Branch retinal artery occlusion associated with directional coronary atherectomy after percutaneous transluminal coronary angioplasty.
case_report · Level V
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Abstract
To report a case of branch retinal artery occlusion after atherectomy. A 51-year-old man complained of visual loss in the right eye after directional coronary atherectomy, performed secondary to a complicated percutaneous transluminal coronary angioplasty. He underwent a full ophthalmologic examination, including fluorescein angiography and Doppler ultrasound. Visual Acuity was 20/30 with an inferior scotoma present in the right eye. There were three Hollenhorst plaques present inside the superotemporal vascular arcade. There is a small but definite risk of retinal microinfarctions after atherectomy.
Medical subject headings
- Angioplasty, Balloon, Coronary
- Atherectomy, Coronary
- Retinal Artery Occlusion