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Thomas L. Steinemann, MD; Stephen P. Christiansen, MD
Little Rock, Ark

Arch Ophthalmol. 1998;116:392.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 5-YEAR-OLD boy with severe autism was referred to the corneal and external disease service with a history of bilateral corneal ulceration. The referring ophthalmologist had examined the child under anesthesia and noted an active corneal ulcer in the right eye and a healed ulcer in the left eye. The patient's mother stated that his eyes had appeared red and that he was light sensitive for several weeks, rubbing both eyes frequently during this time. She also noted that the child appeared to be clumsy, bumping into and falling over furniture inside the house.

A second examination under anesthesia at our institution revealed generalized hyperkeratosis and lash hypertrichosis (Figure 1). The right eye was moderately vasodilated. The ocular surface was dry and lusterless, and there was diffuse rose bengal staining bilaterally (Figure 2 and Figure 3). Bitot spots . . . [Full Text of this Article]

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