Retrobulbar spot sign in non-ischemic conditions: a case series challenging its diagnostic role - Takeaways - MDSpire

Retrobulbar spot sign in non-ischemic conditions: a case series challenging its diagnostic role

  • By

  • Chuanjie Yin

  • Jiezhi Zhan

  • Xiliang He

  • Zhaohu Yu

  • Yu Sun

  • Shanshan Zhang

  • Huadong Lou

  • May 20, 2026

  • 0 min

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  • 1

    The retrobulbar spot sign (RBSS) was observed in three patients, but only one had confirmed central retinal artery occlusion (CRAO).

  • 2

    RBSS was detected in two patients without CRAO, indicating it may not be specific to this condition.

  • 3

    Transorbital sonography showed unchanged RBSS findings during follow-up in all four eyes examined.

  • 4

    The study suggests RBSS may represent local tissue calcification rather than solely indicating embolic events.

  • 5

    Further research is needed to clarify the diagnostic significance of RBSS and its implications in various ocular conditions.

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