Editor,—Vitamin A deficiency is a major cause of ocular morbidity especially in underdeveloped countries. In the West sporadic cases have been reported usually associated with malabsorption syndromes, small intestinal bypass surgery, or abnormal metabolism. We report a case of an ophthalmological diagnosis of vitamin A deficiency secondary to coeliac disease. To our knowledge keratomalacia in association with coeliac disease has not been described previously.