La Macchia Tommaso, Albiero Remo, Invernizzi Tommaso, Ceravolo Giorgia, Ceravolo Ida
Department of Clinical and Experimental Medicine, Unit of Cardiology, University of Messina, Via C. Valeria, 98125 Messina, Italy.
Interventional Cardiology Unit-Sondrio Hospital, Via Stelvio, 25, 23100 Sondrio, Italy.
Case Rep Cardiol. 2021 Apr 27;2021:9985568. doi: 10.1155/2021/9985568. eCollection 2021.
We report a case of branch retinal artery occlusion (BRAO) that occurred after percutaneous coronary intervention (PCI). A 59-year-old man with no other previous diseases presented visual acuity deterioration in the left eye 24 hours after PCI. Fundus examination revealed ischemia at the temporal branch of the retinal artery associated with inner layer edema. Prompt treatment was performed with ocular digital massage and paracentesis of the anterior chamber. However, at discharge, the patient had a persistent visual loss with a central scotoma that persisted at 35-day follow-up without improvement of the visual acuity. The patient did not suffer from any other systemic complications. Retinal infarction should be considered a potential complication of PCI. Patients and health care providers should be aware of any visual signs. Permanent visual disability can be prevented by immediate diagnosis and prompt intervention.
我们报告了一例经皮冠状动脉介入治疗（PCI）后发生的视网膜分支动脉阻塞（BRAO）病例。一名既往无其他疾病的59岁男性在PCI术后24小时出现左眼视力下降。眼底检查发现视网膜动脉颞侧分支缺血并伴有内层水肿。立即进行了眼部按摩和前房穿刺治疗。然而，出院时患者仍有持续性视力丧失及中心暗点，在35天的随访中视力无改善。患者未出现任何其他全身并发症。视网膜梗死应被视为PCI的潜在并发症。患者和医护人员应注意任何视觉症状。通过及时诊断和迅速干预可预防永久性视力残疾。
