Diplopia After Coronary Revascularization

• Autor(a) principal: Braga, Joana
• Data de Publicação: 2020
• Outros Autores: Neves, Filipe, Costa, João, Meira, Dália
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11751
• topic: Diplopia; Myocardial Revascularization; Ocular Motility Disorders; Percutaneous Coronary Intervention; Diplopia; Intervenção coronária percutânea; Revascularização Miocárdica; Transtornos da Motilidade Ocular

Percutaneous 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.