Cialis Use with History of Traumatic Retinal Tear

Key Safety Considerations

The American Academy of Ophthalmology recommends that the critical factor is whether the traumatic retinal tear has been treated and is stable, with a risk of progression to retinal detachment reduced to less than 5% if the tear was successfully treated with laser photocoagulation or cryotherapy and has formed a stable chorioretinal adhesion 1, 2, 3
Active or untreated retinal tears represent a contraindication until properly managed, with symptomatic retinal breaks having at least a 50% risk of progressing to clinical retinal detachment if left untreated 1, 2, 4, 3

The American Academy of Ophthalmology suggests obtaining a recent dilated fundus examination with scleral depression to assess the status of the previous traumatic tear, presence of chorioretinal adhesion, and any new retinal breaks, with 5-14% of patients developing additional breaks during follow-up 5, 2, 3, 6, 1
Patients with a history of traumatic retinal tear can be stratified into low-risk (tadalafil can be used) or high-risk (defer tadalafil until cleared) groups based on factors such as treatment status, presence of chorioretinal scar, new symptoms, and evidence of active vitreoretinal traction 1, 3, 4, 2

The American Academy of Ophthalmology notes that trauma-induced vitreoretinal changes may be detected years after the initial injury, and blunt or penetrating ocular injuries that altered vitreous or retinal structure increase ongoing risk of retinal detachment, independent of medication use 6, 7
Regular ophthalmologic follow-up remains necessary for anyone with a history of traumatic retinal tear, regardless of tadalafil use, as 5-14% develop new breaks over time, and both eyes should be evaluated as pathologic vitreoretinal changes can occur bilaterally even if trauma appeared unilateral 4, 3, 2