Guess the Diagnosis!

Case: A 40 year old male patient came with complaints of DOV in both eyes which he says has progressively increased since adolescence. He also gives history of his family members having the same complaints
Take a close look at the slit-lamp image from today's clinic
Your Questions:
1) What is the diagnosis?
2) Describe the appearance seen in the image
3) What investigation can be done?
4) What is the treatment?
5) What is the most common differential diagnosis and how do we differentiate it?
Drop your answers in the comments!
Let's see how many of you can get it right!
Image from Rajan Eye Care Hospital
Also visit our website www. ophthalmobytes.com to answer
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