Bilateral Simultaneous Nonarteritic Anterior Ischemic Optic Neuropathy Associated with The Use of Sildenafil: A Case Report | Zendy

Saeed Karimi | Zendy; Hamed Esfandiari | Zendy; Homayoun Nikkhah | Zendy; Mohammad Gozin | Zendy; Seyed Aliasghar Mosavi | Zendy

Open Access

Bilateral Simultaneous Nonarteritic Anterior Ischemic Optic Neuropathy Associated with The Use of Sildenafil: A Case Report

Author(s) -

Saeed Karimi,

Hamed Esfandiari,

Homayoun Nikkhah,

Mohammad Gozin,

Seyed Aliasghar Mosavi

Publication year - 2017

Publication title -

razavi international journal of medicine

Language(s) - English

Resource type - Journals

eISSN - 2345-6434

pISSN - 2345-6426

DOI - 10.5812/rijm.39907

Subject(s) - anterior ischemic optic neuropathy , sildenafil , medicine , fundus (uterus) , nerve fiber layer , ophthalmology , optic nerve , visual field , optic disc , surgery , glaucoma

Nonarteritic anterior ischemic optic neuropathy (NAION) is a rare condition but one of the most important ocular side effects of sildenafil.Case PresentationWe presented a 65-year- old man with the history of sudden painless loss of vision in both eyes following taking sildenafil.ConclusionsFundus 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

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