Adult blindness secondary to vitamin A deficiency associated with an eating disorder

Antonio Augusto Velasco Cruz, Flávia A. Attié-Castro, Sandra L. Fernandes, Jussara Fialho F Cortes, Paulo De Tarso P Pierre-Filho, Eduardo Melani Rocha, Júlio Sérgio Marchini

Research output: Contribution to journalArticle

Abstract

Objective: We examined an adult patient who lost one eye due to severe keratomalacia secondary to self-induced vitamin A deficiency. Methods: This case report provides a clinical, ophthalmologic, and laboratory description in addition to a review of the medical literature. Results: A 33-y-old woman with a 17-y history of an eating disorder presented with bilateral conjunctival xerosis, an infected corneal ulcer in the right eye and a large descemetocele in the left eye. Laboratory and clinical findings were consistent with vitamin A deficiency. Despite a tectonic penetrating keratoplasty, her left eye perforated and had to be eviscerated. In parallel, vitamin A replacement improved her clinical status and the ocular findings in her right eye. Conclusions: The present report indicates that vitamin A deficiency secondary to eating disorders should be considered in the differential diagnosis of patients with severe dry eye and corneal ulceration.

Original languageEnglish (US)
Pages (from-to)630-633
Number of pages4
JournalNutrition (Burbank, Los Angeles County, Calif.)
Volume21
Issue number5
DOIs
StatePublished - May 2005
Externally publishedYes

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Vitamin A Deficiency
Blindness
losigame
Corneal Ulcer
Penetrating Keratoplasty
Feeding and Eating Disorders
Vitamin A
Differential Diagnosis

Keywords

  • Blindness
  • Eating disorder
  • Vitamin A deficiency
  • Xerophthalmia

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Surgery
  • Medicine (miscellaneous)

Cite this

Velasco Cruz, A. A., Attié-Castro, F. A., Fernandes, S. L., Cortes, J. F. F., Pierre-Filho, P. D. T. P., Rocha, E. M., & Marchini, J. S. (2005). Adult blindness secondary to vitamin A deficiency associated with an eating disorder. Nutrition (Burbank, Los Angeles County, Calif.), 21(5), 630-633. https://doi.org/10.1016/j.nut.2004.12.003

Adult blindness secondary to vitamin A deficiency associated with an eating disorder. / Velasco Cruz, Antonio Augusto; Attié-Castro, Flávia A.; Fernandes, Sandra L.; Cortes, Jussara Fialho F; Pierre-Filho, Paulo De Tarso P; Rocha, Eduardo Melani; Marchini, Júlio Sérgio.

In: Nutrition (Burbank, Los Angeles County, Calif.), Vol. 21, No. 5, 05.2005, p. 630-633.

Research output: Contribution to journalArticle

Velasco Cruz, AA, Attié-Castro, FA, Fernandes, SL, Cortes, JFF, Pierre-Filho, PDTP, Rocha, EM & Marchini, JS 2005, 'Adult blindness secondary to vitamin A deficiency associated with an eating disorder', Nutrition (Burbank, Los Angeles County, Calif.), vol. 21, no. 5, pp. 630-633. https://doi.org/10.1016/j.nut.2004.12.003
Velasco Cruz AA, Attié-Castro FA, Fernandes SL, Cortes JFF, Pierre-Filho PDTP, Rocha EM et al. Adult blindness secondary to vitamin A deficiency associated with an eating disorder. Nutrition (Burbank, Los Angeles County, Calif.). 2005 May;21(5):630-633. https://doi.org/10.1016/j.nut.2004.12.003
Velasco Cruz, Antonio Augusto ; Attié-Castro, Flávia A. ; Fernandes, Sandra L. ; Cortes, Jussara Fialho F ; Pierre-Filho, Paulo De Tarso P ; Rocha, Eduardo Melani ; Marchini, Júlio Sérgio. / Adult blindness secondary to vitamin A deficiency associated with an eating disorder. In: Nutrition (Burbank, Los Angeles County, Calif.). 2005 ; Vol. 21, No. 5. pp. 630-633.
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