Bilateral keratomalacia secondary to xerophthalmia

Authors

DOI:

https://doi.org/10.3126/nepjoph.v14i2.43679

Keywords:

Keratomalacia, Penetrating Keratoplasty, Vitamin A

Abstract

Introduction: Vitamin A deficiency leads to a wide spectrum of ocular manifestations ranging from conjunctival xerosis to corneal ulceration and perforation. Penetrating keratoplasty along with vitamin A supplementation can save the eye and useful vision.

Case: A 10-year-old boy presented with decreased vision in both eyes for 3 months. Slit-lamp examination with diffuse light revealed bilateral corneal thinning with iris prolapse at inferior aspect of cornea. He underwent therapeutic penetrating keratoplasty in both eyes. Vitamin A supplementation was given as per national protocol. Till 1 year postoperatively visual acuity in RE was 6/18 and LE was pre-phthisical. 

Conclusion: Vitamin A deficiency is potentially a sight threatening condition, which may lead to keratomalacia and corneal perforation if neglected. Timely management with Vitamin A supplementation and penetrating keratoplasty can save the eye and vision.

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Published

2022-12-31

How to Cite

Sapkota, J., & Rana, R. (2022). Bilateral keratomalacia secondary to xerophthalmia. Nepalese Journal of Ophthalmology, 14(2), 161–165. https://doi.org/10.3126/nepjoph.v14i2.43679

Issue

Section

Case Reports