The golden ring

Afemale in her mid-20s presented to the ophthalmologist with low vision in both eyes since childhood. On examination, she had a best-corrected visual acuity of 20/80 in the right eye with 17.00 Ds and 20/40 in the left eye with 14.00 Ds. Intraocular pressures were normal. On close inspection, both eyes [Figure 1] (Panel A – right eye, Panel B – left eye) had thick lenses with 360° golden ring around the lens on retroillumination. Posterior segment examination was unremarkable. Systemic examination revealed a short stature, brachydactyly, and joint stiffness