Lenticular opacities in vitiligo iridis.

A 58-year old male, with a history of smallpox infection in early childhood marked by facial pitting, presented with painless progressive diminution of vision in both eyes [Fig. 1a].[1] Best corrected visual acuity (BCVA) for the right eye was counting fingers close to the face due to mature senile cataract and for the left eye was 20/30. A slit lamp examination of the left eye showed a clear cornea with vitiligo iridis [Fig. 1b].[2] Gonioscopy showed open angles with peripheral anterior synechia [Fig. 1c].[3] Also, it was observed that the intraocular pressures and optic disc were normal. Multiple posterior lenticular opacities were seen and recorded for the first time on pupillary dilatation [Fig. 1d].

Figure 1

(a) Facial pitting; (b) Vitiligo iridis; (c) Gonioscopy showing peripheral anterior synechia (d) Lenticular opacities

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