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The WHO estimated in 1995 that 13.8 million children had some degree of visual loss related to VAD. [10] Night blindness and its worsened condition, xerophthalmia, are markers of Vitamin A deficiency; collections of keratin in the conjunctiva, known as Bitot's spots, and ulceration and necrosis of cornea keratomalacia can be seen.
Vitamin A status involves eye health via two separate functions. Retinal is an essential factor in rod cells and cone cells in the retina responding to light exposure by sending nerve signals to the brain. An early sign of vitamin A deficiency is night blindness. [6]
Evidence has shown that newborns' eyes do not work in the same fashion as older children or adults – mainly due to poor coordination of the eyes. Newborn's eyes move in the same direction only about half of the time. [17] The strength of eye muscle control is positively correlated to achieve depth perception.
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Visual impairment can also be caused by problems in the brain due to stroke, premature birth, or trauma, among others. [12] These cases are known as cortical visual impairment. [12] Screening for vision problems in children may improve future vision and educational achievement. [13] Screening adults without symptoms is of uncertain benefit. [14]
The condition is not congenital and develops over the course of a few months as the lacrimal glands fail to produce tears. Other conditions involved in the progression already stated include the appearance of Bitot's spots, which are clumps of keratin debris that build up inside the conjunctiva and night blindness, which precedes corneal ulceration and total blindness.