| Abstract | PURPOSE: To report unilateral pupil-sparing third nerve palsy after use of sildenafil citrate (Viagra). METHOD: Case report. RESULTS: A 56-year-old man with a history of tobacco abuse was treated for erectile dysfunction. Viagra, 50 mg, was taken once without adverse effect. Three weeks later, the patient took a second dose of Viagra (50 mg); 36 hours later he experienced a complete pupil-sparing third nerve palsy. Erythrocyte sedimentation rate, blood glucose level, magnetic resonance imaging, and magnetic resonance angiography were normal. CONCLUSION: In a patient with microvascular disease, use of sildenafil may be associated with pupil-sparing third nerve palsy. |
| Authors | S P Donahue, R J Taylor
(Affiliation: Department of Ophthalmology and Visual Sciences, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.)
|
| Journal | American journal of ophthalmology
(Am J Ophthalmol)
Vol. 126
Issue 3
Pg. 476-7
(Sep 1998)
ISSN: 0002-9394 UNITED STATES |
| PMID | 9744392
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
|
| Chemical References |
- Blood Glucose
- Enzyme Inhibitors
- Piperazines
- Purines
- Sulfones
- sildenafil
|
| Topics |
- Blood Glucose
(analysis)
- Blood Sedimentation
- Enzyme Inhibitors
(adverse effects)
- Humans
- Iris
(innervation)
- Magnetic Resonance Imaging
- Male
- Middle Aged
- Oculomotor Nerve Diseases
(chemically induced)
- Piperazines
(adverse effects)
- Pupil
- Purines
- Sulfones
|
