ABSTRACT
PURPOSE: Describe bilateral vision loss from ischemic injury of the anterior visual pathway due to recreational cocaine. METHODS: Case report. PATIENT: A 33-year-old man presented to the emergency room with headache associated with multiple cerebral hemispheric lesions on computed tomogram. RESULTS: During hospital admission, he lost vision from a right central retinal artery occlusion and an ischemic event to the left optic nerve head. Extensive diagnostic evaluation was unrewarding. The patient admitted to persistent cocaine abuse after his 2-month hospitalization. CONCLUSION: The diagnosis of cocaine-related vascular occlusion to the anterior visual pathway may not be considered because physicians are unaware of these ocular side effects.
