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. 1986 May;70(5):357–360. doi: 10.1136/bjo.70.5.357

Keratomalacia on a 'healthy diet'.

J Olver
PMCID: PMC1041016  PMID: 3516209

Abstract

The case is described of a 39-year-old man with previously undiagnosed chronic schizophrenia and with bilateral keratomalacia secondary to his bizarre diet. He presented with a perforation of the right cornea which required an emergency penetrating keratoplasty. The difficulties of clinical management of a patient with an overt psychosis and the use of serum retinol levels to monitor treatment are described. Causes of vitamin A deficiency seen in Great Britain are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ARDEN G. B., KOLB H. ELECTROPHYSIOLOGICAL INVESTIGATIONS IN RETINAL METABOLIC DISEASE: THEIR RANGE AND APPLICATION. Exp Eye Res. 1964 Dec;3:334–347. doi: 10.1016/s0014-4835(64)80041-5. [DOI] [PubMed] [Google Scholar]
  2. Bors F., Fells P. Reversal of the complications of self-induced vitamin A deficiency. Br J Ophthalmol. 1971 Mar;55(3):210–214. doi: 10.1136/bjo.55.3.210. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Brown G. C., Felton S. M., Benson W. E. Reversible night blindness associated with intestinal bypass surgery. Am J Ophthalmol. 1980 Jun;89(6):776–779. doi: 10.1016/0002-9394(80)90164-6. [DOI] [PubMed] [Google Scholar]
  4. Carney E. A., Russell R. M. Correlation of dark adaptation test results with serum vitamin A levels in diseased adults. J Nutr. 1980 Mar;110(3):552–557. doi: 10.1093/jn/110.3.552. [DOI] [PubMed] [Google Scholar]
  5. Main A. N., Mills P. R., Russell R. I., Bronte-Stewart J., Nelson L. M., McLelland A., Shenkin A. Vitamin A deficiency in Crohn's disease. Gut. 1983 Dec;24(12):1169–1175. doi: 10.1136/gut.24.12.1169. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Russell R. M., Smith V. C., Multack R., Krill A. E., Rosenberg I. H. Dark-adaptation testing for diagnosis of subclinical vitamin-A deficiency and evaluation of therapy. Lancet. 1973 Nov 24;2(7839):1161–1164. doi: 10.1016/s0140-6736(73)92935-8. [DOI] [PubMed] [Google Scholar]
  7. Walt R. P., Kemp C. M., Lyness L., Bird A. C., Sherlock S. Vitamin A treatment for night blindness in primary biliary cirrhosis. Br Med J (Clin Res Ed) 1984 Apr 7;288(6423):1030–1031. doi: 10.1136/bmj.288.6423.1030. [DOI] [PMC free article] [PubMed] [Google Scholar]

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