Purpose: To report a case of branch retinal artery occlusion after atherectomy.
Methods: A 51-year-old man complained of visual loss in the right eye after directional coronary atherectomy, performed secondary to a complicated percutaneous transluminal coronary angioplasty. He underwent a full ophthalmologic examination, including fluorescein angiography and Doppler ultrasound.
Results: Visual Acuity was 20/30 with an inferior scotoma present in the right eye. There were three Hollenhorst plaques present inside the superotemporal vascular arcade.
Conclusions: There is a small but definite risk of retinal microinfarctions after atherectomy.