A 48-year-old African American man was referred by an outside ophthalmologist for evaluation of bilateral corneal opacities after a routine eye exam. The patient denied any changes in vision, pain, foreign body sensation or photophobia. He had no history of ocular trauma or surgery. He had no family history of ocular disease. His parents and three children all had normal eye examinations. The patient had no past ocular history. His past medical history was significant for hypertension, for which he took irbesartan-hydrochlorothiazide.