Purpose: To present a rare case of unilateral visual loss episodes occurred during sexual intercourse in a young patient affected by unrecognized pigmentary glaucoma and previously undergone myopic refractive surgery.
Case description: The patient presented surgically flattened corneas and markedly asymmetric pigmentary glaucoma.
Conclusions: Previous refractive surgery, sexual intercourse, and athletic lifestyle might be risk factors for acute pigment dispersion and chronic progression of pigmentary glaucoma in young myopic patients. During their ophthalmic examination prior to refractive surgery, greater attention should be paid to detect early signs of pigmentary dispersion, and awareness of these dangerous situations should be raised in affected patients.
Keywords: Blurred vision; athletic lifestyle; myopia; pigment dispersion syndrome; pigmentary glaucoma; refractive surgery; sexual intercourse.