Successfully treated hemi-central retinal artery occlusion following cardiac catheterization; case report

成功治疗心脏导管术后半侧视网膜中央动脉阻塞;病例报告

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Abstract

INTRODUCTION AND IMPORTANCE: Here we report a case of a middle-aged man who complained of blurred vision in his left eye 1 h post cardiac catheterization and proved to have central retinal artery occlusion, a dangerous but potentially treatable sight-threatening complication of cardiac-catheterization. The patient was successfully treated through an Ophthalmological surgical intervention. CASE PRESENTATION: A 49- year-old male patient admitted to the coronary care unit as a case of non-ST-elevation-myocardial infarction. The patient underwent cardiac catheterization and stenting of the right coronary artery. One hour later, he complained of blurred vision in his left eye. CLINICAL DISCUSSION: Ophthalmological examination showed an inferior visual field defect in the left eye. Fundus fluorescein angiography revealed that the patient had a hemi-central retinal artery occlusion, a rare complication of cardiac catheterization. A pars plana vitrectomy eye surgery was performed with an excellent result. CONCLUSION: This case highlights the importance of early recognition and treatment of central retinal artery occlusion post cardiac catheterization.

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