Korean J Ophthalmol.  2015 Apr;29(2):138-139. 10.3341/kjo.2015.29.2.138.

Bilateral Macula-involving Metastatic Infection Resulting from Septic Embolization

• Park J
• Kim TW
• Ahn J

• KMID: 2363721
• DOI: http://doi.org/10.3341/kjo.2015.29.2.138

Abstract

No abstract available.

MeSH Terms

Adult
Embolism/*complications/diagnosis/microbiology
Eye Infections, Bacterial/*complications/diagnosis/microbiology
Fluorescein Angiography
Fundus Oculi
Humans
Macula Lutea/drug effects/*pathology
Male
Retinal Perforations/diagnosis/*etiology
Sepsis/*complications/diagnosis
Staphylococcal Infections/*complications/diagnosis
Staphylococcus aureus/isolation & purification

Figure

• 

  Fig. 1 Fundus images showing the clinical course of the patient. (A) Small white infiltrations with hemorrhage were present in the juxtafovea of both eyes. (B) Fluorescein angiography showed no active leakage. (C) Spectral domain-optical coherence tomography showed disruption at the junction of the photoreceptor inner and outer segments and cone outer segment (black arrowheads). These changes were far more prominent and extensive in the left eye. Hyperreflective intraretinal deposits were present involving both the inner and outer retinal layers (white arrows). (D) Focal area of near total retinal tissue defect similar to an impending macular hole in the juxtafovea of the left eye. (E) Two weeks after intravenous antibiotic therapy, the intraretinal infiltrations were no longer visible. (F) Spectral domain-optical coherence tomography showed near full restoration of inner and outer segments junction and cone outer segment lines except for small focal defects at the fovea. Hyperreflective intraretinal infiltrations had decreased substantially. OD = right eye; OS = left eye.

Reference

1. Beatty S, Harrison RJ, Roche P. Bilateral macular holes resulting from septic embolization. Am J Ophthalmol. 1997; 123:557–559.

2. Yoon CH, Park KH, Woo SJ. Macular hole formation secondary to bacterial septic embolism demonstrated by serial spectral-domain optical coherence tomography imaging. Ocul Immunol Inflamm. 2013; 21:163–165.