Ophthalmologic evaluation in vitamin-E deficiency: A case report

A 41-year-old woman has come to our attention complaining of decreased visual acuity and monocular diplopia associated with upper and lower limb hypoesthesia. Malabsorption syndrome with vitamin A and E deficiency developed after a bariatric biliopancreatic diversion. The clinical ophthalmological signs and symptoms improved after oral vitamin supplementation therapy. The past medical history is essential in the case of a patient complaining of visual symptoms compatible with vitamin deficiency in order to detect the cause and to start a prompt therapy to avoid irreversible neurological and visual sequelae. The clinical features of our case closely resemble other cases described in the literature of patients affected by vitamin A and E deficiency secondary to malabsorption syndrome.

Automated summary

This case report describes a 41-year-old female patient who developed visual and neurological symptoms due to vitamin deficiency after a bariatric biliopancreatic diversion. The symptoms improved after oral vitamin supplementation therapy. It highlights the importance of considering the patient's medical history to identify and treat the underlying cause of vitamin deficiency to prevent irreversible neurological and visual sequelae.