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Roth Spots!

White Centered hemorrhagesโฃ

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๐—ฅ๐—ผ๐˜๐—ต ๐—ฆ๐—ฝ๐—ผ๐˜๐˜€โฃ




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Described by Moritz Roth in 1872, Named as โ€˜Roth Spotโ€™ in 1878 by Litten โฃ

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๐˜Œ๐˜ต๐˜ช๐˜ฐ๐˜ญ๐˜ฐ๐˜จ๐˜ช๐˜ฆ๐˜ด:โฃ

โ— Subacute bacterial endocarditiisโฃ

โ— Anemia/Thrombocytopeniaโฃ

โ— Leukemiaโฃ

โ— Collagen vascular diseasesโฃ

โ— Hypertensive/Diabetic Retinopathyโฃ

โ— HIVโฃ

โ— Anoxiaโฃ

โ— Shaken baby syndromeโฃ

โ— CO poisoningโฃ

โ— Vitamin B 12 deficiencyโฃ

โ— Traumatic delivery etcโฃ

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๐˜—๐˜ข๐˜ต๐˜ฉ๐˜ฐ๐˜ฑ๐˜ฉ๐˜บ๐˜ด๐˜ช๐˜ฐ๐˜ญ๐˜ฐ๐˜จ๐˜บ:โฃ

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โ— They result from retinal capillary rupture and extrusion of whole blood.โฃ

โ— This is followed by platelet adhesion to the damaged endothelium initiating aโฃ

coagulation cascade and formation of a white lesion in the centre of the hemorrhage,โฃ

which is a platelet-fibrin thrombus.โฃ

โ— In leukemia, the white centre could correspond to an accumulation of leukemic cells.โฃ

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๐˜š๐˜บ๐˜ฎ๐˜ฑ๐˜ต๐˜ฐ๐˜ฎ๐˜ด:โฃ

โฃ

Asymptomatic unless macula is involvedโฃ

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๐™๐™ž๐™ฃ๐™™๐™ž๐™ฃ๐™œ ๐™ค๐™› ๐™๐™ค๐™ฉ๐™ ๐™Ž๐™ฅ๐™ค๐™ฉ๐™จ ๐™จ๐™๐™ค๐™ช๐™ก๐™™ ๐™™๐™ž๐™ง๐™š๐™˜๐™ฉ ๐™ฉ๐™๐™š ๐™ค๐™ฅ๐™๐™ฉ๐™๐™–๐™ก๐™ข๐™ค๐™ก๐™ค๐™œ๐™ž๐™จ๐™ฉ ๐™›๐™ค๐™ง ๐™ค๐™ฉ๐™๐™š๐™ง ๐™ฅ๐™๐™ฎ๐™จ๐™ž๐™˜๐™–๐™ก ๐™จ๐™ž๐™œ๐™ฃ๐™จ ๐™ค๐™› ๐™จ๐™ฎ๐™จ๐™ฉ๐™š๐™ข๐™ž๐™˜ ๐™ž๐™ก๐™ก๐™ฃ๐™š๐™จ๐™จ๐™š๐™จ ๐™–๐™จ๐™จ๐™ค๐™˜๐™ž๐™–๐™ฉ๐™š๐™™ ๐™ฌ๐™ž๐™ฉ๐™ ๐™๐™ค๐™ฉ๐™ ๐™Ž๐™ฅ๐™ค๐™ฉ๐™จโฃ

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๐™๐™ง๐™š๐™–๐™ฉ๐™ข๐™š๐™ฃ๐™ฉ ๐™จ๐™๐™ค๐™ช๐™ก๐™™ ๐™—๐™š ๐™™๐™ž๐™ง๐™š๐™˜๐™ฉ๐™š๐™™ ๐™–๐™ฉ ๐™ช๐™ฃ๐™™๐™š๐™ง๐™ก๐™ฎ๐™ž๐™ฃ๐™œ ๐™จ๐™ฎ๐™จ๐™ฉ๐™š๐™ข๐™ž๐™˜ ๐™ž๐™ก๐™ก๐™ฃ๐™š๐™จ๐™จโฃ

โฃ

www.ophthalmobytes.comโฃ

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Image from Rajan Eye Care Hospital #ophthalmology #ophthal #doctor #health #medical #vision #education #optometry #medicalstudent #optometrist #medicine #eye #ophtho #ophthalmologist #ophthalmo #med #medicaleducation #ophthalmologyresident #ophthalmologyresidency #oftalmologia #surgery #surgeon #apaoyo

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