Olver J
Br J Ophthalmol. 1986 May;70(5):357-60. doi: 10.1136/bjo.70.5.357.
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.
本文描述了一名39岁男性患者的病例，该患者此前未被诊断出患有慢性精神分裂症，因饮食怪异继发双侧角膜软化症。他因右眼角膜穿孔前来就诊，需要紧急进行穿透性角膜移植术。文中描述了对明显精神病患者进行临床管理的困难以及使用血清视黄醇水平监测治疗的情况。还讨论了在英国所见的维生素A缺乏的原因。
