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Simultaneous bilateral choroidal neovascularization associated with Staphylococcus aureus infective endocarditis: A case report.

Authors
  • Yasukura, Yuichi1
  • Wakabayashi, Taku1
  • Sakaguchi, Hirokazu1
  • Nishida, Kohji1
  • 1 Department of Ophthalmology, Osaka University Graduate School of Medicine, Suita, Japan. , (Japan)
Type
Published Article
Journal
American journal of ophthalmology case reports
Publication Date
Jun 01, 2021
Volume
22
Pages
101037–101037
Identifiers
DOI: 10.1016/j.ajoc.2021.101037
PMID: 33681530
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To report a case of simultaneous bilateral choroidal neovascularization (CNV) associated with Staphylococcus aureus infective endocarditis. A 35-year-old man presented with acute visual impairment 14 days after cardiac surgery for acute infective endocarditis caused by methicillin-susceptible S. aureus. Fundus photography, fluorescein angiography, optical coherence tomography (OCT), and OCT angiography confirmed the presence of a single CNV area in the right eye and three CNV areas in the left eye. Treatment with intravitreal aflibercept resulted in an improvement in the visual acuity in both eyes. The findings from this case highlight the importance of monitoring visual symptoms in patients with infective endocarditis. CNV can result in vision loss when it involves the macula; therefore, prompt diagnosis is important. Intravitreal anti-vascular endothelial growth factor injection can be an effective treatment in such cases. To the best of our knowledge, this is the first report of simultaneous bilateral CNV associated with infective endocarditis. © 2021 The Authors.

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