Conclusion
In conclusion, methadone-induced strabismus is a rare but potentially
serious complication of opioid toxicity. Healthcare providers should be
vigilant for uncommon neurological and ocular manifestations in patients
presenting with methadone overdose, particularly in opioid-naive
individuals. Prompt recognition and appropriate management, including
the administration of naloxone and supportive care, are essential to
prevent long-term morbidity and mortality associated with methadone
toxicity. Further research is needed to elucidate the exact mechanisms
underlying methadone-induced strabismus and to develop evidence-based
guidelines for its management. Additionally, increased public awareness
and education regarding the risks of recreational methadone use may help
to prevent similar cases in the future.