Summary:
Electroretinographic examinations performed according to the international
standard were used in two patients with alimentary hypovitaminosis A. In one
instance a mentally caused long-term deficiency of dietary vitamin A intake was
involved ,in the second instance a fistula from the proximal jejunum into the
transverse colon. In both instances night blindness was reported. The initial
vitamin A values were 1.0 and 0.6 micromol/l resp. and after substitution therapy
they rose to 2 micromol/l.
While the rod and maximal ERG responses improved gradually, the oscillation
potentials remained pathological as regards amplitudes and latencies. We consi-
der them therefore a sensitive indicator of the electric sensitivity of the retina
also in other cases of confirmed or suspected vitamin A deficiency. The existence
and orientation of our metabolic and gerontological clinic provides adequate
oportunities for these investigations.
Key words:
hypovitaminosis A, electroretinography, oscillation potentials
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