Figure 4. Transmission electron microscopy of conjunctival biopsy from the proband. A: Low power (2000X) section showing conjunctival epithelium (red star), goblet cell (white arrow) and conjunctival fibroblast (red arrow). B: High power section (5000X) of stromal fibroblastic tissue showing an absence of lipids in the cytoplasm of the conjunctival fibroblast.