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Related Experiment Videos

Peripheral retinal neovascularization in rheumatic fever

J S Kelley, H G Randall

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |January 1, 1979
    PubMed
    Summary

    Rheumatic fever can cause eye complications like new blood vessels in the retina. Doctors should consider rheumatic fever in patients with unexplained retinal new vessels.

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    Ophthalmology·1985

    Area of Science:

    • Ophthalmology
    • Rheumatology
    • Cardiology

    Background:

    • Rheumatic fever is an inflammatory disease that can affect multiple organ systems.
    • Cardiac involvement (carditis) is a common and serious manifestation of rheumatic fever.
    • Ocular manifestations of rheumatic fever are less common but can have significant visual consequences.

    Observation:

    • A 15-year-old male presented with recurrent rheumatic fever over two years, exhibiting chorea, rash, and carditis.
    • Following acute carditis, the patient developed peripheral retinal neovascularization in the left eye.
    • Transient hemiparesis was noted, suggesting embolic events as a potential cause of retinal vascular occlusion.

    Findings:

    • Peripheral retinal neovascularization can be a sequela of rheumatic carditis.
    • Embolic phenomena may underlie retinal vascular occlusions in the context of rheumatic fever.
    • This case highlights a rare but significant ocular complication of rheumatic fever.

    Implications:

    • Rheumatic fever should be included in the differential diagnosis for patients presenting with retinal neovascularization of unknown etiology.
    • Early recognition and management of rheumatic fever may prevent severe systemic and ocular complications.
    • Further research into the pathogenesis of ocular involvement in rheumatic fever is warranted.

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