A 30-year-old male presented with a chief complaint of progressive, painless bilateral but asymmetric visual loss over a period of several years. Examination Vision: CF at 4 ft OD ph 20/200; 20/30 OS ph 20/20 Pupils: Normal OU, No APD Slit-lamp examination: 90% thinning peripherally, extending from 6:00 to the 1:00 o'clock position. Neovascular changes within the furrow present with an intact epithelium and a leading edge of lipid deposition anteriorly.

The left eye showed similar but milder changes (Image attached) Applanation tonometry: 15 mmHG OU Fundus examination: Normal OU What is your diagnosis for this patient? *This patient case is from the Editorial Team of Docplexus and is meant for educational purposes only. Source: Digital Journal of Ophthalmology (The correct answer is posted in the comment section below!)