Vision loss and methamphetamine use

The Medical Journal of Australia ◽

10.5694/mja2.51377 ◽

2021 ◽

Author(s):

Yi Fan Tang ◽

Elaine Chong

Keyword(s):

Vision Loss ◽

Methamphetamine Use

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Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2020.3.43981 ◽

2020 ◽

Vol 4 (3) ◽

pp. 472-473

Author(s):

Jagdipak Heer ◽

Sean Heavey ◽

Daniel Quesada ◽

Phillip Aguìñiga-Navarrete ◽

Madison Garrett ◽

...

Keyword(s):

Emergency Department ◽

Vision Loss ◽

Corneal Stroma ◽

Physical Exam ◽

Ocular Injury ◽

Corneal Ulceration ◽

Rare Presentation ◽

Case Presentation ◽

Incidental Diagnosis ◽

Methamphetamine Use

Case Presentation: A 38-year-old male presented to the emergency department with methamphetamine-induced agitation. Physical exam showed clouding of the left cornea, with gelatinous appearance and associated conjunctivitis, consistent with corneal melt, or keratolysis. Discussion: Keratolysis is dissolution of the corneal stroma that can lead to corneal ulceration and vision loss. Smoking stimulants has been shown to be associated with this pattern of ocular injury, although this is a relatively rare presentation. Acute keratolysis is a unique complication of methamphetamine preparation and ingestion via smoking that can lead to corneal ulceration and loss of vision.

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