title: Keratomalacia on a 'healthy diet'.
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.
mesh_terms: D000328:Adult; D003315:Cornea / Q000276:immunology; D003316:Corneal Diseases / Q000097:blood / Q000188:drug therapy / Q000209:etiology*; D016039:Corneal Transplantation; D014676:Diet, Vegetarian / Q000009:adverse effects*; D006801:Humans; D008297:Male; D012559:Schizophrenia / Q000150:complications*; D014801:Vitamin A / Q000097:blood / Q000627:therapeutic use; D014802:Vitamin A Deficiency / Q000150:complications* / Q000188:drug therapy
chemical_list: D014801:Vitamin A