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Tomoko Kato, MD; Yoshifumi Takeda, MD; Shigeo Matsuyama, MD; Hiromu K. Mishima, MD, PhD
Hiroshima, Japan

Arch Ophthalmol. 2001;119:1868-1869.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 14-YEAR-OLD girl had experienced general fatigue, weight loss, and fever for 3 months when she developed sudden unilateral visual loss. Visual acuity in the right eye was no light sense. Ophthalmologic examination revealed a combined occlusion of the central retinal artery and vein on the first day (Figure 1 and Figure 2) and flame-shaped retinal hemorrhage on the second day (Figure 3). She was diagnosed as having infective endocarditis (IE) with group D streptococcus. Congenital atrial septal defect and mitral valve insufficiency were also found, which probably caused IE and subsequent ophthalmic events. Despite treatment with fibrinolysis (urokinase and low molecular dextran; Otsuka Pharmaceutical Co Ltd, Tokyo, Japan), her visual acuity improved only to hand movement with resolution of the cherry red spot. Two weeks after the first ophthalmologic examination, she . . . [Full Text of this Article]

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