• Seminars in ophthalmology · Sep 2004

    Case Reports

    Occipital lobe infarction following cardiac ablation.

    • Rukhsana G Mirza, Jose Biller, and Walter M Jay.
    • Department of Ophthalmology, Loyola University Medical Center, Maywood, Illinois 60153, USA. rumirza@lumc.edu
    • Semin Ophthalmol. 2004 Sep 1;19(3-4):70-1.

    AbstractA 60-year-old man presented with the chief complaint of seeing a blurred area just up and to the left of the center of his vision. The patient noted this visual field defect immediately after he awoke from a cardiac electrophysiologic study with a catheter ablation procedure. On neuro-ophthalmologic testing, a small scotoma was present superior and left of fixation in both eyes. MRI showed a small irregular area of abnormal signal in the right occipital lobe consistent with an ischemic lesion. To the best of our knowledge, this represents the first case report of a homonymous visual field defect secondary to an occipital lobe infarction following a cardiac catheter ablation procedure.

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