Bilateral Simultaneous Anterior Ischemic Optic Neuropathy Associated with Sildenafil
We report a case of simultaneous bilateral nonarteritic anterior ischemic optic neuropathy (NAION) due to sildenafil use. A 55-year-old man with an unremarkable medical history presented simultaneous bilateral NAION 8 months after continuous use of sildenafil 4–5 times a month. At presentation, visu...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2011-08-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/331111 |
| _version_ | 1828485438187241472 |
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| author | Marilita M. Moschos Ioannis Margetis |
| author_facet | Marilita M. Moschos Ioannis Margetis |
| author_sort | Marilita M. Moschos |
| collection | DOAJ |
| description | We report a case of simultaneous bilateral nonarteritic anterior ischemic optic neuropathy (NAION) due to sildenafil use. A 55-year-old man with an unremarkable medical history presented simultaneous bilateral NAION 8 months after continuous use of sildenafil 4–5 times a month. At presentation, visual acuity (VA) was 0.7 in the right eye (RE) and 0.9 in the left eye (LE). The visual field showed an inferior altitudinal defect in both eyes and a fundus examination revealed prominent optic disc edema in the RE and a crowded optic disc in the LE. The patient was counseled to discontinue sildenafil, and 3 weeks later VA was 1.0 in both eyes and the optic disc edema in the RE was resolved. However, a visual field defect remained in the RE. Three months later, visual fields were unchanged. To the best of our knowledge, this is the first reported case of simultaneous bilateral NAION due to sildenafil use. |
| first_indexed | 2024-12-11T09:14:03Z |
| format | Article |
| id | doaj.art-d809208d9f7f4930b4724b6a9a30a40f |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-11T09:14:03Z |
| publishDate | 2011-08-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-d809208d9f7f4930b4724b6a9a30a40f2022-12-22T01:13:26ZengKarger PublishersCase Reports in Ophthalmology1663-26992011-08-012226226510.1159/000331111331111Bilateral Simultaneous Anterior Ischemic Optic Neuropathy Associated with SildenafilMarilita M. MoschosIoannis MargetisWe report a case of simultaneous bilateral nonarteritic anterior ischemic optic neuropathy (NAION) due to sildenafil use. A 55-year-old man with an unremarkable medical history presented simultaneous bilateral NAION 8 months after continuous use of sildenafil 4–5 times a month. At presentation, visual acuity (VA) was 0.7 in the right eye (RE) and 0.9 in the left eye (LE). The visual field showed an inferior altitudinal defect in both eyes and a fundus examination revealed prominent optic disc edema in the RE and a crowded optic disc in the LE. The patient was counseled to discontinue sildenafil, and 3 weeks later VA was 1.0 in both eyes and the optic disc edema in the RE was resolved. However, a visual field defect remained in the RE. Three months later, visual fields were unchanged. To the best of our knowledge, this is the first reported case of simultaneous bilateral NAION due to sildenafil use.http://www.karger.com/Article/FullText/331111Nonarteritic anterior ischemic optic neuropathySildenafilVisual acuityVisual fields |
| spellingShingle | Marilita M. Moschos Ioannis Margetis Bilateral Simultaneous Anterior Ischemic Optic Neuropathy Associated with Sildenafil Case Reports in Ophthalmology Nonarteritic anterior ischemic optic neuropathy Sildenafil Visual acuity Visual fields |
| title | Bilateral Simultaneous Anterior Ischemic Optic Neuropathy Associated with Sildenafil |
| title_full | Bilateral Simultaneous Anterior Ischemic Optic Neuropathy Associated with Sildenafil |
| title_fullStr | Bilateral Simultaneous Anterior Ischemic Optic Neuropathy Associated with Sildenafil |
| title_full_unstemmed | Bilateral Simultaneous Anterior Ischemic Optic Neuropathy Associated with Sildenafil |
| title_short | Bilateral Simultaneous Anterior Ischemic Optic Neuropathy Associated with Sildenafil |
| title_sort | bilateral simultaneous anterior ischemic optic neuropathy associated with sildenafil |
| topic | Nonarteritic anterior ischemic optic neuropathy Sildenafil Visual acuity Visual fields |
| url | http://www.karger.com/Article/FullText/331111 |
| work_keys_str_mv | AT marilitammoschos bilateralsimultaneousanteriorischemicopticneuropathyassociatedwithsildenafil AT ioannismargetis bilateralsimultaneousanteriorischemicopticneuropathyassociatedwithsildenafil |