David Huang, M.D., Ph.D. | Doheny Eye Institute, University of Southern California, Los Angeles, California Peter J. McDonnell, M.D. | Doheny Eye Institute, University of Southern California, Los Angeles, California
Vision: 20/50 OD, 20/80 OS, no improvement by pinhole or refraction OU. Potential acuity meter: 20/50 OU Pupils: Reactive OU, No relative afferent pupillary defect External exam: Mild ptosis OU with fissure heights of 6 mm in each eye Slit lamp examination: Scattered focal white superficial corneal stromal opacities more numerous centrally; subtle epithelial elevations associated with the focal opacities; diffuse stromal haze spans center to limbus; endothelial opacities are present. Corneal findings are bilateral and symmetric. Fundus examination: Within normal limits OU Management: The patient underwent penetrating keratoplasty OS.