This is a gentleman in his 50’s with Anterior Basement Dystrophy. This is an irregularity of the surface of the cornea. It is genetic. It can be progressive but not necessarily. It causes a feeling of having something in the eye, makes dry eye symptoms worse. It can be treated with lubricants and ointments. It can be treated surgically if it causes recurrent corneal erosions, or abrasions on the cornea.