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case_images: Shows heterochromia iridum. Normal bright iris in the right eye (a) and dark iris with iris mammillations in the left eye (b)
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case_images: The slit-lamp examination was unremarkable in both eyes apart from the presence of smooth, thin, villiform, brown, diffuse, uniformly elevated, and regularly distributed iris nodules overlying the entire anterior surface of the iris in the left eye only [Figure 1b].
case_images: (a) Normal right optic disc and fundus. (b) Inferotemporal optic disc pit (ODP) (black arrow) with an area of peripapillary atrophy (white arrow). (c) Normal macular OCT in the right eye. (d) Left eye OCT shows optic disc pit maculopathy with subretinal fluid. OCT: Optical coherence tomography
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case_images: The dilated fundus exam showed a single oval grayish depression at the inferotemporal part of the left optic disc [Figure 2b]. The right fundus was normal [Figure 2a]. Figure 2 shows the optical coherence tomography (OCT) of both eyes. ODP maculopathy (ODP-M) was noticed in the left eye [Figure 2c].
case_images: Corneal topography (Pentacam) for the right (OD) and left (OS) eyes indicates the presence of keratoconus in both eyes
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case_images: Corneal topography (Pentacam) revealed keratoconus in both eyes [Figure 3].