Elschnig spots

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Elschnig spots
Synonyms
Pronounce	N/A
Specialty	N/A
Symptoms	Small, yellowish-white spots on the retina
Complications	Hypertensive retinopathy
Onset
Duration
Types
Causes	Hypertension
Risks
Diagnosis	Fundoscopy
Differential diagnosis
Prevention	Control of blood pressure
Treatment	Management of underlying hypertension
Medication	Antihypertensive drugs
Prognosis	Depends on control of hypertension
Frequency
Deaths

Elschnig spots are a type of retinal lesion that can occur in individuals with certain eye conditions. These spots are named after the Austrian ophthalmologist Theodor Elschnig, who first described them in 1910. Elschnig spots are characterized by small, white or yellowish-white patches that appear on the surface of the retina.

Causes

Elschnig spots are most commonly associated with hypertensive retinopathy, a condition caused by high blood pressure. In hypertensive retinopathy, the blood vessels in the retina become damaged due to the increased pressure. This damage can lead to the formation of Elschnig spots.

Appearance

Elschnig spots typically appear as small, round or oval-shaped lesions on the retina. They are often located near the optic nerve head, which is the point where the optic nerve enters the eye. These spots can vary in size and may be surrounded by areas of hemorrhage or exudates.

Diagnosis

The diagnosis of Elschnig spots is usually made through a comprehensive eye examination. An ophthalmologist will examine the retina using specialized instruments, such as an ophthalmoscope, to identify the presence of these spots. Additional tests, such as optical coherence tomography (OCT) or fluorescein angiography, may be performed to further evaluate the extent of the retinal damage.

Treatment

The treatment of Elschnig spots depends on the underlying cause. In cases where high blood pressure is the primary cause, controlling blood pressure through lifestyle modifications and medication may help prevent further progression of the spots. In more severe cases, laser photocoagulation or other surgical interventions may be necessary to treat the retinal damage.

Prognosis

The prognosis for individuals with Elschnig spots depends on the extent of retinal damage and the underlying cause. If the spots are detected early and appropriate treatment is initiated, the prognosis is generally favorable. However, if left untreated, Elschnig spots can lead to permanent vision loss or other complications.

See Also

• Hypertensive retinopathy
• Retina
• Ophthalmology