Eyes Wide Shut: A Cohort Study Questioning the Role of Fundoscopy in Infective Endocarditis Diagnosis

Author:

Stavropoulou Elisavet1,Guery Benoit1,Tzimas Georgios2,Guex-Crosier Yan3,Hoogewoud Florence3,Tozzi Piergiorgio4,Kirsch Matthias4,Monney Pierre2,Papadimitriou-Olivgeris Matthaios15ORCID

Affiliation:

1. Infectious Diseases Service, Lausanne University Hospital and University of Lausanne , Lausanne , Switzerland

2. Department of Cardiology, Lausanne University Hospital and University of Lausanne , Lausanne , Switzerland

3. Department of Ophthalmology, Jules-Gonin Eye Hospital and University of Lausanne , Lausanne , Switzerland

4. Department of Cardiac Surgery, Lausanne University Hospital and University of Lausanne , Lausanne , Switzerland

5. Infectious Diseases Service, Cantonal Hospital of Sion and Institut Central des Hôpitaux , Sion , Switzerland

Abstract

Abstract In this retrospective/prospective study, we assessed the role of fundoscopy in 711 episodes with suspected infective endocarditis (IE); 238 (33%) had IE. Ocular embolic events (retinal emboli or chorioretinitis/endophthalmitis) and Roth spots were found in 37 (5%) and 34 (5%) episodes, respectively, but had no impact on IE diagnosis.

Publisher

Oxford University Press (OUP)

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