Transient cortical blindness after cardiac catheterization with iobitridol

Tex Heart Inst J. 2007;34(3):373-5.

Abstract

The occurrence rate of transient cortical blindness after contrast media exposure has been reported to be as high as 1% to 4% after cerebral or vertebral angiography, but such blindness has been described in only a few cases of coronary angiography with modern, non-ionic, low-osmolality radio-contrast agents. In this study, we present a case of abrupt cortical blindness after exposure to contrast media during diagnostic coronary angiography; to our knowledge, this is the 1st report in the medical literature that describes transient cortical blindness after iobitridol use.

Keywords: Blindness/etiology/radiography; bloodbrain barrier/drug effects; cerebral cortex/drug effects; cognition disorders/etiology; contrast media/administration & dosage/drug effects; coronary angiography iobitridol; iohexol/adverse effects/diagnostic use; visual cortex/drug effects.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Blindness / chemically induced*
  • Cardiac Catheterization
  • Contrast Media / adverse effects*
  • Coronary Angiography / adverse effects*
  • Female
  • Humans
  • Iohexol / adverse effects
  • Iohexol / analogs & derivatives*

Substances

  • Contrast Media
  • iobitridol
  • Iohexol