J Korean Ophthalmol Soc.  2011 Sep;52(9):1123-1127.

Bilateral Simultaneous Acute Angle Closure Glaucoma Following Sexual Intercourse Aided by Sildenafil Citrate

• Lee WJ
• Seong M

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.

Keyword

Anterior chamber depth; Bilateral acute angle-closure; Intraocular pressure; Sildenafil citrate; YAG laser peripheral iridotomy

MeSH Terms

Anterior Chamber
Citric Acid
Coitus
Emergencies
Eye
Follow-Up Studies
Glaucoma, Angle-Closure
Gonioscopy
Humans
Intraocular Pressure
Lasers, Solid-State
Middle Aged
Piperazines
Purines
Sulfones
Vision, Ocular
Visual Acuity
Sildenafil Citrate
Citric Acid
Piperazines
Purines
Sulfones

Figure

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  Figure 1. B-scan ultrasonography was done and there were no signs of ciliochoroidal detachment.

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  Figure 2. Bilateral YAG laser peripheral iridotomies were performed and the photograph shows patent iridotomies.

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  Figure 3. A digital red-free fundus photographs were taken 3 weeks after his first visit. Localized inferior temporal retinal nerve fiber layer (RNFL) defects are seen in the left eye (white arrow).

Reference

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