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We read with interest the letter by Decock et al regarding the rare congenital ocular malformation (orbital cyst and bilateral colobomatous microphthalmos).1 The female child reported was the product of a mother with documented vitamin A deficiency (VAD) during the second trimester of pregnancy after previous gastric bypass surgery for morbid obesity. The authors do not report the symptoms or biochemical evidence of VAD in this particular mother, nor the …
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