To present three cases where the retrobulbar spot sign (RBSS) was observed in patients without confirmed central retinal artery occlusion (CRAO).
Key Findings:
RBSS was detected in all three patients, but only one had CRAO.
Two patients exhibited RBSS without evidence of CRAO.
RBSS remained unchanged in all four eyes during the follow-up period.
Interpretation:
RBSS may not be specific to CRAO, as it was observed in non-CRAO cases, suggesting the need for further research into its diagnostic implications and potential misinterpretations.
Limitations:
Small sample size of only three cases.
Lack of long-term follow-up data on RBSS significance.
Limited diversity in patient demographics.
Conclusion:
The findings challenge the notion that RBSS is exclusively indicative of CRAO, highlighting its potential presence in other ocular conditions and underscoring the need for further research.