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- Title
Bitot's spots following hemicolectomy.
- Authors
Ahad, M A; Puri, P; Chua, C N; Jones, C A
- Abstract
Vitamin A deficiency, a known complication after small bowel bypass surgery, is rare after large bowel bypass surgery. Researchers report a case of Bitot spots on the conjunctiva secondary to vitamin A deficiency following right hemicolectomy. An 81-year-old man, a known case of bilateral lower lid ectropions and bilateral age-related macular degeneration (ARMD), was referred to the eye clinic complaining of bilateral sore eyes for the last 4 months. On ophthalmic examination, his best-corrected visual acuity was 6/18 in the right eye and 6/36 in the left eye. An anterior segment examination revealed foamy plaques on the bulbar conjunctiva temporal to limbus. When questioned, the patient did not complain of any night blindness. Serum levels of fat-soluble vitamins were performed. On examination, the Bitot's spots were still present at a follow-up appointment after a month when conjunctival biopsy was performed. At 3 months following the commencement of the oral vitamin A supplements, the serum vitamin A levels became normal and the Bitot's spots regressed completely in 6 months time.
- Subjects
VITAMIN A deficiency; HEMICOLECTOMY; RETINAL degeneration; ANTERIOR eye segment; CONJUNCTIVA
- Publication
Eye, 2003, Vol 17, Issue 5, p671
- ISSN
0950-222X
- Publication type
Article
- DOI
10.1038/sj.eye.6700427