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Ocular : diplopia, temporary vision lossdecreased vision, ocular redness or bloodshot appearance, ocular burning, ocular swellingpressure, increased intraocular pressure, retinal edema, retinal vascular disease or bleeding, and vitreous tractiondetachment. Non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision including permanent loss of vision, has been reported rarely post-marketing in temporal association with the use of phosphodiesterase type 5 (PDE5) inhibitors, including VIAGRA. Most, but not all, of these patients had underlying anatomic or vascular risk factors for developing NAION, including but not necessarily limited to: low cup to disc ratio (ldquo;crowded discrdquo;), age over 50, diabetes, hypertension, coronary artery disease, hyperlipidemia and smoking.

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