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Bitot’s Spots following Bariatric Surgery: An Ocular Manifestation of a Systemic Disease

2017/12/21 by Amanda Crum, Divya Srikumaran, Fasika A. Woreta · 1 voice
Biochemistry, Genetics and Molecular Biology · Medicine · #Parathyroid Disorders and Treatments #Retinoids in leukemia and cellular processes #Vitamin D Research Studies

paper · pdf · doi:10.1159/000485235

openalex publication_date 2017/12/21 · openalex created_date 2025/10/10 · openalex updated_date 2026/06/26

Abstract

BACKGROUND: To present a case of ocular complications from vitamin A deficiency following bariatric surgery. CASE REPORT: A 41-year-old woman presented with symptoms of dryness and diminished night vision. Examination revealed corneal punctate staining, keratinization of the conjunctiva, and multiple mid-peripheral white lesions at the level of the retinal pigment epithelium. Given the patient's history of bariatric surgery, anemia, and vitamin D deficiency, further investigation into micronutrient levels was performed and indicated a severe vitamin A deficiency. Oral vitamin A supplementation resulted in the complete resolution of her symptoms within two months. CONCLUSIONS: Nutritional deficiencies following bariatric surgery are common and can be disruptive to normal systemic health and visual function. Given that the number of patients pursuing bariatric surgery for weight loss management has increased over the past 50 years, eye care professionals should be aware of the ophthalmic manifestations associated with micronutrient deficiency.

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