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Treatment of vitamin A deficiency retinopathy with sublingual vitamin A palmitate

  • Clinical Case Report
  • Published:
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Abstract

Purpose

To report treatment of vitamin A deficiency retinopathy with sublingual vitamin A drops.

Methods

Case report with review of the literature.

Results

A 69-year-old Caucasian woman with a history of small bowel resection presented with progressive symptoms of bilateral nyctalopia and decreased visual acuity. Ophthalmic examination revealed bilateral conjunctival xerosis and fine white granular deposits in the midperipheral retina suggestive of vitamin A deficiency. Full-field electroretinogram (ERG), multifocal ERG (mfERG), and two-color dark adaptometry revealed significant impairment of rod and cone photoreceptor function. Kinetic perimetry demonstrated depressed macular sensitivity with constriction of the finer isopters. After 5 months of treatment with sublingual vitamin A drops, the patient’s vision, ERG, mfERG, dark adaptometry, and perimetry normalized. A review of the literature summarizing the electrophysiologic testing in vitamin A deficiency is also discussed.

Conclusions

This case highlights novel observations on the effects of sublingual vitamin A supplementation for acquired vitamin A deficiency retinopathy. Sublingual vitamin A may represent a viable and efficacious treatment modality for vitamin A deficiency.

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Authors and Affiliations

  1. Associated Retina Consultants, 1750 East Glendale Avenue, Phoenix, AZ, 85020, USA

    James R. Singer, Benjamin Bakall, Grant M. Gordon & Rahul K. Reddy

  2. University of Arizona College of Medicine, Phoenix, AZ, USA

    Benjamin Bakall & Rahul K. Reddy

Authors
  1. James R. Singer
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  2. Benjamin Bakall
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  3. Grant M. Gordon
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  4. Rahul K. Reddy
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Correspondence to Rahul K. Reddy.

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The authors declare that they have no conflicts of interest.

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For this type of study, formal consent is not required.

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This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Singer, J.R., Bakall, B., Gordon, G.M. et al. Treatment of vitamin A deficiency retinopathy with sublingual vitamin A palmitate. Doc Ophthalmol 132, 137–145 (2016). https://doi.org/10.1007/s10633-016-9533-2

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  • DOI: https://doi.org/10.1007/s10633-016-9533-2

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