Initializing download.-
By John S. King, MD
Retina Associates, PA
Co-author(s): Kent Zocchi, MD - Uploaded on Nov 17, 2019.
- Last modified by Caroline Bozell on Nov 19, 2019.
- Rating
- Appears in
- Vitamin A Deficiency Retinopthy
- Condition/keywords
- fleck retinopathy, xerophthalmia, malabsorption, nyctalopia, vitamin A deficiency
- 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. This is the initial images and the punctate spots are not detectable on the FA (no staining) or AF.
