John S. King, MD » Vitamin A Deficiency Retinopthy

  • Nyctalopia and Retinopathy Due to Presumed Vitamin A Deficiency

    May 27 2019 by John S. King, MD

    45-year-old female with a history of gastric bypass surgery, who was referred to Dr. Zocchi for as a possible choroidal dystrophy; patient had severe nyctalopia that had progressed over a year; acuity was 20/20 OU with normal IOP and A/C findings. The posterior segment showed multiple yellow-white punctate dots in the mid-periphery and periphery (see photo). Findings were consistent with probable vitamin A deficiency. Patient is getting vitamin levels checked by PCP and started on vitamin A, and will be seen back in a month.

    Photographer: Shelly Blair

    Imaging device: Optos CA

    Condition/keywords: fleck retinopathy, malabsorption, nyctalopia, vitamin A deficiency, xerophthalmia

  • Nyctalopia and Retinopathy Due to Vitamin A Deficiency

    May 27 2019 by John S. King, MD

    45-year-old female with a history of gastric bypass surgery, who was referred to Dr. Zocchi for as a possible choroidal dystrophy; patient had severe nyctalopia that had progressed over a year; acuity was 20/20 OU with normal IOP and A/C findings. The posterior segment showed multiple yellow-white punctate dots in the mid-periphery and periphery (see photo). Findings were consistent with probable vitamin A deficiency. Patient was started on Vit A, and levels were found to be very low. Follow up is in a month.

    Photographer: Shelly Blair

    Imaging device: Optos CA

    Condition/keywords: fleck retinopathy, malabsorption, nyctalopia, vitamin A deficiency, xerophthalmia