Roth Spots.

🔷Roth Spots🔷
🟢 White centered retinal hemorrhages, also known as Roth spots, were first described by Moritz Roth, a Swiss physician in 1872.
🟢 However, it was not until 1878 that this condition was assigned the name "Roth spot" by Moritz Litten.
🟢 Roth spots are seen on fundoscopic examination and tend to be located in the peripheral or posterior poles of the eyes.
🟢 Retinal endothelial dysfunction appears to be a common thread among the diverse causes of white centered retinal hemorrhage.
🟢 White centered retinal hemorrhages are a nonspecific ophthalmologic finding seen in multiple systemic conditions of various etiologies.
🟢 Roth spots are most commonly associated with infective endocarditis and have been detected in 80 percent of cases of subacute bacterial endocarditis.
🟢 The differential diagnosis of Roth spots is vast and includes:
👉 Bacterial endocarditis
👉 Anemia/thrombocytopenia
👉 Collagen vascular disease
👉 Leukemia
👉 Hypertensive retinopathy
👉 Diabetic retinopathy
👉 Pre-eclampsia
👉 Human Immunodeficiency Virus (HIV)
👉 Anoxia
👉Shaken baby syndrome

👤 J.R. Fontenla, MD-PhD.
Medical Consultant in Ophthalmology
🏨 Hospital Clinic of Barcelona
Professor of Ophthalmology
🏛 University of Barcelona

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