Clinical features: Xerophthalmia is a condition occurring due to lack of vitamin A in the diet, most commonly in pre-school children, leading to corneal damage and blindness. It is often associated with malnutrition, measles and malabsorption syndromes. The most important early syndrome is night blindness, inability to see in dim light.
General Preventive measure
• Promotion of breast-feeding
• Measles immunization
• Give foods rich in Vitamin A or supplement
• Prophylactic tetracycline eye ointment and vitamin A treatment course in all measles children.
Treatment Guidelines
• Give to all children/adult with signs and symptoms of Xerophthalmia.
| |
Vitamin A |
Immediately |
200,000 IU |
Following day |
200,000 IU |
After 1-4 weeks |
200,000 IU |
|
NOTE
• For children aged less than one year, reduce the dosage to 100,000 IU. Vitamin A is safe if used as directed.
• Nutritional rehabilitation is indicated.
|