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Neuro-Ophthalmology Volume 30, 2006 - Issue 5
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CASE REPORT

Sildenafil Associated Pupil-Sparing Third Nerve Palsy

Golge Acaroglu Department of Neuro-Ophthalmology, Eye Clinic II, Turkish Ministry of Health, Ulucanlar Eye Hospital, Ankara, Turkey
,
Arsen Akinci Department of Neuro-Ophthalmology, Eye Clinic II, Turkish Ministry of Health, Ulucanlar Eye Hospital, Ankara, Turkey
&
Orhan Zilelioĝlu Department of Neuro-Ophthalmology, Eye Clinic II, Turkish Ministry of Health, Ulucanlar Eye Hospital, Ankara, Turkey
Pages 117-119 | Accepted 19 Jun 2006, Published online: 08 Jul 2009
 
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Abstract

Purpose: We present, to our knowledge, the second case report of pupil-sparing third nerve palsy following the use of sildenafil citrate in a man with insulin-dependent diabetes mellitus (IDDM). Case: A 44-year-old man with IDDM for 25 years developed a pupil-sparing third nerve palsy within 12 hours after 50 mg of sildenafil intake. During this attack, HBA1c levels were elevated. Third nerve palsy recovered completely in 10 weeks following blood glucose level regulation. Conclusion: Sildenafil citrate may provoke pupil-sparing third nerve palsy in patients with systemic vascular diseases.

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