Presenting complaints: A 36-year-old male patient was admitted to the emergency department with complaints of acute and painless vision loss in the right eye for approximately one hour. He was promptly referred to an ophthalmologist who determined near blindness in the right eye (6/60) and fully preserved visual acuity of the left eye (6/6). There were no signs of eye infection or trauma. Medical history: The patient had a known bicuspid aortic valve disease history.
After two years, the patient developed aortic valve endocarditis due to a Streptococcus sanguinis infection. This caused an ischemic stroke, and the patient completely recovered from this condition. Investigations: A fundoscopic exam was immediately conducted, which revealed a cherry-red spot. In addition, a retinal whitening was observed, suggestive of visual loss caused by central retinal artery occlusion.…
