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Conjunctival xerosis caused by vitamin A deficiency
  1. Justin C Sherwin1,
  2. Chameen Samarawickrama2,3
  1. 1Oxford Eye Hospital, John Radcliffe Hospital, Oxford, UK
  2. 2Sydney Medical School, University of Sydney, New South Wales, Australia
  3. 3Westmead Hospital, Westmead, New South Wales, Australia
  1. Correspondence to Dr Justin C Sherwin, Oxford Eye Hospital, John Radcliffe Hospital, Oxford, UK , +441865572467; justincsherwin{at}gmail.com

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An 11-year-old boy presented with a several week history of bilateral blurred vision, eye pain, photophobia and nyctalopia. His medical history included severe autism. He met the Diagnostic and Statistical Manual of Mental Disorders-V criteria for avoidant-restrictive food intake disorder, consuming virtually only potato-containing foods. There was no history of gastrointestinal (GI) disease or weight loss.

Clinical examination revealed reduced visual acuity: both eyes 6/18 (6/12 …

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