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Bilateral posterior ischemic optic neuropathy associated with the use of Sildenafil for pulmonary hypertension  Mircea N. Coca, Michael L. Morgan, Praveena.

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Presentation on theme: "Bilateral posterior ischemic optic neuropathy associated with the use of Sildenafil for pulmonary hypertension  Mircea N. Coca, Michael L. Morgan, Praveena."— Presentation transcript:

1 Bilateral posterior ischemic optic neuropathy associated with the use of Sildenafil for pulmonary hypertension  Mircea N. Coca, Michael L. Morgan, Praveena Gupta, Ahmed Elkeeb, Andrew G. Lee  Canadian Journal of Ophthalmology  Volume 51, Issue 3, Pages e96-e99 (June 2016) DOI: /j.jcjo Copyright © 2016 Canadian Ophthalmological Society Terms and Conditions

2 Fig. 1 At initial visit 1 month after onset of vision loss, fundus photographs showed no optic disc edema OU. Canadian Journal of Ophthalmology  , e96-e99DOI: ( /j.jcjo ) Copyright © 2016 Canadian Ophthalmological Society Terms and Conditions

3 Fig. 2 Five months after onset of vision loss, fundus photographs showed moderate diffuse optic atrophy, worse temporally, and OU. Canadian Journal of Ophthalmology  , e96-e99DOI: ( /j.jcjo ) Copyright © 2016 Canadian Ophthalmological Society Terms and Conditions

4 Fig. 3 Humphrey visual field testing (stimulus V) shows a dense inferior altitudinal field defect with central loss OD and a dense inferior nasal loss and central/paracentral loss OS. Canadian Journal of Ophthalmology  , e96-e99DOI: ( /j.jcjo ) Copyright © 2016 Canadian Ophthalmological Society Terms and Conditions

5 Fig. 4 Optical coherence tomography (OCT) of the optic nerves shows temporal optic nerve thinning in the right eye and inferior optic nerve thinning in the left eye. Canadian Journal of Ophthalmology  , e96-e99DOI: ( /j.jcjo ) Copyright © 2016 Canadian Ophthalmological Society Terms and Conditions


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