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Roth’s spot in megaloblastic anaemia
  1. Deba Prasad Dhibar1,
  2. Kamal Kant Sahu2,
  3. Jitender Jinagal3,
  4. Sanjay Jain1,
  5. Subhash Chander Varma1
  1. 1Department of Internal Medicine, PGIMER, Chandigarh, India
  2. 2Department of Hematology/Oncology, Cleveland Clinic, Cleveland, Ohio, USA
  3. 3Department of Ophthalmology, PGIMER, Chandigarh, India
  1. Correspondence to Dr Deba Prasad Dhibar, Department of Internal Medicine, F-Block, Neheru Hospital,PGIMER, Chandigarh-160012, India ; drdeba_prasad{at}yahoo.co.in

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A 16-year-old boy presented with diminished vision for 7 days. It was painless, acute in onset, gradually progressing and bilateral with the right eye being more symptomatic than the left eye. He also noticed fixed reddish spots in the visual field. He was pure vegetarian and had no history of fever or comorbidities. His general physical and systemic examination was normal except for severe pallor. His best-corrected visual acuity was 6/12 (Snellen’s chart) in the left eye and counting fingers (CF) vision in the right eye. Fundus examination showed the presence of multiple well-defined oval-shaped haemorrhages with a white centre (Roth spots) along with …

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