J Korean Ophthalmol Soc > Volume 52(9); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(9):1123-1127.
DOI: https://doi.org/10.3341/jkos.2011.52.9.1123    Published online September 15, 2011.
Bilateral Simultaneous Acute Angle Closure Glaucoma Following Sexual Intercourse Aided by Sildenafil Citrate.
Won June Lee, Mincheol Seong
Department of Ophthalmology, Hanyang University College of Medicine, Guri, Korea. goddns76@hanmail.net
Sildenafil Citrate 복용 후 성관계 뒤 발생한 양안 급성폐쇄각녹내장 1예
이원준⋅성민철
Department of Ophthalmology, Hanyang University College of Medicine, Guri, Korea
Abstract
PURPOSE
The authors of the present study report a case of bilateral simultaneous acute angle closure glaucoma following sildenafil citrate-aided sexual intercourse. CASE SUMMARY: A 63-year-old man visited the emergency department with sudden onset of bilateral ocular pain and blurred vision. The patient had taken 50 mg sildenafil citrate followed by sexual intercourse. His visual acuity on presentation was 0.3 in the right eye and 0.5 in the left eye. Intraocular pressure (IOP) was 54 mm Hg and 46 mm Hg in the right and left eye, respectively. Anterior chamber depths were shallow and angles were closed on gonioscopy in both eyes. The patient was treated with ocular hypotensive medication and subsequently managed with bilateral YAG laser peripheral iridotomies. During the 13 months of follow-up, there was no recurrent angle closure attack and IOPs were well-controlled. CONCLUSIONS: The mechanism of bilateral angle closure glaucoma caused by sildenafil citrate is not proven. Those who are predisposed towards developing angle-closure glaucoma may be at risk when having sexual intercourse aided by sildenafil citrate.
Key Words: Anterior chamber depth;Bilateral acute angle-closure;Intraocular pressure;Sildenafil citrate;YAG laser peripheral iridotomy


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