© 2004 BMJ Publishing Group Ltd
SCIENTIFIC REPORT
A new form of retinopathy associated with myocardial infarction treated with percutaneous coronary intervention
1 Department of Ophthalmology, Omiya Medical Center, Jichi Medical School, Saitama, Japan
2 Department of Comprehensive Medicine I, Omiya Medical Center, Jichi Medical School, Saitama, Japan
Correspondence to:
Correspondence to:
Dr M Kawakami
Department of Comprehensive Medicine I, Omiya Medical Center, Jichi Medical School, 1-847 Amanuma, Saitama, Saitama 330-8503, Japan; nobukawa{at}omiya.jichi.ac.jp
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 12 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.
Keywords: acute myocardial infarction; percutaneous coronary intervention; retinopathy; cotton wool spot
Abbreviations: AMI, acute myocardial infarction; PCI, percutaneous coronary intervention
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Kinoshita, N, Kakehashi, A, Yasu, T, Katayama, T, Kuroki, M, Tsurimaki, Y, Ono, R, Yamagami, H, Saito, M, Kawakami, M
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