J Korean Ophthalmol Soc.  2017 Dec;58(12):1416-1419. 10.3341/jkos.2017.58.12.1416.

Multiple Subretinal and Intraretinal Hemorrhages as a First Sign of Infective Endocarditis

Affiliations
  • 1Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
  • 2T2B Infrastructure Center for Ocular Disease, Inje University Busan Paik Hospital, Busan, Korea.
  • 3Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. maekbak@hanmail.net

Abstract

PURPOSE
To report a patient with multiple subretinal and intraretinal hemorrhages in the absence of retinal/choroidal lesions, diagnosed with infective endocarditis (IE). CASE SUMMARY: We describe the case of a 44-year-old male with an acute decrease of vision in his right eye. Ophthalmic evaluation revealed multiple subretinal and intraretinal hemorrhages, but no choroidal or other retinal lesions. A systemic examination revealed a pansystolic murmur and blood cultures with echocardiography were suggestive of IE.
CONCLUSIONS
Thorough systemic evaluations are important when patients present with subretinal and intraretinal hemorrhages in the absence of other retinal/choroidal lesions.

Keyword

Infective endocarditis; Retinal hemorrhage; Roth spot

MeSH Terms

Adult
Choroid
Echocardiography
Endocarditis*
Hemorrhage*
Humans
Male
Retinal Hemorrhage
Retinaldehyde
Retinaldehyde
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