Paracentral acute middle maculopathy in patient with atherosclerosis and angioplasty with stents in the coronary artery

Einstein (Sao Paulo). 2021 Feb 26:19:eRC5521. doi: 10.31744/einstein_journal/2021RC5521. eCollection 2021.
[Article in English, Portuguese]

Abstract

Sophisticated imaging systems have helped to redefine the clinical presentation of acute macular neuroretinopathy and have markedly enhanced diagnostic sensitivity. The proposed mechanism of paracentral acute middle maculopathy is related to ischemia at the level of the superficial and deep retinal capillary plexi. This is a case report of a patient who developed an acute macular neuroretinopathy after an uneventful angioplasty with stents in the coronary artery.

RESUMO: Sistemas de imagem sofisticados ajudaram a redefinir a apresentação clínica da neurorretinopatia macular aguda e têm sensibilidade diagnóstica marcadamente aumentada. A maculopatia média aguda paracentral tem sido relacionada à isquemia ao nível dos plexos capilares superficial e profundo da retina. Este é um relato de caso de paciente que desenvolveu uma neurorretinopatia macular aguda após uma cirurgia de angioplastia com stents da artéria coronária sem complicações.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Angioplasty / adverse effects*
  • Atherosclerosis / surgery*
  • Coronary Vessels / surgery*
  • Female
  • Fluorescein Angiography
  • Humans
  • Macular Degeneration
  • Middle Aged
  • Stents / adverse effects*
  • Tomography, Optical Coherence
  • White Dot Syndromes / diagnostic imaging
  • White Dot Syndromes / etiology