Sterile Corneal Perforation Occurring Several Years After Biliopancreatic Diversion.

Obesity Surgery
Giuseppe GiannaccareVincenzo Scorcia

Abstract

To report the first two cases of sterile corneal perforation secondary to vitamin A deficiency after biliopancreatic diversion with duodenal switch (BPD/SW). Observational case series. Two patients with a history of BPD/SW presented with corneal perforation associated with conjunctival xerosis and keratopathy. In both cases, serum vitamin A level dosage revealed a marked deficit, and the patients admitted poor compliance with vitamin supplementation. Oral therapy with vitamin A was started immediately, and in one case ocular surgery was performed to preserve the integrity of the globe. Ophthalmologists should carefully examine the ocular surface of patients undergone bariatric surgery in order to promptly recognize the signs of vitamin A deficiency and avoid serious sight-threatening complications.

References

May 1, 1990·International Ophthalmology·A Sommer
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May 21, 2008·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·UNKNOWN Allied Health Sciences Section Ad Hoc Nutrition CommitteeJulie Parrott
Mar 18, 2011·The New England Journal of Medicine·Susan Z Yanovski, Jack A Yanovski
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Apr 30, 2016·Critical Reviews in Food Science and Nutrition·Elina Manusevich WisemanRam Reifen
Jan 18, 2019·Obesity Surgery·Kamal K MahawarWilliam R J Carr

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Citations

Apr 3, 2020·Nutrients·Marco PellegriniGiuseppe Giannaccare
Jul 25, 2020·The British Journal of Ophthalmology·Pasquale AragonaMaurizio Rolando
Nov 5, 2020·European Journal of Ophthalmology·Daniele SindacoMichele Iester

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