Her distance and near visual acuities were correctable to 20/20 OU. Pupillary reactions were normal, as were intraocular pressures, extraocular movements, confrontational visual fields, and ocular alignment. Slitlamp examination findings were remarkable only for moderate nuclear sclerosis in each eye. No iris transillumination was noted on careful examination. Dilated examination revealed clear media in each eye, pink optic nerves with normal cups, flat maculae, and normal retinal vessels bilaterally. The posterior pole appeared to have a splotchy pattern of pigmentation, as seen on fundus autofluorescence imaging (Figure 1). The peripheral fundus had alternating radial streaks of hyperpigmentation and hypopigmentation (Figure 2A) at the level of the retinal pigment epithelium (RPE), typical of the X-linked ocular albinism carrier state. Fluorescein angiography showed normal retinal vasculature with areas of blocking and window defects corresponding to hyperpigmented and hypopigmented regions, respectively (Figure 2B). Findings on optical coherence tomography of the macula and full-field electroretinography were normal in both eyes. Her visual symptoms were consistent with presbyopia and cataract.