Roth Spots!

White Centered hemorrhages⁣

𝗥𝗼𝘁𝗵 𝗦𝗽𝗼𝘁𝘀⁣




Described by Moritz Roth in 1872, Named as ‘Roth Spot’ in 1878 by Litten ⁣

𝘌𝘵𝘪𝘰𝘭𝘰𝘨𝘪𝘦𝘴:⁣

● Subacute bacterial endocarditiis⁣

● Anemia/Thrombocytopenia⁣

● Leukemia⁣

● Collagen vascular diseases⁣

● Hypertensive/Diabetic Retinopathy⁣

● HIV⁣

● Anoxia⁣

● Shaken baby syndrome⁣

● CO poisoning⁣

● Vitamin B 12 deficiency⁣

● Traumatic delivery etc⁣

𝘗𝘢𝘵𝘩𝘰𝘱𝘩𝘺𝘴𝘪𝘰𝘭𝘰𝘨𝘺:⁣

● They result from retinal capillary rupture and extrusion of whole blood.⁣

● This is followed by platelet adhesion to the damaged endothelium initiating a⁣

coagulation cascade and formation of a white lesion in the centre of the hemorrhage,⁣

which is a platelet-fibrin thrombus.⁣

● In leukemia, the white centre could correspond to an accumulation of leukemic cells.⁣

𝘚𝘺𝘮𝘱𝘵𝘰𝘮𝘴:⁣

Asymptomatic unless macula is involved⁣

𝙁𝙞𝙣𝙙𝙞𝙣𝙜 𝙤𝙛 𝙍𝙤𝙩𝙝 𝙎𝙥𝙤𝙩𝙨 𝙨𝙝𝙤𝙪𝙡𝙙 𝙙𝙞𝙧𝙚𝙘𝙩 𝙩𝙝𝙚 𝙤𝙥𝙝𝙩𝙝𝙖𝙡𝙢𝙤𝙡𝙤𝙜𝙞𝙨𝙩 𝙛𝙤𝙧 𝙤𝙩𝙝𝙚𝙧 𝙥𝙝𝙮𝙨𝙞𝙘𝙖𝙡 𝙨𝙞𝙜𝙣𝙨 𝙤𝙛 𝙨𝙮𝙨𝙩𝙚𝙢𝙞𝙘 𝙞𝙡𝙡𝙣𝙚𝙨𝙨𝙚𝙨 𝙖𝙨𝙨𝙤𝙘𝙞𝙖𝙩𝙚𝙙 𝙬𝙞𝙩𝙝 𝙍𝙤𝙩𝙝 𝙎𝙥𝙤𝙩𝙨⁣

𝙏𝙧𝙚𝙖𝙩𝙢𝙚𝙣𝙩 𝙨𝙝𝙤𝙪𝙡𝙙 𝙗𝙚 𝙙𝙞𝙧𝙚𝙘𝙩𝙚𝙙 𝙖𝙩 𝙪𝙣𝙙𝙚𝙧𝙡𝙮𝙞𝙣𝙜 𝙨𝙮𝙨𝙩𝙚𝙢𝙞𝙘 𝙞𝙡𝙡𝙣𝙚𝙨𝙨⁣

www.ophthalmobytes.com⁣

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