Posterior placoid-like maculopathy and macular hole associated with vitamin A deficiency.

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Citation: American Journal of Ophthalmology Case Reports. 29:101772, 2023 Mar.PMID: 36544748Institution: MedStar Washington Hospital CenterDepartment: Ophthalmology | Ophthalmology Residency HForm of publication: Journal ArticleMedline article type(s): Case ReportsYear: 2023ISSN:
  • 2451-9936
Name of journal: American journal of ophthalmology case reportsAbstract: Conclusions and importance: VAD should be considered when symmetric posterior pole placoid-like lesions are observed and other, more common etiologies have been ruled out. Copyright © 2022 Published by Elsevier Inc.Observations: A 72-year-old male presented with nyctalopia and progressive vision loss in both eyes. Examination and multimodal imaging were consistent with posterior placoid-like maculopathy bilaterally and a macular hole in the right eye. A workup for infectious, inflammatory, and paraneoplastic etiologies revealed a severely low serum vitamin A level. Two months after initiation of vitamin A repletion, there was improvement in best-corrected Snellen visual acuity as well as macular hole closure. A diagnosis of posterior placoid-like maculopathy in the setting of vitamin A deficiency (VAD) was made.Purpose: To report a case of bilateral posterior placoid-like maculopathy and a macular hole associated with vitamin A deficiency.All authors: Lai EWFiscal year: FY2023Digital Object Identifier:
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Journal Article MedStar Authors Catalog Article 36544748 Available 36544748

Conclusions and importance: VAD should be considered when symmetric posterior pole placoid-like lesions are observed and other, more common etiologies have been ruled out. Copyright © 2022 Published by Elsevier Inc.

Observations: A 72-year-old male presented with nyctalopia and progressive vision loss in both eyes. Examination and multimodal imaging were consistent with posterior placoid-like maculopathy bilaterally and a macular hole in the right eye. A workup for infectious, inflammatory, and paraneoplastic etiologies revealed a severely low serum vitamin A level. Two months after initiation of vitamin A repletion, there was improvement in best-corrected Snellen visual acuity as well as macular hole closure. A diagnosis of posterior placoid-like maculopathy in the setting of vitamin A deficiency (VAD) was made.

Purpose: To report a case of bilateral posterior placoid-like maculopathy and a macular hole associated with vitamin A deficiency.

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