Keratomalacia in a Patient With Psychogenic Vitamin A Deficiency.
Journal Article (Journal Article)
PURPOSE: To report the clinical and histopathological findings of a patient with bilateral keratomalacia arising from severe vitamin A deficiency from panic disorder-related malnutrition. METHODS: Case report. RESULTS: A 47-year-old male with panic disorder presented with 1 month of painful vision loss sequentially affecting the right and left eyes. He exhibited bilateral conjunctival xerosis with complete corneal melt in the right eye and a large corneal epithelial defect with underlying anterior chamber inflammation in the left eye. Laboratory investigation revealed undetectable serum vitamin A levels attributed to self-induced vomiting and starvation. He was treated with high-dose vitamin A, but the right eye required enucleation. The histological findings are reported. CONCLUSIONS: Vitamin A deficiency in the absence of organic gastrointestinal abnormalities is exceedingly rare in the developed world. A strong index of suspicion and thorough review of systems are invaluable in evaluating patients with unexplained corneal melt.
- Gospe, SM; Todorich, B; Foster, YG; Legault, G; Woods, SK; Proia, AD; Daluvoy, M
- March 2016
Volume / Issue
- 35 / 3
Start / End Page
- 405 - 407
Electronic International Standard Serial Number (EISSN)
Digital Object Identifier (DOI)
- United States