Vitamin A Deficiency Retinopathy - Initial Images on the Right and 5 Months Later on the Left

• 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 (L Image) and Shelly Blair (R Image)

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. 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.

Related files