Author/Authors :
Mosavi Seyed Aliasghar نويسنده Department of Ophthalmology, Bina Eye Hospital Research Center, Tehran, Iran. Mosavi Seyed Aliasghar , Karimi Saeed نويسنده , Nikkhah Homayoun نويسنده Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran , Esfandiari Hamed نويسنده Ophthalmic Research Center, Shahid Beheshti University of
Medical Sciences, Torfeh Eye Hospital, Tehran, Iran , Gozin Mohammad نويسنده Ophthalmic Research Center, Shahid Beheshti University of
Medical Sciences, Torfeh Eye Hospital, Tehran, Iran
Abstract :
Introduction Nonarteritic anterior ischemic optic neuropathy
(NAION) is a rare condition but one of the most important ocular side
effects of sildenafil. Case Presentation We presented a 65-year- old man
with the history of sudden painless loss of vision in both eyes
following taking sildenafil. Conclusions Fundus examination revealed
blurred margin and elevated disc in both eyes. Visual field defects were
bilateral inferior altitudinal defects, and optical coherence tomography
(OCT) displayed a prominent nerve fiber layer edema in both eyes. We
asserted that use of sildenafil may lead to reduce blood pressure and
interfere with microcirculation in the optic nerve head. So, the
potential risks of unregulated over-the-counter sexual enhancement
supplements such as sildenafil must be educated to the patients using
these supplements.
