Authors: Mathilde Gallant & Eliana-Ruobing Zhang
A 72-year-old woman presents with progressive blurry vision and glare in her right eye. She has a history of hypertension but no known ocular disease. Visual acuity is 20/60 right eye and 20/40 left eye. Intraocular pressures are 26 mmHg right and 18 mmHg left. The pupil in the right eye dilates poorly despite maximal mydriasis. Slit-lamp examination reveals patchy, irregular, grayish deposits on the anterior lens capsule and mild iris transillumination defects. Gonioscopy shows an open angle with dense trabecular pigmentation.
