Abstract
To report a case of bilateral serous macular detachment in a woman on sildenafil for pulmonary hypertension. Case report of a 52-year-old woman presenting with painless loss of vision bilaterally after starting sildenafil 1 month earlier for pulmonary hypertension. Bilateral serous macular detachment with cystoid macular edema was noted on funduscopy and optical coherence tomography (OCT). Fluorescein angiography showed several pinpoint areas of faint leakage with pooling in late views. Vision subjectively normalized 1 week after discontinuing sildenafil. Funduscopy and OCT also normalized on follow-up examination. Bilateral serous macular detachment can be associated with sildenafil use for pulmonary hypertension. Vision loss is reversible with prompt discontinuation of the drug.
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