Double arcus cornealis: A case report

Abstract

The corneal arcus is a degenerative change that involves lipid deposition and presents as a white circumferential band located in the peripheral cornea. Arcus occurs with age (arcus senilis) and is not considered pathologic; it can also be associated with hyperlipoproteinemia in younger age groups (arcus juvenilis). A 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 the higher range.