• Acta Medica Port · Oct 2020

    Case Reports

    Diplopia After Coronary Revascularization.

    • Joana Braga, Filipe Neves, João Costa, and Dália Meira.
    • Ophthalmology Department. Centro Hospitalar Vila Nova de Gaia / Espinho. Vila Nova de Gaia. Portugal.
    • Acta Medica Port. 2020 Oct 1; 33 (10): 685-688.

    AbstractPercutaneous coronary intervention is a coronary revascularization procedure that may rarely result in thromboembolic events. Although infrequent, ophthalmological complications of percutaneous interventions include a wide range of clinical presentations, with differing severity and outcomes. In this case report, an 83-year-old woman, with multiple cardiovascular risk factors, presents with horizontal diplopia after a percutaneous transluminal coronary angioplasty. After ophthalmological evaluation and a head computed tomography scan, the diagnosis of isolated ischemic internuclear ophthalmoplegia was established. After six months of follow-up, the patient showed complete recovery of her symptoms and ocular movements. We discuss the post-percutaneous intervention ophthalmic complications that, although uncommon, must be recognized by health care providers.

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