Vitamin A deficiency in coeliac disease

Editor,—Vitamin A deficiency is a major cause of ocular morbidity especially in underdeveloped countries. In the West sporadic cases have been reported usually associated with malabsorption syndromes, small intestinal bypass surgery, or abnormal metabolism. We report a case of an ophthalmological diagnosis of vitamin A deficiency secondary to coeliac disease. To our knowledge keratomalacia in association with coeliac disease has not been described previously. ### CASE REPORT A 64 year old man presented with a 6 week history of sudden progressive redness of his right eye associated with blurring of vision. His left eye was asymptomatic and he had no ocular history of note. He had a history of diet controlled coeliac disease proved by jejunal biopsy. Several weeks earlier he had complained of persistent …