Angio-OCT/Medical Retina Spektrum Augenheilkd (2017) 31:264–268 DOI 10.1007/s00717-017-0352-y Optical coherence tomography of Bitot’s spot in vitamin A deﬁciency Shangjun (Collier) Jiang · Daniel Q. Li · Netan Choudhry Received: 26 May 2017 / Accepted: 21 June 2017 / Published online: 24 July 2017 © Springer-Verlag GmbH Austria 2017 Summary retinal sensitivity improved in both eyes, as detected Background Severe vitamin A deﬁciency can manifest by microperimetry. as xerophthalmia in the eyes resulting in clinical fea- Conclusion The use of OCT can have utility in imag- tures, such as night blindness, conjunctival xerosis, ing anterior segment abnormalities as well as reti- corneal xerosis, corneal ulcers and Bitot’s spots. We nal changes in patients presenting with xerophthalmia present the multimodal imaging results of a patient associated with vitamin A deﬁciency. Patients who who underwent an ileocecal resection for Crohn’s dis- have undergone intestinal resection should have reg- ease and presented with nyctalopia and bilateral cen- ular check-ups for vitamin A levels, and be promptly tral scotomas. treated to prevent eye pathologies and visual symp- Method Report of a single case. toms. Results The patient’s best-corrected visual acuity was 20/50 in the right eye and 20/32 in the left eye. An- Keywords
Spektrum der Augenheilkunde – Springer Journals
Published: Jul 24, 2017
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