Central Serous Chorioretinopathy Following Ingestion of Sildenafil Citrate Publisher



Mohammadpour M¹ ; Khodaparast M¹ ; Khorraminejad M^{1, 2}
Source: Clinical Optometry Published:2019

Abstract

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. © 2019 Mohammadpour et al.