RT Journal A1 Rambo VC T1 Ocular manifestations of riley-day syndrome: Familial autonomic dysfunction JF A.M.A. Archives of Ophthalmology JO A.M.A. Archives of Ophthalmology YR 1958 FD November 1 VO 60 IS 5 SP 964 OP 965 DO 10.1001/archopht.1958.00940080984018 UL http://dx.doi.org/10.1001/archopht.1958.00940080984018 AB 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