Initializing download.-
By John S. King, MD
Retina Associates, PA
Co-author(s): Kent Zocchi, MD - Uploaded on Nov 17, 2019.
- Last modified by John S. King, MD on Dec 2, 2019.
- Rating
- Appears in
- Vitamin A Deficiency Retinopthy
- Condition/keywords
- fleck retinopathy, xerophthalmia, malabsorption, nyctalopia, vitamin A deficiency
- Photographer
- Brandon Peter
- 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 initial photo). Findings were consistent with probable vitamin A deficiency. Patient was started on Vit A, and levels were found to be very low. Vitamin A levels in the serum were greatly reduced. Patient was started on Vit A weekly infusions and PO daily. A few months later the punctate spots had resolved (there are some drusen like deposits in far periphery) and her nyctalopia had reversed.
