Wednesday, April 28, 2010

Methadone-Visual Problems

http://bjo.bmj.com/content/early/2010/04/12/bjo.2009.169284.short?q=w_bjo_ahead_tab
A descriptive case series of 20 patients and all are exposed to methadone in utero.

reduced acuity (95%), nystagmus (70%), strabismus (30%), refractive errors (30%), and cerebral visual impairment (25%). Visual electrophysiology was abnormal in 60%. A quarter of the children had associated neurodevelopmental abnormalities. The majority of children with nystagmus (79%) had been treated for neonatal abstinence syndrome (NAS). Exact cause is unknown. This is concerning and we need to follow up our babies experiencing neonatal abstinence syndrome more closely.
Br J Ophthalmol doi:10.1136/bjo.2009.169284

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