Retinal hemorrhage

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Roth Spots - retinal hemorrhages with white center

Pathogenosis - retinal capillary rupture and reparitive process (platelet adhesion in center of hemorrhage)

Causes

  • subacute bacterial endocarditis - considered a pathognomonic
  • leukaemias
  • anaemia
  • anoxia
  • sickle cell
  • connective tissue disease
  • scurvy
  • systemic lupus erythematosus
  • carbon monoxide poisoning
  • prolonged intubation during anaesthesia
  • hypertensive retinopathy
  • pre-eclampsia
  • diabetes
  • neonatal birth trauma
  • mothers who have undergone traumatic deliveries
  • battered children / shaken babysyndrome
  • intracranial haemorrhage fromarteriovenous malformation
  • ocular decompression following trabeculectomy

[1][2]

  1. Ehlers JP, Shah CP. Wills Eye Manual, The: Office and Emergency Room Diagnosis and Treatment of Eye Disease. 5th ed. Philadelphia, PA:Lippincott Williams & Wilkins; 2008.
  2. Ling R, James B. White-centred retinal haemorrhages (Roth spots).Postgrad Med J. 1998 Oct;74(876):581-2.