.lastname: Pirim
authors.forename: Hossein
authors.initials: H
authors.lastname: Asghari
mesh_terms: 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