Retina-Vitreous
2018 , Vol 27 , Num 4
Multipl Retinal Arterial Embolies after Diagnostic Coronary Anjiography
1Asist. Dr., SBÜ Fatih Sultan Mehmet EAH, Göz Hastalıkları, İstanbul, Türkiye2Doç. Dr., SBÜ Fatih Sultan Mehmet EAH, Göz Hastalıkları, İstanbul, Türkiye
3Uz. Dr., SBÜ Fatih Sultan Mehmet EAH, Göz Hastalıkları, İstanbul, Türkiye Transient ischemic attacks (0.1%), arrhythmia, local vascular problems (1.6%), vasovagal reaction (2.1%), and allergy (0.1-2%) can be seen after diagnostic coronary angiography (DCA). It is known that anterior and posterior ischemic neuropathy and central retinal artery occlusion may develop after coronary bypass surgery. Even though very few ocular complications occur due to embolism after DCA, serious problems can be experienced in diagnosis and treatment. The risk of encountering this complication is rising due to the increasing number of diagnostic radiological interventions and patients requiring this procedure. A 44-year-old male patient presented to our clinic with complaints of decreased visual acuity in the lefte ye since 3 weeks. The patient told us he underwent DCA 3 weeks ago with a suspicion of coronary ischemia because of chest pain, and visual loss developed after the procedure. The best corrected visual acuity with Snellen?s chart was found to be 1.0 in the right eye and 0.5 in the left eye. On the fundus examination, multiple embolism-related stenoses in the right and left retinal arterial branches and exudates, especially denser in the posterior pole of the left eye, were present. Exudates covered a large area at the posterior pole and temporal to the optic disc in the left eye and smaller areas in the right eye. After ophthalmic examination and diagnostic tests multiple embolies due to DCA was the diagnosis. Keywords : Retinal artery embolism, coronary angiography, exudate