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Table 1 Summary of studies evaluating the effects of PDE5i on retinal blood flow and vasculature

From: The effect of sildenafil on retinal blood velocity in healthy subjects

Author [REF]

Year

Subjects

Method

Conclusion

Overall Demonstrated Trend

Sponsel et al. [34]

2000

12 healthy subjects

Ocular pulse wave tonometer and Doppler flowmetry

Increase in pulsatile ocular blood flow 110 min following administration of 50 mg of Sildenafil

Increased flow

Pache et al. [13]

2002

10 healthy subjects

Retinal vessel analyzer

Increase in retinal arterial and venous diameters 30 min only following administration of 50 mg of Sildenafil, with return to baseline after 120 min

Arterial and venous dilation

Grunwald et al. [35]

2002

15 healthy male subjects

Monochromatic fundus photography

No change in superior and inferior venous diameter or the retinal temporal artery diameter 1 or 5 h following administration of 100 mg of Sildenafil

No effect

Polak et al. [14]

2003

12 healthy male subjects

Retinal vessel analyzer and bidirectional laser Doppler flowmetry

No effect on retinal blood velocity or retinal arterial diameter and an increase in retinal venous diameter and flow following administration of 100 mg of Sildenafil

Venous dilation, arteries and velocity unaffected

Metelitsina et al. [15]

2006

14 male patients with age-related macular degeneration

Monochromatic fundus photographs

Dilatation of major retinal veins 90, 180 and 300 min following administration of 100 mg of Sildenafil

Venous dilation