Bilateral Keratomalacia Secondary to Diet Induced Vitamin A Deficiency in an Ethiopian Young woman: A Case Report
| Autor: | Kumale Tolesa Daba, Dagmawit Kifle, Jafer Kedir Ababora |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Vitamin
Pediatrics medicine.medical_specialty Blindness Nutritional Supplementation business.industry Case Report General Medicine medicine.disease eye diseases Vitamin A deficiency chemistry.chemical_compound Keratomalacia chemistry xerophthalmia medicine Xerophthalmia vitamin A deficiency business Ocular surface cornea and supplementation Keratomalacia xerophthalmia vitamin A deficiency cornea and supplementation |
| Zdroj: | Ethiopian Journal of Health Sciences Ethiopian Journal of Health Sciences; Vol 29, No 2 (2019) |
| ISSN: | 2413-7170 1029-1857 |
| Popis: | BACKGROUND: Diet induced vitamin A deficiency is less commonly seen in otherwise healthy adults, due to large store of vitamin A in the body. Night blindness is the commonest manifestation of vitamin A deficiency in adults, whereas Keratomalacia is a rare manifestation.CASE REPORT: A 27 years old Ethiopian woman came to Jimma University Department of Ohthalmology with a compliant of protrusion of the globe content of both eyes within a week, after having redness and fear of light of both eyes for 2 months. She was a mother of twins and had low socioeconomic status. On general examination, she was cachectic with enlarged parotid glands. On ocular examination, she was bilaterally blind and had dry ocularsurface. There was bilaterally melted cornea with prolapsed uveal tissue. After several investigations she was diagnosed as bilateral Keratomalacia (stage X3B) secondary to diet induced vitamin A deficiency. She was supplemented with vitamin A and other nutritional supplementation. Topical lubricating drops and ointments were administered. Finally, conjunctival flap was done to preserve the globe.CONCLUSION: Although it is rare, treating physicians should be aware of the occurrence of Keratomalacia in adults which is potentially blinding. Early recognition and treatment of vitamin A deficiency at the stage of night blindness is essential in reducing blindness caused by Keratomalacia. |
| Databáze: | OpenAIRE |
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