Kim J E, Han D P
Department of Ophthalmology, Medical College of Wisconsin, Milwaukee 53226, USA.
Am J Ophthalmol. 1995 Aug;120(2):250-1. doi: 10.1016/s0002-9394(14)72617-0.
PURPOSE/METHODS: We examined a patient with mitral valve insufficiency, a sudden decrease in vision in the right eye, and premacular hemorrhage, which was a sign of subacute bacterial endocarditis.
RESULTS/CONCLUSION: The patient was hospitalized and treated with intravenous antibiotics. Blood cultures grew Streptococcus viridans. Ocular symptoms and signs improved over two months. Premacular hemorrhage may be a sign of subacute bacterial endocarditis and may obscure other classic signs. Subacute bacterial endocarditis should be included in the differential diagnosis of premacular hemorrhage.