Nyctalopia and Retinopathy Due to Vitamin A Deficiency

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File number: 30058


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    Appears in
    Vitamin A Deficiency Retinopthy
    Condition/keywords
    fleck retinopathy, xerophthalmia, malabsorption, vitamin A deficiency, nyctalopia
    Photographer
    Shelly Blair
    Imaging device
    Fundus camera
    Optos CA
    Description
    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.

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