A new form of retinopathy associated with myocardial infarction treated with percutaneous coronary intervention

Br J Ophthalmol. 2004 Apr;88(4):494-6. doi: 10.1136/bjo.2003.027136.

Abstract

Aim: To report a new form of retinopathy that was observed in patients who had undergone percutaneous coronary intervention (PCI) following acute myocardial infarction (AMI).

Methods: Serial ophthalmological examinations were conducted in 40 patients who underwent PCI. Thirty patients were diagnosed with AMI, and another 10 had stable angina pectoris.

Results: Cotton wool spots developed in 17 (57%) patients from the group with AMI undergoing PCI (n = 30) within 2 months. Of these, 41% (seven patients) also developed superficial haemorrhages. Retinopathy was most prominent 1-2 months after AMI and then tended to become quiescent afterwards, without treatment.

Conclusion: We have identified a new form of retinopathy in patients with AMI that spontaneously subsides without treatment.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Angioplasty, Balloon, Coronary / adverse effects*
  • Female
  • Fluorescein Angiography
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / complications*
  • Myocardial Infarction / therapy
  • Remission, Spontaneous
  • Retinal Diseases / etiology*