Pre-Descemet's corneal dystrophy associated with ichthyosis.

Pre-Descemet's dystrophy is a symmetrical bilateral comeal dystrophy consisting of multiple small discrete opacities of lipid-like material in the deep stroma just anterior to the pre-Descemet's membrane. We presented a case of a 46-year-old male who visited our hospital on account of acute conjunctivitis. On routine examination, we found multiple fine gray dots in the pre-Descemet's area and large, dark, scaly skin lesions over extensor surfaces of the extremities. After consultation with a dermatologist, X-linked recessive ichthyosis was diagnosed.