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Spectral-domain optical coherence tomography of roth spots.

AbstractPURPOSE:
To describe the retinal findings of subacute bacterial endocarditis, their evolution after treatment, and analysis with spectral-domain optical coherence tomography.
METHODS:
Retrospective chart review.
RESULTS:
A 21-year-old man presented with the sudden onset of a central scotoma in his left eye because of a sub-internal limiting membrane hemorrhage overlying the left fovea. When examined 2 weeks later, Roth spots were noted in his right eye. The patient was immediately referred to his internist and diagnosed with subacute bacterial endocarditis with cultures positive for Streptococcus viridans. He subsequently underwent aortic valve replacement surgery after 4 weeks of intravenous antibiotic therapy. When examined 4 weeks after valve replacement surgery, there was regression of the Roth spots.
CONCLUSION:
The present case demonstrates the importance of a funduscopic examination in the early diagnosis and management of subacute bacterial endocarditis. The analysis of Roth spots with spectral-domain optical coherence tomography suggested that they were septic emboli.
AuthorsJerome Giovinazzo, Sarah Mrejen, K Bailey Freund
JournalRetinal cases & brief reports (Retin Cases Brief Rep) Vol. 7 Issue 3 Pg. 232-5 ( 2013) ISSN: 1937-1578 [Electronic] United States
PMID25391112 (Publication Type: Journal Article)

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