Journal of Ophthalmology Research & Therapeutics

Abstract

Introduction: Few studies have reported ocular manifestations secondary to Mycoplasma pneumoniae. The most frequent findings noted across literature are conjunctivitis, uveitis, and optic papillitis [5].

Case Report: The following case study presents an adolescent patient with unilateral, visually significant roth spots all throughout the macular and peripheral retina, associated with Mycoplasma pneumoniae meningitis. Treatment was indicated due to the development of a large subretinal hemorrhage. The patient was treated with anti-vascular endothelial growth factors (Anti-VEGFs) and Suprachoroidal Xipere (corticosteroid), followed by consistent observation from May 2024 to July 2025.

Discussion/Conclusion: The imaging obtained from each visit showcases the progressive cessation of roth spots and subretinal hemorrhage following intravitreal and suprachoroidal injections. These ocular manifestations secondary Mycoplasma pneumoniae meningitis, although rare, should be further investigated in regards to its mechanism and its behavior to medical treatment.