Inhaled cocaine use linked to nonischemic vascular event

November 1, 2002
George L. Mayo, MD

George L. Mayo, MD
Medical School
Department of Ophthalmology MSC 6230
The University of Texas Health Science Center at San Antonio

William E. Sponsel, MD

He is director of clinical research, department of ophthalmology, the University of Texas Health Science Center, San Antonio.

A 42-year-old Hispanic male presented complaining of decreased vision in his left eye. He noted that his vision in that eye had decreased suddenly three weeks earlier. The patient had low hyperopia. His medical, surgical, and family histories were unremarkable. He was using no medications and had no known drug allergies. Although he initially reported no significant social history, after more extensive questioning he admitted to the occasional inhalational use of cocaine. His most recent use was on the day prior to the onset of his visual disturbance.