We report a rare presentation of xerophthalmia due to partial pancreatic exocrine insufficiency following Frey’s surgery (pancreatic resection) in a 12-year-old girl. The child had undergone this surgery for chronic calcific pancreatitis 3 years before and presented with ocular irritation and decreased vision of 3 months duration. Ocular examination showed severe conjunctival and corneal xerosis. Her serum retinol levels and 25-hydroxyvitamin D were tested and were extremely low. The condition rapidly reversed following high-dose replacement therapy with vitamin A and D. This case highlights the importance of continuous enzyme replacement therapy as well as dietary modification and nutritional supplement therapy and monitoring of ocular symptoms in post-pancreatic surgery.
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Contributors SS and SIM contributed to concept, data acquisition and interpretation; SS, SIM, MB and VR drafted the article; SIM, VR and MB contributed to revision and final manuscript.
Funding This study was funded by Hyderabad Eye Research Foundation (LEC BHR-R-03-21-597).
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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