EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Systemic Disorders
Diagnosis: vitamin A deficiency: temporal Bitot's spot

Image Comments:

During the Eye Clinic conducted periodically from 1951 through 1968, Dr. Caccamise examined hundreds of patients with Bitot's spots. These spots can develop temporally alone or temporally and nasally simultaneously but with the temporal spot always dominant. However, Dr. Caccamise has never seen a Bitot's spot develop nasally alone.

A nasal Bitot's spot. The temporal spot is hidden from view.

 

 

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