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NR 1-3/2008
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Zator tętnicy
środkowej siatkówki jako powikłanie przezskórnej angioplastyki
wieńcowej – opis przypadku
Embolic central retinal
artery occlusion as a complication of percutaneous coronary
angioplasty – case report
Paweł Kraśnicki1, Ewa
Proniewska-Skrętek1, Zofia Mariak1, Artur
Dubicki2, Grzegorz Mężyński2, Sławomir
Dobrzycki2
1Z Kliniki Okulistyki Akademii Medycznej w
Białymstoku
Kierownik: prof. dr hab. n. med. Zofia Mariak
2Z Kliniki Kardiologii Inwazyjnej Akademii Medycznej
w Białymstoku
Kierownik: dr hab. n. med. Sławomir Dobrzycki |
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| Summary: |
Procedures of the
percutaneous coronary intervention are more often
carried out in patients with coronary heart disease (CHD)
because they are not very invasive and very effective.
Even though a lot of procedures of this type are carried
out, reports on the ophthalmic complications connected
to them,are rarely found.
The authors present the case of the 78 years old patient
in whom disturbances of the right eye vision occurred
after coronary angiography combined with angioplasty of
the narrowed artery with stent implantation.
Ophthalmic examination revealed features of the central
retinal artery occlusion. Even though an immediate
treatment was applied, the function of the right eye was
not improved. When general condition of the patient was
normalized, the diagnosis was confirmed by the Color
Doppler ultrasonography in the vessels supplying eye.
The photographic documentation was prepared.
The literature data indicate the necessity of immediate
diagnosis of even mild vision disturbances in the course
of and after the percutaneous coronary intervention
because only an immediate treatment can protect the
patient from a permanent vision decrease, due to the
embolism of the retinal vessels. |
| Słowa kluczowe: |
zator tętnicy środkowej
siatkówki, przezskórna angioplastyka wieńcowa. |
| Key words: |
embolic central retinal
artery occlusion, percutaneous coronary angioplasty. |
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