A 23-year-old female patient applied to our clinic with the complaints of color changes in both of her corneas. Ophthalmological examination revealed 20/20 vision in both eyes. Intraocular pressure was 14 mmHg on the right eye and 12 mmHg on the left eye. Eye movements were normal and fundus examination revealed normal optic disc, macula, and peripheral retina. Biomicroscopic examination revealed diffuse haze in both of her corneas with circumferential arcus at the limbus and normal conjunctivae. Biochemical parameters were normal except for high-density lipoprotein values below 5 mg/ml, which was confirmed on repetitive tests. Together with ocular manifestations and low high-density lipoprotein values, a diagnosis of lecithin-cholesterol acyltransferase deficiency was made. In this article, a young patient who had low high density lipoprotein serum levels, peripheral corneal arcus, and corneal haze not affecting the visual acuity is presented.
Keywords: Corneal arcus, lecithin-cholesterol acyltransferase deficiency, young adult