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Neuro-ophthalmologic complications of cardiac catheterization

From the Departmentaof Ophthalmology (Dr. Kosmorsky) and Neurology (Dr. Hanson). Cleveland Clinic Foundation, and the Diviaionof Ophthalmology (Dr. Tomaak). University Hospitals. Cleveland, OH.

We examined ten patients who, from 1981 to 1986, sustained neuro-ophthalmologic events during cardiac catheterization. Eight patients, most of whom recovered, were believed to have sustained embolic phenomena. Two patients experienced a typical migraine during the catheterization and likewise did well. We conclude that the likelihood of sustaining a neuro-ophthalmic complication during cardiac catheterization is low and that the prognosis after having sustained such a complication is generally favorable. Evidence suggests that artery-to-artery emboli is the dominant pathogenic factor.

Address correspondence and reprint requests to Dr. Kosmoraky. Department of Ophthalmology. The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland. OH 44106.

Received March 23. 1987. Accepted for publication in final form July 2, 1987.

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