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Viagra can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether sildenafil is the actual cause of vision loss.

A Scanning electron micrograph shows viagra and emphsema accumulation of exfoliation syndrome material on zonules in the region of the ciliary processes (pars plicata) and the posterior lens equator (pl). and Wise, D. Rodriquez-Bigas MA, Mahoney MC, Karakousis Viagra and emphsema, et al.]