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Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 302-303

Keratomalacia in a young diabetic: A tracer for a hidden systemic condition

Department of Ophthalmology, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India

Correspondence Address:
Jyoti Shakrawal
Department of Ophthalmology, All India Institute of Medical Sciences, Jodhpur, Rajasthan - 342 005
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2151_22

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A 38-year-old male presented with complaints of gradual and painless diminution of vision in both the eyes for 1 month. He also had a history of on and off diarrhea for the past 4 months. He was a known case of latent auto-immune diabetes mellitus. Ophthalmic examination showed bilateral conjunctival xerosis and inferior corneal ulceration with stromal edema and Descemet's folds. With the suspicion of vitamin A deficiency-induced keratomalacia, a complete workup was performed. He turned out to be a case of chronic calcific pancreatitis, and stool test was also positive for steatorrhea. The patient was started on oral vitamin A supplementation. Topical lubricants and prophylactic antibiotics were also started in both the eyes with the application of bandage contact lens. Visual acuity improved within a period of 2–3 weeks of treatment and is now on regular follow-up.

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