Sudden Visual Loss Associated With Sexual Activity-Reply

In reply Since the publication of "Sudden Visual Loss Associated With Sexual Activity," 1 I have been deluged with requests for more detailed information about the risks for "blindness" occurring during sexual activity. Although our series was too small to provide meaningful incidence data, the risk for visual loss must be extremely small. Furthermore, none of the patients reported permanent damage. Your article was unfortunately not referenced because of its unique but rather obscure title. In it you outlined the development of ocular pain precipitated by sexual intercourse in a patient with gonioscopically narrow angles and suggested that such activity may even serve as a provocative test. Ocular mydriasis itself is part of the normal sexual response. Levi 2 has shown that there is an increase in the excretion of catecholamines during emotional and sexual excitement. Furthermore, pupillographic studies have been conducted and in some cases have been used as