logo
Question of the Week
Video Library
Ophthalmology Books & Manuals
Cybersight Atlas of Eye Diseases
The Ophthalmology Minute
Nursing Education
Eye Care Equipment
Orbis Program Features
Free Online Journals
Ophthalmology Links
Frequently Asked Questions (FAQ)
Print ViewPrint this Page
Retina -  COTTON-WOOL SPOTS Lecture 52 of 85  NEXT»

These spots are soft exudates (fluffy, white, focal infarcts in the nerve fiber layer).

1. Acute pancreatitis
2. Amniotic fluid embolization
3. Anemic conditions

 A. Cirrhosis of the liver
 B. Following cardiac surgery
 C. Gastric ulcer syndrome
 D. Hypotensive retinopathy
 E. Ligation of the carotid artery
 F. Severe primary and secondary anemias
 G. Severe systemic blood loss

4. Blood disease

 A. Aplastic anemia
 B. Dysproteinemia
 C. Leukemia
 D. Multiple myeloma (myelomatosis)
 E. Pernicious anemia (vitamin B12 deficiency)
 F. Waldenström syndrome (macroglobulinemia syndrome)

5. Carbon monoxide poisoning
6. Carcinomatous cachexia
7. Collagen diseases

 A. Dermatomyositis (polymyositis dermatomyositis)
 B. Diffuse scleroderma
 C. Disseminated lupus erythematosus (systemic lupus erythematosus)
 D. Polyarteritis nodosa (necrotizing angiitis)
 E. Rheumatoid arthritis with scleromalacia perforans or polymyalgia rheumatic a

*8. Diabetic retinopathy
9. Hodgkin disease
10. Infective conditions

 *A. HIV
 B. Pneumonia
 C. Rheumatic fever
 D. Rift Valley fever
 E. Rocky mountain spotted fever (spotted fever)
 F. Roth septic retinitis
 G. Subacute bacterial endocarditis

11. Microemboli following cardiac operation
12. Primary amyloidosis (idiopathic amyloidosis)
13. Primary open-angle glaucoma
14. Protein C and protein S deficiency
15. Purtscher retinopathy (fat embolism syndrome)
16. Renal disease
17. Serum disease
18. Suprarenal-sympathetic syndrome (pheochromocytoma syndrome)
19. Takayasu syndrome (aortic arch syndrome)
20. Toxemic retinopathy of pregnancy
*21. Untreated malignant hypertension

Brezin A, et al. Cotton-wool spots and AIDS-related complex. Int Ophthalmol 1990; 14:37-41.

Mausour AM, et al. Cotton-wool spots in acquired immunodeficiency syndrome compared with diabetes mellitus, systemic hypertension, and central retinal vein occlusion. Arch Ophthalmol 1988; 106:1074-1077.

Roy FH. Ocular syndromes and systemic diseases, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002.

Extracted Table Cotton-wool spots


Lecture 52 of 85 «Previous Lecture   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85    Next»