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Xeropathilimia

Basics

Technically, the term is XEROS + OPHTHALMIA =dryness of the eyes. Xeropthalmia: Dry eyes. Also, called conjunctivitis arida, Xeropthalmia can be associated with systemic diseases (such as Sjogren’s syndrome, systemic lupus erythematosus, rheumatoid arthritis, scleroderma, sarcoidosis, amyloidosis, hypothyroidism, and others) or deficiency of vitamin A. Xeropthalmia results from inadequate function of the lacrimal glands, which supply water to produce tears. When xeropthalmia is due to vitamin A deficiency, the condition begins with night blindness and conjunctival xerosis (dryness of the eye membranes) and progresses to corneal xerosis (dryness of the cornea), and, in the late stages, to keratomalacia (softening of the cornea). Series of changes in the eye can lead to blindness.

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Symptoms

Signs and Symptoms of Deficiency:

  • Bitot's spots--->xerosis conjunctiva--->xeropthalmia
  • Diarrhea
  • Dry eyes
  • Follicular hyperkeratosis - common areas: interior thighs and posterior arms
  • Keratinization
  • Loss of bone
  • Loss of both taste and smell
  • Loss of tooth enamel
  • Night blindness
  • Opacity
  • Reduced immunity
  • Respiratory infections
  • Sloughing of epithelial cells of cornea

Prevention

Prevention of Xeropthalmia is possible by taking plenty of vitamin A so that there is no deficiency of this essential vitamin in the body.

Causes

Causes of Deficiency:

  • Absorption problems 
  • Deficiency of protein or zinc can reduce the amount of vitamin A released from the liver.
  • Interference with conversion of beta-carotene to retinol. 
  • Low intake 
  • Vitamin A storage problems.

Diagnosis

Vitamin A blindness is both the easiest and the cheapest major nutritional illness to cure. Vitamin A is probably the most important of all vitamins. Its great importance is demonstrated dramatically in that, more than nay other vitamin, deficiencies of Vitamin A are still widespread throughout the world and involve millions of persons, especially children.

Dietary Guidelines

Dark green vegetables, orange-yellow vegetables, whole milk, butter, cheese, eggs, fish liver oils, all liver.

  • Apricots 10 med. halves (6,000 I.U.) 
  • Beef liver 3 oz. (45,000 I.U.) 
  • Broccoli 1 med. stalk (4,500 I.U.) 
  • Cantaloupe 1/2 med. (9,000 I.U.) 
  • Carrot raw 1 med. (11,000 I.U.) 
  • Chicken liver 3 oz. (27,000 I.U.) 
  • Mango 1 med. (8,000 I.U.) 
  • Papaya 1 med. (6,100 I.U.) 
  • Pumpkin cooked 1/2 cup (8,000 I.U.) 
  • Pork liver 3 oz. (12,000 I.U.) 
  • Spinach 1/2 cup (7,3000 I.U.) 
  • Sweet potato 1 med. (12,000 I.U.) 
  • Winter squash 1/2 cup (4,300 I.U.)

Home Care Suggestions

Immunity (vitamin A is necessary for maintaining the integrity of the mucus membranes). It is necessary for differentiation of basal cells into mucus epithelial cells. It is needed for growth and development of enamel (forming epithelial cells), skeletal tissues, and soft tissues. Vitamin A is also necessary for humoral and cell-mediated immunity, and for normal reproduction and lactation. Retinyl esters from the diet are converted to retinal in the eye. Retinal is then combined with the protein opsin to form rhodopsin in the rods of the retina and iodopsin in the cones. Steroid hormone synthesis and cell differentiation also need vitamin A.

Mind/Body Considerations

Any eye disease is naturally distressing for the patient. Today there is plenty that can be done to alleviate this. Including doses of vitamin A in the diet is one way of avoiding xeropathilimia. The worse thing to do is to assume that any disease is incurable. A positive attitude is necessary for successful treatment. Avoid exposures to the sun and perform slow neck rolls and other eye exercises.

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