Unilateral Bitot’s Spot in a Young Adult Male: A Case Report
DOI:
https://doi.org/10.5281/zenodo.21246604Keywords:
Bitot's spot, Vitamin A deficiency, Xerophthalmia, Bulbar conjunctiva, Case reportAbstract
Background
Bitot's spot is a characteristic ocular manifestation of Vitamin A deficiency. It appears as a triangular, foamy, whitish lesion on the bulbar conjunctiva and is considered an important indicator of xerophthalmia.
Case Presentation
A 25-year-old male with a chief complaint of irritation in the left eye for the past two weeks. There was no history of trauma, redness, watering, or diminution of vision. Visual acuity was 6/6 in both eyes. Anterior and posterior segment examinations were normal except for a foamy, triangular, whitish lesion observed on the temporal bulbar conjunctiva of the left eye during slit-lamp examination.
Diagnosis: Based on clinical findings, a unilateral Bitot’s spot secondary to vitamin A deficiency was diagnosed.
Management and Outcome: The patient was advised to take vitamin A supplementation, make dietary modifications, use ocular lubricants, and undergo follow-up evaluation.
Conclusion
This case highlights the importance of detailed slit-lamp examination in identifying early signs of nutritional deficiencies and emphasizes the role of eye care practitioners in timely diagnosis and referral.
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Copyright (c) 2026 Haziel Rynjah, Wapang T. Jamir, Nongsaibam Abdus Sukur, Deepjyoti Baro (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright. Licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://creativecommons.org/licenses/by/4.0/ (CC BY 4.0 deed)
