[Central retinal artery occlusion following coronary angiography: a case report].
We report the case of a 74-year-old man referred in ophthalmology for acute central visual loss in his right eye 2 hours after a coronary angiography. Visual acuity was limited to light perception RE and 20/20 LE. Fundus examination revealed a central retinal artery occlusion with retinal edema and a cherry-red spot in the right eye. Fluorescein angiography confirmed that the central retinal artery was not filling. Despite selective ophthalmic artery fibrinolysis, visual acuity remained very low. Embolic occlusion is the most probable etiology in this complication. Central retinal artery occlusion is a serious but very rare complication of coronary angiography.
Service d'ophtalmologie B, CHU Nancy-Brabois, allée du Morvan, 54511 Vandœuvre-lès-Nancy cedex, France.
J
J
Selton
T
T
Maalouf
A
A
Olivier
R
R
Anxionnat
M
M
Angioi
K
K
Angioi
D000368:Aged; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000473:pathology; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D057785:Catheters / Q000009:adverse effects; D017023:Coronary Angiography / Q000009:adverse effects* / Q000295:instrumentation; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003941:Diagnostic Techniques, Ophthalmological; D004620:Embolism, Fat / Q000209:etiology*; D004630:Emergencies; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007269:Injections, Intra-Arterial; D008266:Macula Lutea / Q000473:pathology; D008297:Male; D009880:Ophthalmic Artery; D010211:Papilledema / Q000209:etiology; D058226:Plaque, Atherosclerotic / Q000473:pathology; D015356:Retinal Artery Occlusion / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D012307:Risk Factors; D012421:Rupture / Q000209:etiology; D012907:Smoking
D005343:Fibrinolytic Agents