A 13-year old female with a perceived whiteness affecting her right field of vision. Previous history significant for seizure-like spikes affecting sleep and ventricular and atrial septal defects, the latter of which, surgically repaired.
Pathology
Calcified cotton Gossypium hirsutum pledgets at the base of the mitral valve.
Disease/Diagnosis
Recurrent fibrinous retinal emboli OD, secondary to endocarditis from infected retained foreign material from prior cardiac surgery
Clinical
VA: 20/10 OU; Full visual field OS; Interior visual field defect OD