External Compressive Ischemic Orbitopathy following cocaine use
The patient was diagnosed with ECIO following cocaine use and left against medical advice prior to completing intravenous steroid therapy. Subsequent clinic visits showed improved ophthalmoplegia and a small improvement in visual acuity from light perception to hand motion. This case showcases the importance of considering ECIO in patients presenting with vision loss, ophthalmoplegia, and proptosis with a history of substance abuse.
Authors
- Nickisa Hodgson
- John R. Petrie (ORCID: https://orcid.org/0000-0002-4894-9819)
- Wenyu Deng
- Ethan Abizadeh (ORCID: https://orcid.org/0009-0003-6467-2738)
- Kevin Babapour Digaleh
Institutions
- University of California, San Francisco (US)
- SUNY Downstate Health Sciences University (US)
- Kings County Hospital Center (US)
- Temple University (US)
Publication Details
- Journal
- American Journal of Ophthalmology Case Reports
- Published
- 2025-10-23
- DOI
- https://doi.org/10.1016/j.ajoc.2025.102462
- Primary Topic
- Forensic Toxicology and Drug Analysis
- Type
- article
- Field-Weighted Citation Impact
- 0.00