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Xerophthalmia Treatment

Xerophthalmia Treatment In Trivandrum

Xerophthalmia is a progressive eye condition caused by vitamin A deficiency. Low levels of this essential nutrient can dry out the eyes and tear ducts, potentially leading to night blindness and severe corneal damage, such as white spots or ulcers. Early vitamin A therapy can often reverse these effects.

Symptoms and Causes

What are the symptoms of Xerophthalmia?

Xerophthalmia causes a range of eye symptoms that worsen as vitamin A deficiency progresses.

  • Conjunctival xerosis.
  • Night blindness.
  • Bitot’s spots.
  • Corneal Xerosis.
  • Corneal ulceration and keratomalacia.

What causes Xerophthalmia?

Xerophthalmia is primarily caused by a lack of vitamin A due to insufficient intake or poor absorption.

  • Vitamin A deficiency: The main cause is that the eye needs vitamin A for tear production and light‑sensing pigments.
  • Inadequate dietary intake: Poor consumption of vitamin  A‑rich food leads to deficiency.
  • Impaired absorption: Conditions affecting digestion or liver storage (e.g., liver disease, pancreatitis) reduce vitamin A availability.

Diagnosis of Xerophthalmia

Diagnosis of xerophthalmia includes eye exams and assessment of vitamin A status

  • Eye Examination: Clinicians carefully inspect the eyes for dryness, Bitot’s spots (foamy white patches on the conjunctiva), and corneal changes. This helps assess the severity of xerophthalmia and identify early signs before significant damage occurs.
  • Visual Function Tests: Tests for night vision problems are conducted to determine how the deficiency affects retinal function. Difficulty seeing in low light can be an early indicator of xerophthalmia.
  • Blood Tests: Serum retinol (vitamin A) levels are measured to confirm deficiency and guide treatment. Low vitamin A levels support the diagnosis and help monitor response to therapy.

What are the Xerophthalmia risk factors?

Certain groups and conditions increase the risk of xerophthalmia due to vitamin A deficiency.

  • Young age: Children, especially under 5, are more vulnerable.
  • Malnutrition and poverty: Poor diet and food insecurity raise risk.
  • Infection: Diseases like measles or chronic diarrhea deplete vitamin A.
  • Pregnancy and lactation: Increased vitamin A needs raise deficiency risk.

What treatment options are available for Xerophthalmia?

Xerophthalmia is treated by restoring vitamin A levels and addressing eye surface damage to prevent vision loss.

Vitamin A Supplementation: High‑dose vitamin A supplements are used to rapidly restore vitamin levels, reverse early eye changes, and prevent the progression of xerophthalmia. This therapy is especially important in children and high-risk individuals.

Dietary Improvement: Consuming vitamin A-rich foods, such as dairy products, eggs, liver, and orange or green vegetables, helps maintain long-term eye health and supports overall nutritional status

Managing Infections and Absorption Issues: Addressing underlying conditions that affect vitamin  Absorption, such as liver disease, chronic diarrhea, or infections, ensures the body can effectively utilize vitamin A and prevents recurrence of xerophthalmia.