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Victor C. Rambo, M.D.
Christian Hospital Mungeli, Dist. Bilaspur, M. P., India

Dr. Rambo's letter (first published in the January, 1958, issue of the Archives, p. 147) is being reprinted here so that it may be reread in relation to the accompanying replies by Drs. Berenberg and Liebman.

AMA Arch Ophthalmol. 1958;60(5):964-965.

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

To the Editor:

—The article by Liebman on ocular manifestations of Riley-Day syndrome in the November, 1956, issue of the ARCHIVES, page 719, presents descriptions and illustrations of a condition we see much of in India. The condition is lack of vitamin A, which leads to more blindness among children in the parts of India in which I have worked than any other condition.

The dryness of the conjunctival sac, the lack of tears, is only part of a process in which the mucous membranes of the whole body lose their mucous quality and become squamous. The cornea may be dull, epithelium-thick or deeper, or may become like white blotting paper in appearance and consistency. The mystery of keratomalacia is the tremendously toxic action on the cornea. How can such a strong and beautiful organ, through which only Greishaber's needles will go easily, become so soft so quickly?

Would that . . . [Full Text PDF of this Article]

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