Sudden occurrence of Roth spots and retinal hemorrhages following endoscopic adhesiolysis: An SD-OCT evaluation

Laura Dell’Arti, Giulio Barteselli, Valentina Pinna, Alessandro Invernizzi, Chiara Mapelli, Francesco Viola

Research output: Contribution to journalArticle

Abstract

Purpose: To document the occurrence of Roth spots and retinal hemorrhages by spectral-domain optical coherence tomography (SD-OCT) following endoscopic adhesiolysis for failed back surgery syndrome. Methods: Case report. Results: A 47-year-old patient noted progressive and bilateral visual loss immediately after epidural endoscopy and endoscopic adhesiolysis. Funduscopic examination showed multiple Roth spots and retinal hemorrhages at the posterior pole and the retinal midperiphery in both eyes. Spectral-domain optical coherence tomography demonstrated that Roth spots involved the inner retina, while dot hemorrhages involved the outer retina. Most retinal hemorrhages and Roth spots resolved over 6 weeks, with complete functional recovery in both eyes. However, SD-OCT revealed multiple areas of disruption of the outer retinal layers in the left eye. Conclusions: Roth spots and retinal hemorrhages can occur after endoscopic spinal surgery. Although hemorrhages resolve quickly over few weeks, SD-OCT can demonstrate that retinal damage might persist, especially in the outer retina. This finding may explain cases of incomplete recovery of visual function after complicated endoscopic adhesiolysis.

Original languageEnglish
Pages (from-to)e11-e13
JournalEuropean Journal of Ophthalmology
Volume26
Issue number1
DOIs
Publication statusPublished - Dec 1 2015

Keywords

  • Endoscopic adhesiolysis
  • Failed back surgery syndrome
  • Optical coherence tomography
  • Roth spots
  • SD-OCT

ASJC Scopus subject areas

  • Ophthalmology

Fingerprint Dive into the research topics of 'Sudden occurrence of Roth spots and retinal hemorrhages following endoscopic adhesiolysis: An SD-OCT evaluation'. Together they form a unique fingerprint.

  • Cite this