Bilateral serous macular detachment in a woman on sildenafil for pulmonary hypertension.
OBJECTIVE
To report a case of bilateral serous macular detachment in a woman on sildenafil for pulmonary hypertension.


METHODS
Case report of a 52-year-old woman presenting with painless loss of vision bilaterally after starting sildenafil 1 month earlier for pulmonary hypertension.


RESULTS
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.


CONCLUSIONS
Bilateral serous macular detachment can be associated with sildenafil use for pulmonary hypertension. Vision loss is reversible with prompt discontinuation of the drug.
From the Department of Ophthalmology & Vision Science, University of California Davis Medical Center, Sacramento.
Susanna S
SS
Park