| Presentation preference | Poster presentation |
| Title | Vitamin A Deficiency Retinopathy Following Ileocaecal Resection |
| Accept poster if oral is not possible ? | Yes |
| Purpose | To highlight a case of Vitamin A deficiency retinopathy due to malabsorption and its clinical presentation, diagnostic process, and response to treatment. |
| Methods | We report a 75-year-old male with a history of ileocaecal resection following stricture and perforation of the ileum caused by large B-cell lymphoma. He presented with a 3-year history of progressive night vision loss and worsening dim-light vision. Extensive investigations revealed low serum vitamin A levels. The patient received five weekly intramuscular vitamin A injections. Electrodiagnostic tests, performed before and after treatment, demonstrated primary dysfunction of rod photoreceptors. |
| Results | The patient reported rapid and marked improvement in night vision following vitamin A supplementation. He was able to navigate better in the dark and found indoor lighting significantly brighter. Subjective color vision also improved. The patient is now maintained on 6-to-8-weekly intramuscular vitamin A injections. |
| Conclusion | This case underscores the importance of considering Vitamin A deficiency retinopathy in patients with malabsorption-related conditions and progressive night blindness. Timely diagnosis and treatment can result in significant visual improvement and restoration of quality of life. |
| Conflict of interest | No |
1
| Last name | YAP |
| Initials of first name(s) | C |
| Department | Ophthalmology |
| City | Norwich |
| Country | United Kingdom |
2
| Last name | Glenn |
| Initials of first name(s) | A |
| Department | Ophthalmology |
| City | Norwich |
| Country | United Kingdom |