Ocular manifestations of infective endocarditis are nonspecific and rare. Endophthalmitis, retinal artery occlusion, Roth spots and vitreal and retinal infiltrations can all be seen with infective endocarditis. Also, infective endocarditis involving the left atrial appendage with no involvement of the mitral valve apparatus is a rarity. Here we report a case of infective endocarditis of the heart involving the left atrial appendage presenting with features of endogenous endophthalmitis which ultimately progressed to phthisis bulbi with subtle cardiac symptoms in a previous healthy young adult. Infective endocarditis involving the left chambers of the heart carries an inherent high risk of systemic embolization. Panophthalmitis which is considered to be the most severe form of endogenous endophthalmitis is a rare presenting feature. Although a definitive treatment algorithm is lacking, early surgery and parenteral antibiotics along with local antibiotic injections could help to save the vision.

中文翻译：

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二尖瓣装置保留左心耳赘生物表现为内源性眼内炎的不寻常病例报告

感染性心内膜炎的眼部表现是非特异性和罕见的。眼内炎、视网膜动脉阻塞、Roth 斑以及玻璃体和视网膜浸润都可见于感染性心内膜炎。此外，累及左心耳但不累及二尖瓣装置的感染性心内膜炎也很少见。在这里，我们报告一例涉及左心耳的感染性心内膜炎病例，该病例具有内源性眼内炎的特征，最终发展为具有轻微心脏症状的前身健康年轻成人的肺结核。涉及左心室的感染性心内膜炎具有全身栓塞的固有高风险。全眼炎被认为是内源性眼内炎的最严重形式，是一种罕见的表现特征。