Dr.Pragati Gupta

Dr.Ruchi Shukla , Dr.Pragati Gupta, Dr.Swarastra Singh Prakash

Abstract

Background: The corneal arcus is a degenerative change which involves lipid deposition and presents as white circumferential band located in the peripheral cornea. Arcus occurs with age (arcus senilis) and is not considered pathologic or it can be associated with hyperlipoprotenemia in younger age (arcus juvenilis).
Case report: Single ring of arcus senilis is a universal phenomenon, here we present a case of double arcus in a 55-year-old patient who had no history of any systemic disease. Double arcus senilis was bilateral with a circular, clear zone between the two rings as well as between the limbus and outer ring of arcus. On routine blood investigations serum triglycerides (220.2 mg/dl) and serum Very Low-Density Lipoprotein (44.04 mg/dl) were found to be in higher range.
Conclusion: Although arcus cornealis is often clinically insignificant but its importance cannot be ruled out as a clinical biomarker for systemic abnormalities and diseases.