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Br J Ophthalmol 2004;88:494-496 doi:10.1136/bjo.2003.027136
  • Clinical science
    • Scientific reports

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

  1. N Kinoshita1,
  2. A Kakehashi1,
  3. T Yasu2,
  4. T Katayama2,
  5. M Kuroki2,
  6. Y Tsurimaki1,
  7. R Ono1,
  8. H Yamagami1,
  9. M Saito2 and
  10. M Kawakami2
  1. 1Department of Ophthalmology, Omiya Medical Center, Jichi Medical School, Saitama, Japan
  2. 2Department of Comprehensive Medicine I, Omiya Medical Center, Jichi Medical School, Saitama, Japan
  1. Correspondence to: Dr M Kawakami Department of Comprehensive Medicine I, Omiya Medical Center, Jichi Medical School, 1-847 Amanuma, Saitama, Saitama 330-8503, Japan; nobukawaomiya.jichi.ac.jp
  • Accepted 1 September 2003

Abstract

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.

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