Esotropia. which is the medial deviation of one or both eyes. is a rare withdrawal symptom that has been associated with opiate addiction. We report a case of a 36-year-old female patient who developed acute-onset esotropia and diplopia after self-admission to a psychiatric facility for fentanyl addiction treatment and a systematic review of this rare presentation. https://balboasurfandsstylers.shop/product-category/girls-ponchos/