Central Serous Chorioretinopathy Following Oral Use of Adulterated Honey Mixed with Tadalafil: A Case Report

Khalid S Asharari,1 Naif M Alali,2 Moustafa S Magliyah,1 Hassan A Al-Dhibi,3 Faisal A Almarek,4 Hani B AlBalawi2 1Department of Ophthalmology, Prince Mohammed Medical City, Aljouf, Saudi Arabia; 2Ophthalmology Division, Department of Surgery, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Ar...

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Autores principales:	Asharari KS, Alali NM, Magliyah MS, Al-Dhibi HA, Almarek FA, AlBalawi HB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	tadalafil cscr sildenafil adulterated honey Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/0880bc537b8f40dd93aac970ba39b2cd
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spelling	oai:doaj.org-article:0880bc537b8f40dd93aac970ba39b2cd2021-11-16T18:47:50ZCentral Serous Chorioretinopathy Following Oral Use of Adulterated Honey Mixed with Tadalafil: A Case Report1179-142Xhttps://doaj.org/article/0880bc537b8f40dd93aac970ba39b2cd2021-11-01T00:00:00Zhttps://www.dovepress.com/central-serous-chorioretinopathy-following-oral-use-of-adulterated-hon-peer-reviewed-fulltext-article-IMCRJhttps://doaj.org/toc/1179-142XKhalid S Asharari,1 Naif M Alali,2 Moustafa S Magliyah,1 Hassan A Al-Dhibi,3 Faisal A Almarek,4 Hani B AlBalawi2 1Department of Ophthalmology, Prince Mohammed Medical City, Aljouf, Saudi Arabia; 2Ophthalmology Division, Department of Surgery, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia; 3Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 4Department of Ophthalmology, College of Medicine, Imam Mohammad bin Saud Islamic University, Riyadh, Saudi ArabiaCorrespondence: Hani B AlBalawiOphthalmology Division, Department of Surgery, Faculty of Medicine, University of Tabuk, Tabuk, Saudi ArabiaEmail hani.albalawi@hotmail.comBackground: Central serous chorioretinopathy (CSCR) is an idiopathic condition characterized by serous retinal detachment and/or retinal pigment epithelial (RPE) detachment, the condition associated with a fluid leak through the RPE into subretinal space. This article reports on an unusual case of CSCR following taking adulterated honey mixed with tadalafil powder.Case Presentation: A 38-year-old male, not known to have any medical illnesses, came to our ophthalmology clinic complaining of sudden onset of blurred central vision in the left eye for five days after taking an adulterated honey which was claimed to improve sexual performance. On taking a history, the patient denied taking any medications or past eye trauma or surgery. On detailed ophthalmologic examination, the best-corrected visual acuity (BCVA) was 20/20 in the right eye and 20/80 in the left eye. Dilated fundus examination of the right eye showed a flat retina, normal macular reflex, healthy optic nerve head and the left eye showed blunt foveal reflex with neurosensory retinal detachment at the macula and subretinal fluid. Optical coherence tomography (OCT) of the left eye showed marked macular thickening, leading to the impression of central serous chorioretinopathy (CSCR). Four weeks after stopping the adulterated honey, BCVA improved to 20/20 in the left eye, with complete resolution of subretinal fluids.Conclusion: Our case adds to recently reported cases of a link between tadalafil and CSCR.Keywords: tadalafil, CSCR, sildenafil, adulterated honeyAsharari KSAlali NMMagliyah MSAl-Dhibi HAAlmarek FAAlBalawi HBDove Medical Pressarticletadalafilcscrsildenafiladulterated honeyMedicine (General)R5-920ENInternational Medical Case Reports Journal, Vol Volume 14, Pp 773-776 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	tadalafil cscr sildenafil adulterated honey Medicine (General) R5-920
spellingShingle	tadalafil cscr sildenafil adulterated honey Medicine (General) R5-920 Asharari KS Alali NM Magliyah MS Al-Dhibi HA Almarek FA AlBalawi HB Central Serous Chorioretinopathy Following Oral Use of Adulterated Honey Mixed with Tadalafil: A Case Report
description	Khalid S Asharari,1 Naif M Alali,2 Moustafa S Magliyah,1 Hassan A Al-Dhibi,3 Faisal A Almarek,4 Hani B AlBalawi2 1Department of Ophthalmology, Prince Mohammed Medical City, Aljouf, Saudi Arabia; 2Ophthalmology Division, Department of Surgery, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia; 3Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 4Department of Ophthalmology, College of Medicine, Imam Mohammad bin Saud Islamic University, Riyadh, Saudi ArabiaCorrespondence: Hani B AlBalawiOphthalmology Division, Department of Surgery, Faculty of Medicine, University of Tabuk, Tabuk, Saudi ArabiaEmail hani.albalawi@hotmail.comBackground: Central serous chorioretinopathy (CSCR) is an idiopathic condition characterized by serous retinal detachment and/or retinal pigment epithelial (RPE) detachment, the condition associated with a fluid leak through the RPE into subretinal space. This article reports on an unusual case of CSCR following taking adulterated honey mixed with tadalafil powder.Case Presentation: A 38-year-old male, not known to have any medical illnesses, came to our ophthalmology clinic complaining of sudden onset of blurred central vision in the left eye for five days after taking an adulterated honey which was claimed to improve sexual performance. On taking a history, the patient denied taking any medications or past eye trauma or surgery. On detailed ophthalmologic examination, the best-corrected visual acuity (BCVA) was 20/20 in the right eye and 20/80 in the left eye. Dilated fundus examination of the right eye showed a flat retina, normal macular reflex, healthy optic nerve head and the left eye showed blunt foveal reflex with neurosensory retinal detachment at the macula and subretinal fluid. Optical coherence tomography (OCT) of the left eye showed marked macular thickening, leading to the impression of central serous chorioretinopathy (CSCR). Four weeks after stopping the adulterated honey, BCVA improved to 20/20 in the left eye, with complete resolution of subretinal fluids.Conclusion: Our case adds to recently reported cases of a link between tadalafil and CSCR.Keywords: tadalafil, CSCR, sildenafil, adulterated honey
format	article
author	Asharari KS Alali NM Magliyah MS Al-Dhibi HA Almarek FA AlBalawi HB
author_facet	Asharari KS Alali NM Magliyah MS Al-Dhibi HA Almarek FA AlBalawi HB
author_sort	Asharari KS
title	Central Serous Chorioretinopathy Following Oral Use of Adulterated Honey Mixed with Tadalafil: A Case Report
title_short	Central Serous Chorioretinopathy Following Oral Use of Adulterated Honey Mixed with Tadalafil: A Case Report
title_full	Central Serous Chorioretinopathy Following Oral Use of Adulterated Honey Mixed with Tadalafil: A Case Report
title_fullStr	Central Serous Chorioretinopathy Following Oral Use of Adulterated Honey Mixed with Tadalafil: A Case Report
title_full_unstemmed	Central Serous Chorioretinopathy Following Oral Use of Adulterated Honey Mixed with Tadalafil: A Case Report
title_sort	central serous chorioretinopathy following oral use of adulterated honey mixed with tadalafil: a case report
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/0880bc537b8f40dd93aac970ba39b2cd
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Central Serous Chorioretinopathy Following Oral Use of Adulterated Honey Mixed with Tadalafil: A Case Report

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