Defisiensi

Vitamin A

Defisiensi Vitamin A
= Xerophthalmia
= serum retinol < 10 g/dl
Problem nutrisi di Indonesia

STADIUM:

Xn
: night blindness
X1
: xerosis conjungtiva
Bitot spot
X2
: xerosis cornea
X3A
: ulcus cornea < 1/3
X3B
: ulcus cornea > 1/3
XS
: corneal scar
XF
: xeropthalmia fundus

Night blindness

Buta senja

Xerosis conjungtiva
Dryness of conjunctiva

Bitot spot
Foam like substance

Hyperpigmentation & wrinkle

Xerosis cornea
Dryness of cornea

Wrinkle,
hiperpigmentation

Ulcus cornea < 1/3

Ulcus cornea

Keratomalacia

Ulcus cornea > 1/3

Corneal scar

Xeropthalmia Fundus
cendol appearance of the fundus occuli

Terapi & Pencegahan

Terapi:
Hari- 1 : 200.000 IU IM/ Oral
Hari- 2 : 200.000 IU IM/ Oral
Hari- 14/ memburuk/ sebelum
pulang RS : 200.000 IU IM/ Oral
Pencegahan:
< 6 bulan
: 50.000 IU / oral
6-12 bulan
: 100.000 IU / oral
> 1 tahun
: 200.000 IU / oral