Title: Canvas of concern : Roth spots across the Retinal terrain whispering a deep lying disease.
Description: A 26-year-old lady with multiple anemic episodes experienced sudden loss painless loss of vision in both her eyes. On fundus examination, it revealed multiple pre retinal haemorrhages spread all across the fundus bilaterally. Roth spots were noted in both the fundus and a diagnosis of Anemic retinopathy was established.
Bilateral Roth spots are retinal findings that appear as small, round, white or pale lesions with a surrounding red halo, typically found in the fundus of both eyes. Systemic conditions like infective endocarditis, leukemia, or other septic embolic diseases show presence of Roth spots. Roth spots are thought to be caused by immune complexes or emboli blocking small retinal vessels, leading to localized retinal hemorrhages and their presence can be an important diagnostic clue, often requiring further investigation for underlying systemic conditions. Early recognition and proper management of the associated systemic disease are crucial for improving patient outcomes.
