Høngaard Sarah Katrine, Hjortdal Jesper
Aalborg Sygehus, Øjenafdelingen, Denmark.
Ugeskr Laeger. 2010 Jan 4;172(1):51-2.
A 54-year-old alcoholic was admitted with keratomalacia in 2001. The right cornea had an ulceration and the left cornea had stromal necrosis and a perforation. Serum retinol and serum betacaroten were extremely low. Treatment consisted of high-dose retinol and left sided cornea transplantation. The right eye healed with little scarring, vision: 0.5. The left eye was stabilized after a second cornea transplantation and covering with conjunctiva, vision: hand movement at a distance of 1 m. This proves the existence of symptomatic vitamin A deficiency among socially exposed subjects in Denmark.
一名54岁的酗酒者于2001年因角膜软化症入院。右眼角膜有溃疡,左眼角膜有基质坏死和穿孔。血清视黄醇和血清β-胡萝卜素极低。治疗包括大剂量视黄醇和左侧角膜移植。右眼愈合后瘢痕很少,视力:0.5。左眼在第二次角膜移植并用结膜覆盖后病情稳定,视力:1米处手动。这证明丹麦社会暴露人群中存在有症状的维生素A缺乏症。