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.