Retinal hemorrhage


  • Due to retinal capillary rupture, can be due to acute or chronic processes



Clinical Features

  • Roth Spots: retinal hemorrhages with white center, seen on fundoscopy
  • May be asymptomatic, or cause visual loss

Differential Diagnosis

Acute Vision Loss (Noninflamed)

Emergent Diagnosis


  • Workup dependant on clinical presentation


  • Treat underlying condition if appropriate


  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.
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