This is a rare case that few people get to see. This gentleman was sent in for consideration of a transplant because his vision apparently dropped to 6l19, and the patient thought he needed laser vision correction.
The referrer wasn’t sure about the cornea.
Image: Congenital stromal dystrophy.
Turns out he has congenital stromal dystrophy, a bilateral mid to posterior stromal deposit from birth. Topography is perfect.
Despite the opacity, this man can see at least 6l9 in his worse eye. Vision has dropped due to early cataract
After explaining his condition, he opted not for cataract surgery but annual review. He certainly does not require a stromal transplant.
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