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ophthalmia
– C or ne a l le s ions a r e a m e d ic a l e m e r ge nc y. I n a d d ition to the im m e d ia te
a d m inis tr a tion
ooifnrtmeetinntotlw, triec ae tdorapilyr e(dvoennott saepcpolynde yaer ydbr oapcstecroiantal ininfiengc ctioonr tsic: oaspteprlyoid 1s%) atentrdacypcrliontee c
eye
the e ye w ith a n e ye -p a d a fte r e a c h a p p lic a tion.
Prevention
– S ys te m a tic a lly a d m inis te r r e tinol P O to c hild r e n s u ffe r ing fr om m e a s le s (one
d os e on
D 1 a nd D 2 ).
– In a r e a s w he r e v ita m in A d e fic ie nc y is c om m on, r ou tine s u p p le m e nta tion of
retinol P O :
C hild r e n u nd e r 6 m onths : 5 0 0 0 0 IU a s a s ingle d os e
C hild r e n fr om 6 to 1 2 m onths : 1 0 0 0 0 0 IU a s a s ingle d os e e v e r y 4 to 6
m onths
C hild r e n fr om 1 to 5 ye a r s : 2 0 0 0 0 0 I U a s a s ingle d os e e v e r y 4 to 6 m onths
M othe r s a fte r giv ing b ir th: 2 0 0 0 0 0 I U a s a s ingle d os e im m e d ia te ly a fte r
d e liv e r y or
w ithin 8 w e e ks of d e liv e r y
Note: t o a v oid e xc e s s iv e d os a ge , r e c or d a n y d os e s a d m in is t e r e d on t h e
h e a lt h /
im m u nis a tion c a r d a nd d o not e xc e e d ind ic a te d d os e s . V ita m in A ov e r d os e
m aycau se
r a is e d intr a c r a nia l p r e s s u r e (b u lging fonta ne lle in infa nts ; he a d a c he , na u s e a ,
v om iting)
a nd , in s e v e r e c a s e s , im p a ir e d c ons c iou s ne s s a nd c onv u ls ions . The s e
a d v e r s e e ffe c ts a r e
tr a ns ie nt; the y r e q u ir e m e d ic a l s u r v e illa nc e a nd s ym p tom a tic tr e a tm e nt if
ne e d e d .
– C or ne a l le s ions a r e a m e d ic a l e m e r ge nc y. I n a d d ition to the im m e d ia te
a d m inis tr a tion
ooifnrtmeetinntotlw, triec ae tdorapilyr e(dvoennott saepcpolynde yaer ydbr oapcstecroiantal ininfiengc ctioonr tsic: oaspteprlyoid 1s%) atentrdacypcrliontee c
eye
the e ye w ith a n e ye -p a d a fte r e a c h a p p lic a tion.
Prevention
– S ys te m a tic a lly a d m inis te r r e tinol P O to c hild r e n s u ffe r ing fr om m e a s le s (one
d os e on
D 1 a nd D 2 ).
– In a r e a s w he r e v ita m in A d e fic ie nc y is c om m on, r ou tine s u p p le m e nta tion of
retinol P O :
C hild r e n u nd e r 6 m onths : 5 0 0 0 0 IU a s a s ingle d os e
C hild r e n fr om 6 to 1 2 m onths : 1 0 0 0 0 0 IU a s a s ingle d os e e v e r y 4 to 6
m onths
C hild r e n fr om 1 to 5 ye a r s : 2 0 0 0 0 0 I U a s a s ingle d os e e v e r y 4 to 6 m onths
M othe r s a fte r giv ing b ir th: 2 0 0 0 0 0 I U a s a s ingle d os e im m e d ia te ly a fte r
d e liv e r y or
w ithin 8 w e e ks of d e liv e r y
Note: t o a v oid e xc e s s iv e d os a ge , r e c or d a n y d os e s a d m in is t e r e d on t h e
h e a lt h /
im m u nis a tion c a r d a nd d o not e xc e e d ind ic a te d d os e s . V ita m in A ov e r d os e
m aycau se
r a is e d intr a c r a nia l p r e s s u r e (b u lging fonta ne lle in infa nts ; he a d a c he , na u s e a ,
v om iting)
a nd , in s e v e r e c a s e s , im p a ir e d c ons c iou s ne s s a nd c onv u ls ions . The s e
a d v e r s e e ffe c ts a r e
tr a ns ie nt; the y r e q u ir e m e d ic a l s u r v e illa nc e a nd s ym p tom a tic tr e a tm e nt if
ne e d e d .
