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

• Published in: British journal of ophthalmology Vol. 88; no. 4; pp. 494 - 496
• Main Authors: Kinoshita, N, Kakehashi, A, Yasu, T, Katayama, T, Kuroki, M, Tsurimaki, Y, Ono, R, Yamagami, H, Saito, M, Kawakami, M
• Format: Journal Article
• Language: English
• Published: BMA House, Tavistock Square, London, WC1H 9JR BMJ Publishing Group Ltd 01.04.2004; BMJ; BMJ Publishing Group LTD; Copyright 2004 British Journal of Ophthalmology
• Subjects: acute myocardial infarction; Adult; Aged; Aged, 80 and over; AMI; Angina pectoris; Angioplasty; Angioplasty, Balloon, Coronary - adverse effects; Biological and medical sciences; Cardiology. Vascular system; Cholesterol; Clinical Science - Scientific Reports; Coronary heart disease; cotton wool spot; Diabetes; Diabetic retinopathy; Female; Fluorescein Angiography; Heart; Heart attacks; Humans; Hypertension; Male; Medical imaging; Medical sciences; Middle Aged; Multivariate analysis; Myocardial Infarction - complications; Myocardial Infarction - therapy; Myocarditis. Cardiomyopathies; Ophthalmology; Pain; PCI; percutaneous coronary intervention; Remission, Spontaneous; Retinal Diseases - etiology; Retinopathies; retinopathy; Veins & arteries; Myocardial infarction; Eye disease; Association; Retinopathy; Heart disease; Cardiovascular disease; Ophthalmology; Myocardial disease; Percutaneous route
• ISSN: 0007-1161; 1468-2079
• DOI: 10.1136/bjo.2003.027136

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.