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Cilioretinal artery occlusion during coronary catheterization
A Loewenstein1, M Goldstein, A Roth
1Department of Ophthalmology, Ichilov Hospital, Tel-Aviv, Israel.
Purpose:
To report on a patient with cilioretinal artery occlusion during cardiac catheterization.
Methods:
A 51-year-old man complained of blurred vision in the left eye immediately following cardiac catheterization. Visual acuity was 6/12 and the eye had a dense central scotoma.
Results:
Mild retinal whitening of the posterior pole and segmented filling of the cilio-retinal artery established the diagnosis of cilioretinal artery occlusion. Immediate paracentesis was performed. Two weeks later, a tiny central scotoma could be observed and visual acuity was 6/6.
Conclusions:
Cardiac catheterization may result in retinal infarction. Awareness to any visual symptoms, immediate diagnosis and prompt intervention may prevent permanent visual impairment.