Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention

Abstract

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.

Effect of PCI on ophthalmic artery hemodynamics in patients with acute coronary syndrome

“…Different organs, including the kidney, brain, eyes, and gastrointestinal system, may be targets of thromboembolic events after PCI (4). Since 1985, cases of ocular complications after PCI have been reported from around the world (5)(6)(7). Ophthalmic complications of PCI include a wide range of clinical manifestations, from transient visual impairment to permanent and devastating conditions.…”

Case report: acute isolated cilioretinal artery occlusion secondary to percutaneous coronary intervention

“…Although percutaneous coronary intervention (PCI) is currently indicated as an effective treatment for patients with severe coronary artery stenosis, several complications have been reported [ 1 , 2 ]. To the best of our knowledge, retinal artery occlusion (RAO) secondary to PCI has been rarely reported [ 3 ].…”