Roth spots are petechiae of the retina with a white or pale center that corresponds to a bundle of cotton wool or a multinuclear leukocyte aggregate. Often considered a sign of bacterial endocarditis, they are an unspecific symptom, usually more commonly seen in patients with hematopoietic system diseases. A 56-year-old patient reported to the hospital due to sudden visual impairment. The fundoscopy revealed Roth spots in both eyes that aroused the suspicion of infective endocarditis. After confirming the condition at the Department of Cardiology and the implementation of the treatment, there was a significant improvement in visual acuity, including the resolution of retinal changes. The presented case presents an accurate, still rare ophthalmic diagnosis of infective endocarditis.
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J Neuroophthalmol
December 2024
Departments of Ophthalmology (LTM, FOL, LM), Neuroradiology (MTC), and Neurosurgery (AC), Beaumont Hospital, Dublin, Ireland.
Vision (Basel)
October 2024
Department of Ophthalmology, Medical School, University of Patras, 26504 Patras, Greece.
We report an unusual case of pupil-involving third nerve palsy associated with Terson's syndrome that resulted in the diagnosis of a right posterior communicating artery aneurysm. Interestingly, Terson's syndrome presented with Roth spot-resembling features, accompanied by third nerve palsy in a patient without any disturbance of consciousness. To our knowledge, the association of Terson's syndrome with third nerve palsy has not been described before in the absence of radiologically diagnosed subarachnoid haemorrhage.
View Article and Find Full Text PDFQJM
September 2024
Flat 6 Souchay Court, 1 Clothorn Road, Manchester, M20 6BR.
J Ophthalmic Inflamm Infect
August 2024
Hospital Universitario de Navarra, Pamplona, Spain.
Eye (Lond)
August 2024
Ophthalmology, Employee State Insurance Corporation Medical College Bihta, Patna, India.
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