Man presents with 3-month gradual decline in vision

A 33-year-old man with a history of penetrating ocular trauma in the right eye during childhood presented to the New England Eye Center with a gradual decline in vision in the right eye over a 3-month period. At the time of presentation, he described a thick white haze overlying his visual field in its entirety on the affected side. There were no flashes, floaters, curtaining or absence of vision. He further reported no accompanying pain, irritation, redness or foreign body sensation.At presentation, the patient’s best corrected visual acuity was 20/70 in the right eye with improvement to 20/40 after refraction. There was no afferent pupillary defect, although the right pupil was 6 mm in diameter and demonstrated minimal reactivity to light. Extraocular motility was normal. IOP was within normal limits in both eyes.