Ocular manifestations of Fabry's disease

A 52-year-old black female teacher's aide presented for an eye examination with a complaint of progressively worsening vision, stinging and burning of the eyes, and occasional foreign body sensation. Examination revealed a dry eye syndrome and corneal dystrophy consistent with Fabry's disease, a cardiovascular disease with significant systemic as well as ocular findings. The patient was treated for the acute corneal symptoms and closely followed for progression of the dystrophic corneal changes.