Korean J Ophthalmol.  2013 Feb;27(1):58-60. 10.3341/kjo.2013.27.1.58.

Bilateral Nongranulomatous Uveitis with Infective Endocarditis

• Ha SW
• Shin JP
• Kim SY
• Park DH

• KMID: 1501799
• DOI: http://doi.org/10.3341/kjo.2013.27.1.58

Abstract

A 32-year-old male who had infective endocarditis complained of photophobia and blurred vision in both eyes. Biomicroscopic examination and fundus examination revealed anterior chamber reaction, vitritis, optic disc swelling, and Roth spots. He was diagnosed with bilateral nongranulomatous uveitis and treated with topical steroid eye drops and posterior sub-Tenon injection of triamcinolone. His visual symptoms were resolved within 1 week, and inflammation resolved within 4 weeks after treatment.

Keyword

Immune system disease; Optic disc; Uveitis

MeSH Terms

Adult
Diagnosis, Differential
Echocardiography, Transesophageal
Endocarditis, Bacterial/*complications/diagnosis
Fluorescein Angiography
Fundus Oculi
Glucocorticoids/administration & dosage
Humans
Intraocular Pressure
Intravitreal Injections
Male
Triamcinolone Acetonide/administration & dosage
Uveitis/*complications/diagnosis/drug therapy
Visual Acuity
Glucocorticoids
Triamcinolone Acetonide

Figure

• 

  Fig. 1 (A) At baseline, fundus photograph of both eyes showed optic disc swelling and retinal hemorrhages with pale centers (Roth spots) in the temporal retina (arrows). Best-corrected visual acuity was 20 / 32 in both eyes. (B) Fluorescein angiography showed hyperfluorescence in the optic disc and hypofluorescence in the Roth spots (arrows) in both eyes.

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