A -10-year old boy was presented with ocular burning. He has no notable medical history. Examination A dry, scaly patch with foamy appearance was observed on the temporal conjunctiva of the left eye (as indicated in the image). Corrected visual acuity was 10/20 in the left eye; whereas the remainder of the ocular examination was normal.
Vitamin A serum level was <2 μg per deciliter (normal range, 30 to 70 μg per deciliter) What is the likely etiology and diagnosis? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay Connected, the answer will be posted in the next 48h!