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Simultaneous bilateral choroidal neovascularization associated with Staphylococcus aureus infective endocarditis: A
Yuichi Yasukura1, Taku Wakabayashi1, Hirokazu Sakaguchi1
1Department of Ophthalmology, Osaka University Graduate School of Medicine, Suita, Japan.
American Journal of Ophthalmology Case Reports
|March 8, 2021
Summary
This case report describes simultaneous bilateral choroidal neovascularization (CNV) in a patient with Staphylococcus aureus infective endocarditis. Prompt diagnosis and anti-vascular endothelial growth factor treatment improved vision.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Cardiology
Background:
- Infective endocarditis, particularly from Staphylococcus aureus, poses significant systemic risks.
- Ocular manifestations of infective endocarditis are rare but can lead to severe visual impairment.
- Choroidal neovascularization (CNV) is an abnormal growth of blood vessels under the retina.
Observation:
- A 35-year-old male developed acute visual impairment post-cardiac surgery for Staphylococcus aureus infective endocarditis.
- Diagnostic imaging revealed simultaneous bilateral choroidal neovascularization (CNV).
- The patient presented with a single CNV in the right eye and three CNV areas in the left eye.
Findings:
- Fundus photography, fluorescein angiography, OCT, and OCT angiography confirmed bilateral CNV.
- Treatment with intravitreal aflibercept led to improved visual acuity in both eyes.
- This is the first reported case of simultaneous bilateral CNV associated with infective endocarditis.
Implications:
- Patients with infective endocarditis require vigilant monitoring for visual symptoms.
- Early detection and management of CNV are crucial to prevent vision loss, especially macular involvement.
- Intravitreal anti-VEGF therapy shows promise as an effective treatment for CNV in this context.
Keywords:
Choroidal neovascularizationFluorescein angiographyInfective endocarditisOptical coherence tomographyStaphylococcus aureusMore Related Videos
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