Será que Viagra pode deixar cego? Tudo bom? Aqui quem fala é o Dr. Mário Bulla, médico oftalmologista, especialista em retina. Hoje vou tentar responder esta pergunta que é muito frequente entre o público masculino: o Viagra (sildenafil) prejudica a visão? É muito comum ouvirmos falar por aí que alguns pacientes ficaram cegos após tomar Viagra, isto inclusive já apareceu várias vezes na mídia tradicional. É importante ressaltar que o Viagra causa uma alteração transitória na visão, com embaçamento, sensibilidade à luz (fotofobia) e visão um pouco mais azulada, isto é bem comum e está até previsto na bula, mas estes sintomas melhoram algumas horas após. Mas fora estas alterações transitórias, os casos de perda séria de visão pelo viagra não são tão comuns assim. Provavelmente esta medicação causa uma alteração metabólica na retina em pacientes que tem uma doença chamada retinose pigmentar, mesmo assim não existe um estudo científico que tenha mostrado real prejuízo a estes pacientes após o uso de viagra, o que temos é um estudo bastante interessante em ratos com o gene da retinose pigmentar onde foi mostrada alteração causada pelo viagra. Uma outra doença que também já foi associada ao uso do Viagra é a neuropatia óptica isquêmica não arterítica (NOINA), que é uma isquemia no nervo óptico e que realmente causa um prejuízo a longo prazo na visão do paciente, existem alguns pacientes que estão em maior risco para esta doença, pessoas acima dos 50, 60 anos, diabéticos, tabagistas, hipertensos e pessoas com dislipidemias. Apesar de existirem alguns relatos de pacientes que tiveram neuropatia óptica após o uso do viagra, existe um grande estudo que mostrou que a incidência desta doença em usuários de viagra é a mesma do que na população em geral. Então fica difícil dizer com certeza se existe uma associação entre o Viagra e a neuropatia óptica. Ou seja, apesar de ser uma coisa muito falada, de ter aparecido várias vezes na mídia, na realidade, quando pesquisamos as fontes científicas, fica muito difícil dizer se o viagra pode causar mal irreversível à visão, o que existe são alterações transitórias na visão. O que temos visto na literatura são casos de pacientes que tomaram doses excessivas desta medicação e aí sim tiveram perda irreversível da visão, com problemas na retina ou no nervo óptico, há relatos de pacientes que chegaram a tomar 20 a 40 comprimidos de viagra de uma vez só. Então após esta revisão da literatura o que fica é que pacientes que tem a doença da retina chamada de retinose pigmentar talvez devam evitar o uso do Viagra, mas fora isto, a chance de ter um problema grave na visão é muito baixo. Se você gostou deixe o like e inscreva-se no canal. Espero ter ajudado a esclarecer esta dúvida. 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Aired: May 11, 2025
