A 37-year-old African American man in good health presented to the Illinois Eye and Ear Infirmary in Chicago. The patient noted 4 years of progressive, decreased, patchy pigmentation of both eyes; constant photophobia; and constant decreased visual acuity. He had a history of high myopia and a family history of glaucoma in a female family member. He denied other prior ocular history, trauma, or eye surgery. A review of systems had no remarkable findings, and the patient denied a prodromal viral illness.