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Successfully treated hemi-central retinal artery occlusion following cardiac catheterization; case report
Abdullah Al-Kasasbeh1, Omar Saleh2, Rasheed Ibdah1
1Division of cardiology, Department of Internal Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
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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