Clinical optometry · 2019
Central serous chorioretinopathy following ingestion of sildenafil citrate.
СтатьяНазвание и аннотация: Перевод в очереди
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Mohammadpour Mehrdad, Khodaparast Mehdi, Khorrami-Nejad Masoud
Аннотация
INTRODUCTION: We report a case of a 35-year-old man who presented with headache followed by decreased vision, metamorphopsia, and altered color perception in his left eye, after repeated intake of sildenafil citrate (four times; 100 mg) in a limited period (3 days).
METHODS: On the first ocular examination, best-corrected distance visual acuity (CDVA) was 20/80 in his left eye and 20/20 in his right eye. On fundus examination, loss of foveal reflex and serous retinal detachment in the foveal region were detected. Fluorescein angiography of the left eye was compatible with a leakage area with determined borders. The patient was advised to stop sildenafil intake.
RESULTS: After 4 weeks, CDVA increased to 20/25, and the fundus examination revealed significant improvement of the macular edema. Optical coherence tomography showed increased foveal thickness to 350 μm.
CONCLUSION: Advising patients with central serous chorioretinopathy to stop sildenafil intake should be considered.
METHODS: On the first ocular examination, best-corrected distance visual acuity (CDVA) was 20/80 in his left eye and 20/20 in his right eye. On fundus examination, loss of foveal reflex and serous retinal detachment in the foveal region were detected. Fluorescein angiography of the left eye was compatible with a leakage area with determined borders. The patient was advised to stop sildenafil intake.
RESULTS: After 4 weeks, CDVA increased to 20/25, and the fundus examination revealed significant improvement of the macular edema. Optical coherence tomography showed increased foveal thickness to 350 μm.
CONCLUSION: Advising patients with central serous chorioretinopathy to stop sildenafil intake should be considered.