Ophthalmic artery occlusion as a complication of infectious endocarditis

Wathek, Cheima; Kharrat, O.; Maalej, A.; Nafaa, M F; Rannen, R.; Gabsi, S.

doi:10.1016/j.jfo.2014.03.013

Cited by 9 publications

(12 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…38 , 43 , 44 Rarely premacular hemorrhage, choroidal neovascularization (CNV), and ophthalmic artery occlusion have been reported in these patients as well. 45–47 Roth spots are pale white opacities surrounding the areas of superficial retinal hemorrhage usually near the optic disk. The pale area represents inflammatory cells that have collected in the area of a septic emboli arising from valvular vegetation as an immune response, while the surrounding area represents RBCs.…”

Section: Acute Vascular Diseasesmentioning

confidence: 99%

Window to the circulatory system: Ocular manifestations of cardiovascular diseases

Singh

Saini

Shergill

et al. 2020

European Journal of Ophthalmology

View full text Add to dashboard Cite

The changes in the cardiovascular system are associated with ocular manifestations, often as a consequence of pathological alteration in the ocular vasculature. The ease of visualization of these retinal changes makes the eye a window to the cardiovascular system. Certain congenital cardiac defects lead to changes in the retinal vascularity due to increased tortuosity and dilatation. In adults, the arterial dissection of internal carotid and vertebral arteries present as amaurosis fugax with or without oculo-sympathetic palsy. The patients with untreated infective endocarditis present with Roth spots, retinitis, embolic retinopathy, or sub-retinal abscesses. Hypoperfusive, hypertensive, or “mixed” retinopathy is a hallmark sign in patients of untreated infective endocarditis. Giant cell arteritis can present with ischemic ocular symptoms that may precipitate in irreversible vision loss. Systemic vascular manifestations such as coronary artery disease may manifest in a wide range of symptoms from amaurosis fugax to vision loss depending upon the size and location of retinal emboli. Rare cardio-oncological pathologies such as myxomas result in vision loss secondary to central retinal artery occlusion. A high clinical suspicion in patients with history of cardiovascular diseases can help in early diagnosis and management of impending, adverse cardiovascular and cerebrovascular events. In this review, we comprehensively discuss the spectrum of cardiac and vascular diseases with ocular manifestations as well as highlight the typical ocular presentations associated with these pathologies.

show abstract

Section: Acute Vascular Diseasesmentioning

confidence: 99%

Window to the circulatory system: Ocular manifestations of cardiovascular diseases

Singh

Saini

Shergill

et al. 2020

European Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…Ordinarily, BRAO occurs secondary to an embolus. Emboli typically originate within vessels upstream where they dislodge and travel within the circulatory system to ultimately become lodged downstream in a vessel with a smaller lumen [ 4 – 6 ]. The most common are cholesterol emboli from aortocarotid atheromatous plaques, platelet fibrin emboli from thrombotic disease, and calcific emboli from cardiac valve disease [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…In spite of infective endocarditis having many different forms of presentation, a high clinical suspicion is often required to reach the diagnosis. The ophthalmological pathology can help to uncover serious underlying medical conditions, which may reduce mortality and morbidity in these patients [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Branch Retinal Artery Occlusion Secondary to Infective Endocarditis

Zheng

Xiong

2021

Journal of Ophthalmology

View full text Add to dashboard Cite

“…However this is unlikely in our patient because of lack of signs and symptoms of severe infection which is usually occurs with bacteraemia. It is possible that other causes of the loss of vision like septic emboli with ophthalmic or central retinal artery occlusion may have occurred secondary to bacterial endocarditis [30]. It is important to be aware of this zoonosis as it is potentially preventable at the primary healthcare level through health education on unprocessed animal products.…”

Section: Discussionmentioning

confidence: 99%

Streptococcus equi subsp. zooepidemicus and ‘Neighbourhood syndrome’ –extra-orbitocranial rhinosinusitis with reversible sudden loss of vision- a case report

Kutsukutsa

Rankhethoa

Pillay³

et al. 2019

BMC Ophthalmol

View full text Add to dashboard Cite

Background Rhinosinusitis is a common condition which may present with complications commonly involving the orbit and the intracranial space. Loss of vision in the absence of clinical or radiological signs of involvement of the orbit and intracranium is rare and carries a high morbidity rate. Streptococcus equi subspecies zooepidemicus is not a well-documented cause of paranasal sinus infection. Case presentation We present a case of a 16 year old female patient who had unilateral loss of vision with signs of retrobulbar optic neuritis and no other neurological signs. We isolated an unusual organism- Streptococcus equi subspecies zooepidemicus from the maxillary sinus. Emergency endoscopic sinus surgery and antibiotic treatment resulted in complete reversal of the loss of vision. Conclusion The presence of paranasal sinus disease in association with loss of vision even in the absence of a clear link between the two should be treated as an emergency with surgical drainage and or appropriate antibiotic therapy. In patients presenting with suspected inflammatory orbital involvement, imaging of the orbit and paranasal sinuses should be considered early.

show abstract

Ophthalmic artery occlusion as a complication of infectious endocarditis

Cited by 9 publications

References 10 publications

Window to the circulatory system: Ocular manifestations of cardiovascular diseases

Window to the circulatory system: Ocular manifestations of cardiovascular diseases

Branch Retinal Artery Occlusion Secondary to Infective Endocarditis

Streptococcus equi subsp. zooepidemicus and ‘Neighbourhood syndrome’ –extra-orbitocranial rhinosinusitis with reversible sudden loss of vision- a case report

Contact Info

Product

Resources

About