Case Report
Volume 17 Issue 6 - 2022
Keratomalacia: A Case Report from North India
Nimmathota Arlappa*
ICMR-National Institute of Nutrition (NIN), Hyderabad, India
*Corresponding Author: Nimmathota Arlappa, Scientist-F, Division of Public Health Nutrition, ICMR-National Institute of Nutrition, Jamai Osmania post, Tarnaka, Hyderabad, India.
Received: May 01, 2022; Published: May 31, 2022


Introduction: Severe Vitamin A deficiency (VAD) leads to disturbance in the preservation of epithelial surfaces, leading to atrophic changes in the normal mucosal surface of the cornea, with loss of goblet cells and substituting the normal epithelium by an improper keratinized stratified squamous epithelium. Additionally, the substantia propria of the cornea ruptures and liquefies, which is consequential in Keratomalacia. This communication aimed to report the case of Keratomalacia, a severe form of ocular manifestation of vitamin A deficiency, and to reiterate the importance of strengthening and continuing of universal vitamin A supplementation (VAS) programme in India.

Methods: During the community-based nutrition survey, we came across a six-year-old girl child with Keratomalacia in the left eye.

Results: The entire cornea in the left eye was found ulcerated with distorted margins rendering the girl completely blind. Similarly, corneal opacity was also observed at the median side of the cornea (at 3oclock position) in the right eye.

Conclusion: VAD among children under five years of age continues to be a public health concern in India. Discontinuing the existing universal VAS programme would lead to the re-emergence of nutritional blindness in India. Hence, it is highly recommended to continue the existing universal VAS programme in India until children's dietary intakes and sub-clinical vitamin A levels improve optimally. It is also reiterated that the community should be persuaded to eat foods rich in both preformed and provitamin A through appropriate health and nutrition education interventions and behavioral change communication (BCC) methods.

Keywords: Keratomalacia; Bitot's Spot; Vitamin A Deficiency; VAD; VAS


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Citation: Nimmathota Arlappa. “Keratomalacia: A Case Report from North India”. EC Nutrition 17.6 (2022): 23-27.

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