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Bilateral Central Retinal Artery Occlusion in Infective Endocarditis
Mohamed Mohamed1, Tahira Scholle1
1Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, TX, USA.
Journal of Vitreoretinal Diseases
|April 3, 2023
Summary
Infective endocarditis (IE) can cause severe vision loss from central retinal artery occlusions (CRAOs). This case highlights the risk of bilateral CRAOs, emphasizing prompt diagnosis and treatment for IE patients.
Area of Science:
- Ophthalmology
- Cardiology
- Infectious Diseases
Background:
- Infective endocarditis (IE) is a serious infection that can lead to embolic events.
- Central retinal artery occlusions (CRAOs) are a rare but devastating complication of embolic events.
Observation:
- A 35-year-old man with IE presented with sudden vision loss in his right eye.
- Ocular examination revealed signs consistent with CRAO and an embolus in the contralateral eye.
- The patient subsequently developed a CRAO in his left eye during hospitalization.
Findings:
- Bilateral, sequential CRAOs occurred in a patient with IE, presumed secondary to dental caries.
- The patient experienced complete vision loss in both eyes.
Implications:
- This case underscores the potential for severe embolic complications from IE affecting vision.
- Early diagnosis and aggressive medical and surgical management are crucial to prevent further embolic events and improve outcomes in IE patients.
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