Black Dots and the Evil Eye!

When I speak with my eyes, I tell you more than a story

“…These pre‐existing xerotic areas in the conjunctiva are stained black by the repeated application of kajal which makes the XIA and XIB lesions stand out. The sign is commonly referred to as kajal sign in the Indian subcontinent 2,3 . Bitot's spots are one of the earliest clinical signs of VAD and their prompt recognition can be instrumental in facilitating early diagnosis and treatment of VAD.…”

Wood's lamp examination: a novel diagnostic approach to detect Bitot's spots in vitamin A deficiency

“…It is a collection of desquamated, keratinized epithelial cell which appear as whitish opaque deposits on the palpebral conjunctiva, usually in the inter‐palpebral area. It is also one of the clinical signs of xerophthalmia and used as the common indicator to estimate vitamin A deficiency in community …”