PubMed ID: 40986781
Author(s): Froines CP, Whittier SA, Gottlieb JL. Metallic Retinal Artery Embolus following Pipeline Embolization Device. Retin Cases Brief Rep. 2025 Sep 22. doi: 10.1097/ICB.0000000000001811. Online ahead of print. PMID 40986781
Journal: Retinal Cases & Brief Reports, Sep 2025
PURPOSE To describe a case of asymptomatic metallic retinal embolus following stent in stent Pipeline embolization device (PED) placement.
METHODS Case report of a 41-year-old female with left ophthalmic artery aneurysm treated twice with PED referred to ophthalmology for incidentally found refractile object in left eye macula.
RESULTS Clinical findings notable for fundoscopic exam with refractile foreign body at the temporal edge of fovea. Object was observed to be intravascular on optical coherence tomography (OCT) and without vascular occlusion on OCT angiography.
CONCLUSIONS Metallic embolus appears to be a rare complication of PED placement.