A 53-year-old woman was referred by her general ophthalmologist for cornea evaluation due to glare and blurry vision that started in her 30s and progressively worsened.
She also reported difficulty with driving, especially at night, because of glare, as well as difficulty working in front of her computer. Her medical history was significant for diabetes and skin cancer; her family history was unremarkable. No one from her family had experienced any similar vision problems. The patient did not have any facial dysmorphisms.
On initial examination, the patient’s visual acuities were 20/80 in
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