Conjunctival xerosis (X1A) as an independent indicator of VAD: VAD is only one of the several causes of conjunctival xerosis; thus the reliability of this sign (X1A) for independent assessment of VAD in field conditions is questionable [3,4]. Conjunctival xerosis is clinically expressed as marked dryness or unwettability; the affected area appears roughened, with fine droplets or bubbles on the...