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Why can't I see after my heart is fixed: a case series of ocular complications after cardiac intervention

Yong Meng Hsien1, Mushawiahti Mustapha2, Jemaima Che Hamzah1

  • 1Department of Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia.

BMC Ophthalmology
|March 26, 2016
PubMed

Insights

Retinal artery occlusion (RAO) can occur after cardiac interventions like percutaneous coronary intervention (PCI). High-risk patients should be informed about this potential complication.

Area of Science:

  • Ophthalmology
  • Cardiology
  • Interventional Cardiology

Background:

  • Retinal artery occlusion (RAO) is a serious complication following cardiac interventions.
  • Percutaneous coronary intervention (PCI) is a common cardiac procedure.
  • Understanding post-procedural complications is crucial for patient safety.

Observation:

  • Two cases of RAO post-PCI are presented: one branch RAO and one central RAO.
  • Case 1: 74-year-old male with diabetes and hypertension developed branch RAO after elective PCI.
  • Case 2: 49-year-old male developed central RAO after emergency PCI for STEMI.

Findings:

  • RAO, both central and branch, can manifest after PCI.
  • Sudden visual impairment is a key symptom of RAO post-cardiac intervention.
  • The occurrence of RAO appears linked to the PCI procedure.

Implications:

  • RAO is a potential complication of percutaneous coronary intervention.
  • Informed consent is vital, particularly for patients with cardiovascular risk factors.
  • Ophthalmological monitoring may be considered post-PCI in select cases.
Abstract

Keywords:
Acute coronary syndromeCoronary artery diseasePercutaneous coronary interventionRetinal artery occlusionThromboembolism

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