White-centered Haemorrhages
Roth Spots
Described by Moritz Roth in 1872, Named as โRoth Spotโ in 1878 by Litten โฃ
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๐๐ต๐ช๐ฐ๐ญ๐ฐ๐จ๐ช๐ฆ๐ด:โฃ
โ Subacute bacterial endocarditiisโฃ
โ Anemia/Thrombocytopeniaโฃ
โ Leukemiaโฃ
โ Collagen vascular diseasesโฃ
โ Hypertensive/Diabetic Retinopathyโฃ
โ HIVโฃ
โ Anoxiaโฃ
โ Shaken baby syndromeโฃ
โ CO poisoningโฃ
โ Vitamin B 12 deficiencyโฃ
โ Traumatic delivery etcโฃ
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๐๐ข๐ต๐ฉ๐ฐ๐ฑ๐ฉ๐บ๐ด๐ช๐ฐ๐ญ๐ฐ๐จ๐บ:โฃ
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โ They result from retinal capillary rupture and extrusion of whole blood.โฃ
โ This is followed by platelet adhesion to the damaged endothelium initiating aโฃ
coagulation cascade and formation of a white lesion in the centre of the hemorrhage,โฃ
which is a platelet-fibrin thrombus.โฃ
โ In leukemia, the white centre could correspond to an accumulation of leukemic cells.โฃ
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๐๐บ๐ฎ๐ฑ๐ต๐ฐ๐ฎ๐ด:โฃ
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Asymptomatic unless macula is involvedโฃ
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๐๐๐ฃ๐๐๐ฃ๐ ๐ค๐ ๐๐ค๐ฉ๐ ๐๐ฅ๐ค๐ฉ๐จ ๐จ๐๐ค๐ช๐ก๐ ๐๐๐ง๐๐๐ฉ ๐ฉ๐๐ ๐ค๐ฅ๐๐ฉ๐๐๐ก๐ข๐ค๐ก๐ค๐๐๐จ๐ฉ ๐๐ค๐ง ๐ค๐ฉ๐๐๐ง ๐ฅ๐๐ฎ๐จ๐๐๐๐ก ๐จ๐๐๐ฃ๐จ ๐ค๐ ๐จ๐ฎ๐จ๐ฉ๐๐ข๐๐ ๐๐ก๐ก๐ฃ๐๐จ๐จ๐๐จ ๐๐จ๐จ๐ค๐๐๐๐ฉ๐๐ ๐ฌ๐๐ฉ๐ ๐๐ค๐ฉ๐ ๐๐ฅ๐ค๐ฉ๐จโฃ
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๐๐ง๐๐๐ฉ๐ข๐๐ฃ๐ฉ ๐จ๐๐ค๐ช๐ก๐ ๐๐ ๐๐๐ง๐๐๐ฉ๐๐ ๐๐ฉ ๐ช๐ฃ๐๐๐ง๐ก๐ฎ๐๐ฃ๐ ๐จ๐ฎ๐จ๐ฉ๐๐ข๐๐ ๐๐ก๐ก๐ฃ๐๐จ๐จโฃ
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www.ophthalmobytes.comโฃ
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Image from Rajan Eye Care Hospital
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