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Central retinal artery occlusion secondary to intravenous immunoglobulin infusion. J Fr Ophtalmol 2023; 46:e61-e63. [PMID: 36670013 DOI: 10.1016/j.jfo.2022.07.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 07/03/2022] [Accepted: 07/11/2022] [Indexed: 01/20/2023]
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Matsuda Y, Masuda M, Asai M, Iida O, Kanda T, Mano T. Central retinal artery occlusion after catheter ablation of atrial fibrillation. Clin Case Rep 2021; 9:e04255. [PMID: 34026203 PMCID: PMC8123533 DOI: 10.1002/ccr3.4255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 03/31/2021] [Accepted: 04/20/2021] [Indexed: 11/25/2022] Open
Abstract
Central retinal artery occlusion (CRAO) is a rare but severe and urgent complication of atrial fibrillation ablation. Awareness of this ophthalmologic complication and prompt treatment are needed because ischemic damage to the retina is irreversible from 4 hours after the onset of CRAO.
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Affiliation(s)
| | | | | | - Osamu Iida
- Kansai Rosai Hospital Cardiovascular CenterAmagasakiJapan
| | - Takashi Kanda
- Kansai Rosai Hospital Cardiovascular CenterAmagasakiJapan
| | - Toshiaki Mano
- Kansai Rosai Hospital Cardiovascular CenterAmagasakiJapan
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Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention. Case Rep Cardiol 2021; 2021:9985568. [PMID: 33996159 PMCID: PMC8096541 DOI: 10.1155/2021/9985568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 04/16/2021] [Indexed: 11/17/2022] Open
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.
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Laaribi N, Zerrouk R, El Khoyaali A, Houba A, Abaloun Y, Ouharakat Y, Fiqhi A, El Asri F, Reda K, Oubaaz A. [Sudden loss of vision following orthopedic surgery]. J Fr Ophtalmol 2018; 41:e253-e255. [PMID: 29914766 DOI: 10.1016/j.jfo.2017.10.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2017] [Revised: 10/17/2017] [Accepted: 10/23/2017] [Indexed: 11/28/2022]
Affiliation(s)
- N Laaribi
- Service d'ophtalmologie, hôpital Militaire d'Instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc.
| | - R Zerrouk
- Service d'ophtalmologie, hôpital Militaire d'Instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc
| | - A El Khoyaali
- Service d'ophtalmologie, hôpital Militaire d'Instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc
| | - A Houba
- Service d'anesthésiologie, hôpital Militaire d'Instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc
| | - Y Abaloun
- Service d'ophtalmologie, hôpital Militaire d'Instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc
| | - Y Ouharakat
- Service de cardiologie, hôpital Militaire d'Instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc
| | - A Fiqhi
- Service d'ophtalmologie, hôpital Militaire d'Instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc
| | - F El Asri
- Service d'ophtalmologie, hôpital Militaire d'Instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc
| | - K Reda
- Service d'ophtalmologie, hôpital Militaire d'Instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc
| | - A Oubaaz
- Service d'ophtalmologie, hôpital Militaire d'Instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc
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Khan MA, Rahimy E, Shahlaee A, Hsu J, Ho AC. En Face Optical Coherence Tomography Imaging of Deep Capillary Plexus Abnormalities in Paracentral Acute Middle Maculopathy. Ophthalmic Surg Lasers Imaging Retina 2016; 46:972-5. [PMID: 26469239 DOI: 10.3928/23258160-20151008-12] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Accepted: 08/28/2015] [Indexed: 11/20/2022]
Abstract
The authors describe a case of para-central acute middle maculopathy (PAMM) in a 75-year-old man who had recently undergone cardiac catheterization. Imaging with simultaneous en face optical coherence tomography (OCT) and OCT angiography (OCTA) revealed signal abnormalities localized to the deep capillary plexus. This case highlights the ability of OCTA to image and localize retinal disease by vascular distribution, previously difficult with conventional fluorescein angiography, and lends evidence to the belief that PAMM is caused by vascular injury to the intermediate and deep capillary plexus.
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Hsien YM, Mustapha M, Hamzah JC, Maskon O, Ken CC, Hamdi CHH. Why can't I see after my heart is fixed: a case series of ocular complications after cardiac intervention. BMC Ophthalmol 2016; 16:32. [PMID: 27013074 PMCID: PMC4807534 DOI: 10.1186/s12886-016-0209-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Accepted: 03/14/2016] [Indexed: 11/20/2022] Open
Abstract
Background The purpose of this study was to report case series of retinal artery occlusion (RAO) as one of the significant complication post cardiac intervention. Case presentation We are reporting one case of branch RAO and one case of central RAO after percutaneous coronary intervention (PCI). In case 1, a 74-year-old gentleman with pre-existing diabetes mellitus and hypertension was electively admitted for PCI for coronary artery disease (CAD) in our centre (UKMMC). Few hours after the procedure, patient complained of sudden blurring of vision in the right eye. He was found to have branch retinal artery occlusion. In case 2, a 49-year-old gentleman presented with ST segment elevation myocardial infarction (STEMI) and had an emergency PCI performed 2 h upon admission. He noticed sudden dropped of vision in his right eye immediately after the procedure. He was diagnosed to have central retinal artery occlusion. Conclusions In conclusion, retinal artery occlusion is a possible complication post PCI. Patients need to be informed especially in high risk cases.
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Affiliation(s)
- Yong Meng Hsien
- Department of Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia
| | - Mushawiahti Mustapha
- Department of Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia.
| | - Jemaima Che Hamzah
- Department of Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia
| | - Oteh Maskon
- Unit of Cardiology, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia
| | - Choor Chee Ken
- Unit of Cardiology, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia
| | - Che Hassan Hamat Hamdi
- Unit of Cardiology, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia
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