This former methamphetamine and heroin addict presented with 20/50 vision OU, symmetric foveal RPE mottling, mild optic atrophy and some thickening and hyper-reflectivity of the foveal outer segments on OCT.
Learning Points:
Retinal changes that occur due to methamphetamine use include hemorrhages, cotton wool spots and vasculitis. We presume the findings in this patient were a sequela of prior toxicity.
Similar findings can be found in long-term dextroamphetamine/amphetamine (Adderall) users.
