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Optic Neuropathy in an Autistic Child With Vitamin A Deficiency: A Case Report and Literature Review

by Jason Allan Seng Soon Cheah

Abstract: AbstractAn eight-year-old boy with autism developed gradual onset of vision loss and nyctalopia. Dietary history revealed a diet of only French fries and potato chips for the past four years. As a result, serum vitamin A was severely below the normal level. Ophthalmologic examination revealed a normal anterior segment with bilateral optic atrophy. Vitamin A supplementation was given to restore to normal level; however, the visual impairment was irreversible. Vitamin A deficiency is common in developing countries; however, to the best of our knowledge, there are no other reported cases of permanent visual loss secondary to vitamin A deficiency in Malaysia. Keywords: night blindness, picky eating behavior, autism spectrum disorder (asd), vitamin a deficiency, optic neuropathy

Autistic Malaysian boy, who is very picky eater, only ate french fries, bread & chips for 4 years. Develops visual impairment. Diagnosed with vitamin A deficiency. Vitamin A levels return to normal, but vision did not improve.