Ocular Manifestations in Severe Acute Malnutrition in Children under 60 Months in a Secondary Health Center  

作　　者：Amadou Boro Foune Keita Fatoumata Tata Sidibe Fatoumata Traore Daniel Thera Ibrahim Kourekama Abdoulaye Napo Amadou Boro;Foune Keita;Fatoumata Tata Sidibe;Fatoumata Traore;Daniel Thera;Ibrahim Kourekama;Abdoulaye Napo(Centre de santé de référence de Kita, Kita, Mali;Centre de santé de référence de Niono, Niono, Mali;CHU-Institut d’Ophtalmologie Tropicale de l’Afrique (CHU-IOTA), Bamako, Mali;Libéral Doctor, Bamako, Mali)

机构地区：[1]Centre de santé de référence de Kita, Kita, Mali [2]Centre de santé de référence de Niono, Niono, Mali [3]CHU-Institut d’Ophtalmologie Tropicale de l’Afrique (CHU-IOTA), Bamako, Mali [4]Libéral Doctor, Bamako, Mali

出　　处：《Open Journal of Biophysics》2023年第3期288-294,共7页生物物理学期刊（英文）

摘　　要：Introduction: Severe acute malnutrition (SAM) is one of the main public health problems in the world. It is responsible in addition to the general symptoms, vitamin A deficiency which can cause serious eye damage including keratomalacia. This work aims to study possible ophthalmological lesions in severely acutely malnourished children from 0 to 60 months. Patients and Method: This study was carried out in a secondary ophthalmology center. It concerned all severely acute malnourished patients admitted for consultation in the pediatric department. Results: A total of 174 eyes of 87 children aged 0 to 60 months were examined. Two-thirds of the patients were aged between 6 and 18 months. Palpebral lesions are rare, however, we observed 12.64% blepharitis and palpebral dermatitis. Ocular involvement due to vitamin A deficiency was 6.9%, including one case of BITOT SPOT, 4 cases of conjunctival xerosis and one case of keratomalacia. Conclusion: Xerophthalmia is an ocular lesion due to a dietary intake deficient in vitamin A that occurs during severe acute malnutrition. Its occurrence is increasingly rare even in developing countries. However, some cases are observed in practice and may be responsible for profound visual impairments.Introduction: Severe acute malnutrition (SAM) is one of the main public health problems in the world. It is responsible in addition to the general symptoms, vitamin A deficiency which can cause serious eye damage including keratomalacia. This work aims to study possible ophthalmological lesions in severely acutely malnourished children from 0 to 60 months. Patients and Method: This study was carried out in a secondary ophthalmology center. It concerned all severely acute malnourished patients admitted for consultation in the pediatric department. Results: A total of 174 eyes of 87 children aged 0 to 60 months were examined. Two-thirds of the patients were aged between 6 and 18 months. Palpebral lesions are rare, however, we observed 12.64% blepharitis and palpebral dermatitis. Ocular involvement due to vitamin A deficiency was 6.9%, including one case of BITOT SPOT, 4 cases of conjunctival xerosis and one case of keratomalacia. Conclusion: Xerophthalmia is an ocular lesion due to a dietary intake deficient in vitamin A that occurs during severe acute malnutrition. Its occurrence is increasingly rare even in developing countries. However, some cases are observed in practice and may be responsible for profound visual impairments.

关 键 词：Severe Malnutrition Vitamin A Deficiency XEROPHTHALMIA Keratomalacia 

分 类 号：R73[医药卫生—肿瘤]