Bilateral vascular occlusions of the anterior visual pathway and cocaine abuse

Scott M. Friedman*, Curtis E. Margo, Mark Konicki, Michael Campanelli, Lee M. Jampol, Oren Z. Plous

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)95-98
Number of pages4
JournalRetinal Cases and Brief Reports
Issue number2
StatePublished - Mar 2010


  • Anterior ischemic optic neuropathy
  • Central retinal artery occlusion
  • Cocaine abuse
  • Drug abuse
  • Neuroretinitis

ASJC Scopus subject areas

  • Ophthalmology


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