These are pictures of Roth spots. This is part in Fundoscopic findings of the Atlas of Emergency Medicine book
Clinical Summary
Roth spots are retinal hemorrhages with a white or yellow center. They may be seen in patients with a host of diseases such as anemia, leukemia, multiple myeloma, diabetes mellitus, collagen vascular disease, other vascular diseases, intracranial hemorrhage in infants, septic retinitis, and carcinoma. Flame-shaped or splinter hemorrhages or dot-blot hemorrhages may resemble Roth spots.
Management and Disposition
Routine referral for general medical evaluation is appropriate.
Pearls
1. Roth spots are not pathognomonic for any particular disease process and can represent a variety of clinical conditions.
2. These lesions represent red blood cells surrounding inflammatory cells.
FIGURE 3.7 ■ Roth Spots. Multiple retinal hemorrhages with pale
centers are seen.
centers are seen.
FIGURE 3.8 ■ Roth Spot. Retinal hemorrhage with pale center.
The Atlas of Emergency Medicine, Fourth Edition, 2016.
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