The mnemonic
XN, X1A, X1B, X2, X3A, X3B, XS, XF
What each word stands for
- XNNight blindness
- X1AConjunctival xerosis
- X1BBitot's spots
- X2Corneal xerosis
- X3A/X3BCorneal ulceration or keratomalacia (under one third, or one third or more, of the cornea)
- XSCorneal scar
- XFXerophthalmic fundus
Why it matters clinically
Helps grade severity and decide urgency of vitamin A treatment.
Where it stops being reliable
Staging labels only; dosing schedules must be checked in current guidelines.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.