Contrast media induced transient cortical blindness
Document Type
Article
Publication Date
1-1-2016
Abstract
Extract: A 60-year-old man who had previous coronary artery bypass graft surgery with a left internal mammary artery (LIMA) graft, underwent a coronary angiogram to investigate multiple episodes of angina. His only other significant past medical history was well-controlled hypertension. The patient was previously exposed to iodinated contrast media with no history of reaction. His pre-procedural blood pressure and renal function was noted to be normal. No premedication was used. During injection of the LIMA, the patient complained of blurring of vision which deteriorated to near total blindness within minutes. On examination, the patient was able to only differentiate light from dark and unable to do finger counting. The pupils were equal in size and responsive to light. The rest of the neurological examination was normal. The...
Keywords
Angina Pectoris, Blindness, Cortical, Contrast Media, Coronary Angiography
Divisions
fac_med
Publication Title
QJM: An International Journal of Medicine
Volume
109
Issue
2
Publisher
Oxford University Press