Posterior stromal crystalline keratopathy in gout

A 55-year-old female presented with painless, diminution of vision in the right eye for 6 months. She had episodes of knee pain in the past. Slit lamp bio-microscopy revealed crystal-like deposits in the deeper corneal stroma in the right eye. Anterior segment optical coherence tomography and confocal microscopy revealed crystalline deposits. Systemic work-up revealed tophi in the right great toe with persistently high serum uric acid over the past ranging from 9 to 12 mg%. The patient is on follow-up and currently on medical therapy for gout. Gout may be associated with crystalline deposits in corneal stroma that may cause blurring of vision.