Smoothy Slim
Photo: Olena Bohovyk
Common signs of intoxication indicated by the eyes include: Changes in pupil size, either constricted or dilated. Nystagmus, or rapid involuntary movements of the eyeballs. Conjunctival redness, or bloodshot eyes.
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Learn More »Alcohol and drug abuse causes many side effects, including nausea, sleepiness, mood changes, aggression, and loss of coordination. These can all indicate intoxication. When they are perceived consistently in a person, along with other health consequences like changes in hair, teeth, skin, mental health, and social habits, they can indicate problematic substance use. Changes in the eye, such as pupil size, motion, and color of the whites, can be used to assess whether a person is intoxicated as well. Changes in the eye’s general color or motion can show intoxication. Bloodshot eyes are a common symptom of intoxication from several drugs, especially alcohol, cocaine, and marijuana; these occur because blood vessels in the eyes expand. Other drugs may cause the eyes to water, the eyelids to become heavy, or the pupils to change size; in fact, pinpoint pupils are a symptom of opioid intoxication and overdose.
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Learn More »This is inflammation inside the eyes caused by infection. This condition is sometimes associated with injecting drugs using dirty needles, which can cause infections to spread all over the body. Glaucoma: Changes in blood pressure alter the fluid pressure in the eye itself, and long-term increases in intraocular pressure can lead to glaucoma. Alcohol use disorder is a common factor in substance-induced glaucoma. Changes in blood pressure alter the fluid pressure in the eye itself, and long-term increases in intraocular pressure can lead to glaucoma. Alcohol use disorder is a common factor in substance-induced glaucoma. Hallucinogen persisting perception disorder (HPPD) : More often called flashbacks, this condition involves sudden, repeated recurrences of some of the sensory changes experienced during LSD use. This can include seeing things that are not there and distortions in the peripheral vision. HPPD is most common with LSD and not associated with organic hallucinogens like psilocybin. : More often called flashbacks, this condition involves sudden, repeated recurrences of some of the sensory changes experienced during LSD use. This can include seeing things that are not there and distortions in the peripheral vision. HPPD is most common with LSD and not associated with organic hallucinogens like psilocybin. Lesions: Drugs that come as eye drops can cause damage to the conjunctiva, or the whites of the eyes. Long-term damage includes noncancerous lesions. Drugs that come as eye drops can cause damage to the conjunctiva, or the whites of the eyes. Long-term damage includes noncancerous lesions. Maculopathy : This is degeneration of the retina, typically related to age but also caused by substance abuse in some cases. The central part of the person’s vision becomes blurry and distorted. This condition often rapidly worsens because the eye and brain will compensate for this vision loss in the early stages. Poppers, cocaine, and other drugs that are snorted are associated with maculopathy. : This is degeneration of the retina, typically related to age but also caused by substance abuse in some cases. The central part of the person’s vision becomes blurry and distorted. This condition often rapidly worsens because the eye and brain will compensate for this vision loss in the early stages. Poppers, cocaine, and other drugs that are snorted are associated with maculopathy. Ocular bone damage : Snorting drugs can damage the tissues around the sinuses to the point of degeneration; most often, this appears as septal perforation, or extreme damage of the tissue between nostrils. However, tissue damage can continue into the upper palate and the small bones around the sinuses, including the ocular ridge bones. : Snorting drugs can damage the tissues around the sinuses to the point of degeneration; most often, this appears as septal perforation, or extreme damage of the tissue between nostrils. However, tissue damage can continue into the upper palate and the small bones around the sinuses, including the ocular ridge bones. Persistent changes in eye movement : Nystagmus, or rapid eye motion, is a symptom of intoxication on a variety of drugs. If changes in eye movements do not go away after the person has detoxed from the substance, it could indicate brain damage that has changed how the brain processes visual stimuli. : Nystagmus, or rapid eye motion, is a symptom of intoxication on a variety of drugs. If changes in eye movements do not go away after the person has detoxed from the substance, it could indicate brain damage that has changed how the brain processes visual stimuli. Retinal vascular occlusive disease (RVOD) : This condition is caused by changes in blood pressure, or a blood clot, which prevents healthy blood flow to and from the eye. Swelling, bleeding, and abnormal blood vessel growth in the retina can eventually cause partial or total vision loss. RVOD is related to high blood pressure, cholesterol, diabetes, glaucoma, inflammatory conditions, and blood clotting, all of which may develop due to past substance abuse. Additionally, smoking is a direct cause of RVOD.
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Learn More »: This condition is caused by changes in blood pressure, or a blood clot, which prevents healthy blood flow to and from the eye. Swelling, bleeding, and abnormal blood vessel growth in the retina can eventually cause partial or total vision loss. RVOD is related to high blood pressure, cholesterol, diabetes, glaucoma, inflammatory conditions, and blood clotting, all of which may develop due to past substance abuse. Additionally, smoking is a direct cause of RVOD. Talc retinopathy: This buildup of white or yellowish crystalline particles in the vascular areas of the eye has been associated with some intravenous and intranasal drug abuse. This buildup of white or yellowish crystalline particles in the vascular areas of the eye has been associated with some intravenous and intranasal drug abuse. Toxic cataracts: Long-term substance abuse can lead to the development of cataracts due to the poisonous effects of the substance on the body. Long-term substance abuse can lead to the development of cataracts due to the poisonous effects of the substance on the body. Wernicke’s encephalopathy : This condition is sometimes caused by excessive, long-term alcohol consumption. It has been associated with disc edema, causing optic neuropathy or nerve death in the cluster connecting the eye to the brain. : This condition is sometimes caused by excessive, long-term alcohol consumption. It has been associated with disc edema, causing optic neuropathy or nerve death in the cluster connecting the eye to the brain. Yellowed eyes: Intoxicating substances like alcohol, opioids, steroids, and stimulants can damage the liver, leading to cirrhosis, which can cause jaundice (yellowing of the skin and the whites of the eyes). Hepatitis C, which can be contracted by sharing needles during drug use, can also cause liver failure and jaundice.
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