Pathologically, LCAT deficiency can result in impaired vision, due to cholesterol corneal opacities, as well as anemia and renal damage as occurs in familial lecithin:cholesterol acyltransferase deficiency (FLD) disease, an autosomal recessive disorder (Feingold, 2022). This evidence concerns the gene LCAT and hyperinsulinemic hypoglycemia, familial, 4.