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Cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis

Strauss, Danielle Savitsky; Baharestani, Samuel; Nemiroff, Julia; Amesur, Kiran; Howard, David
INTRODUCTION: We report a case of a 67-year-old male who presented with a cecocentral scotoma caused by a septic embolus from subacute bacterial endocarditis (SBE). METHODS: A 67-year-old man presented with sudden, painless decreased vision in the left eye. A dilated fundoscopic exam, Humphrey visual field test, transthoracic echocardiogram, abdominal computed tomography (CT), and blood cultures were all performed. RESULTS: A dilated fundoscopic exam revealed temporal segmental optic disc pallor on the left, and Humphrey visual field testing demonstrated a dense left cecocentral scotoma. When the patient developed fever (103. 9 degrees F) and palpitations, transthoracic echocardiogram revealed valvular vegetations, and contrast CT of the abdomen revealed an abscess in the dome of the liver likely due to an infectious thrombus. Blood cultures grew viridians group streptococci in three separate peripheral collections. CONCLUSION: This case illustrates that a sudden cecocentral scotoma may be the initial manifestation of SBE
PMCID:3065569
PMID: 21468335
ISSN: 1177-5483
CID: 130312

Preexisting endothelial abnormalities in bilateral postoperative descemet membrane detachment [Case Report]

Fang, John P; Amesur, Kiran B; Baratz, Keith H
PMID: 12796268
ISSN: 0003-9950
CID: 106471

Corneal topographic changes elicited by tangential stress [Meeting Abstract]

Amesur, KB; Young, JA
ISI:A1997WN21501925
ISSN: 0146-0404
CID: 53247