Abstract

A healthy 33-year-old female was referred for an ophthalmic examination for bilateral intermittent blurring of vision. She had a photorefractive keratectomy 8 years prior. Uncorrected vision was 20/20 OU. Slit-lamp examination of the anterior segment revealed bilateral whorl-like golden-brown streaks stemming from the central cornea called cornea verticillata (Fig. 1), classically seen in Fabry disease. This is a lysosomal storage disorder characterized by deficient activity of α‐galactosidase, leading to sphingolipid accumulation in various cells and subsequent organ system dysfunction.

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