Gray eyes in a 62-year-old woman

Abstract

A 62-year-old African American woman presented at the Durham VA for evaluation of a gradual decrease in vision. She described symptoms of glare as well as a graying of her eyes. She reported that several of her relatives had a similar condition. On examination, visual acuity was 20/30 in both eyes, decreasing to 20/60 with brightness acuity testing. Slit-lamp examination revealed bilateral central stromal opacification, with subepithelial crystalline deposits, a midperipheral clear zone, and 360° of arcus lipoides, consistent with Schnyder’s corneal dystrophy. Ultrasonography was unremarkable. Workup revealed hyperlipidemia, and a statin was started. Observation was elected.