Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention

We report a case of branch retinal artery occlusion (BRAO) that occurred after percutaneous coronary intervention (PCI). A 59-year-old man with no other previous diseases presented visual acuity deterioration in the left eye 24 hours after PCI. Fundus examination revealed ischemia at the temporal br...

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Main Authors: Tommaso La Macchia, Remo Albiero, Tommaso Invernizzi, Giorgia Ceravolo, Ida Ceravolo
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2021/9985568
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author Tommaso La Macchia
Remo Albiero
Tommaso Invernizzi
Giorgia Ceravolo
Ida Ceravolo
author_facet Tommaso La Macchia
Remo Albiero
Tommaso Invernizzi
Giorgia Ceravolo
Ida Ceravolo
author_sort Tommaso La Macchia
collection DOAJ
description We report a case of branch retinal artery occlusion (BRAO) that occurred after percutaneous coronary intervention (PCI). A 59-year-old man with no other previous diseases presented visual acuity deterioration in the left eye 24 hours after PCI. Fundus examination revealed ischemia at the temporal branch of the retinal artery associated with inner layer edema. Prompt treatment was performed with ocular digital massage and paracentesis of the anterior chamber. However, at discharge, the patient had a persistent visual loss with a central scotoma that persisted at 35-day follow-up without improvement of the visual acuity. The patient did not suffer from any other systemic complications. Retinal infarction should be considered a potential complication of PCI. Patients and health care providers should be aware of any visual signs. Permanent visual disability can be prevented by immediate diagnosis and prompt intervention.
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institution Kabale University
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publishDate 2021-01-01
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series Case Reports in Cardiology
spelling doaj-art-0baa1de52d81452bb7edd0674add2d742025-02-03T00:58:59ZengWileyCase Reports in Cardiology2090-64042090-64122021-01-01202110.1155/2021/99855689985568Branch Retinal Artery Occlusion after Percutaneous Coronary InterventionTommaso La Macchia0Remo Albiero1Tommaso Invernizzi2Giorgia Ceravolo3Ida Ceravolo4Department of Clinical and Experimental Medicine, Unit of Cardiology, University of Messina, Via C. Valeria, 98125 Messina, ItalyInterventional Cardiology Unit-Sondrio Hospital, Via Stelvio, 25, 23100 Sondrio, ItalyOphthalmology Unit-Sondrio Hospital, Via Stelvio, 25, 23100 Sondrio, ItalyDepartment of Human Pathology and Evolutive Age “Gaetano Barresi”, University of Messina, Via C. Valeria, 98125 Messina, ItalyDepartment of Clinical and Experimental Medicine, University of Messina, Via C. Valeria, 98125 Messina, ItalyWe report a case of branch retinal artery occlusion (BRAO) that occurred after percutaneous coronary intervention (PCI). A 59-year-old man with no other previous diseases presented visual acuity deterioration in the left eye 24 hours after PCI. Fundus examination revealed ischemia at the temporal branch of the retinal artery associated with inner layer edema. Prompt treatment was performed with ocular digital massage and paracentesis of the anterior chamber. However, at discharge, the patient had a persistent visual loss with a central scotoma that persisted at 35-day follow-up without improvement of the visual acuity. The patient did not suffer from any other systemic complications. Retinal infarction should be considered a potential complication of PCI. Patients and health care providers should be aware of any visual signs. Permanent visual disability can be prevented by immediate diagnosis and prompt intervention.http://dx.doi.org/10.1155/2021/9985568
spellingShingle Tommaso La Macchia
Remo Albiero
Tommaso Invernizzi
Giorgia Ceravolo
Ida Ceravolo
Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention
Case Reports in Cardiology
title Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention
title_full Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention
title_fullStr Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention
title_full_unstemmed Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention
title_short Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention
title_sort branch retinal artery occlusion after percutaneous coronary intervention
url http://dx.doi.org/10.1155/2021/9985568
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AT idaceravolo branchretinalarteryocclusionafterpercutaneouscoronaryintervention