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Ophthalmic Images

Double arcus cornealis

Asif, Mohamed I; Nayak, Shreya; Pujari, Amar; Sharma, Namrata; Agarwal, Tushar

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Indian Journal of Ophthalmology: October 2019 - Volume 67 - Issue 10 - p 1723
doi: 10.4103/ijo.IJO_402_19
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A 70-year-old male patient presented with gradual, progressive diminution of vision involving both the eyes. On examination, his best corrected visual acuity was 6/60 in both eyes. His cornea revealed a clear outer arcus which clearly defined outer and inner edges, and lucid interval. The inner arcus showed similarly clearly defined outer edge only with a clear outer lucid interval [Fig. 1a and b]. The patient had both eyes immature senile cataract for which he underwent sequential bilateral cataract surgery, the further detailed systemic evaluation did not reveal any significant no co-morbidities. Double arcus is a unique clinical entity which has been noted rarely in the literature.[12]

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Figure 1:
(a) Right eye anterior segment photograph showing clearly defined inner and outer margins and lucid intervals (white arrows) of outer arcus (outer black arrow). The inner arcus (inner black arrow) showed clearly defined outer edge and lucid interval (inner white arrow) but inner margin was less clearly defined. (b) Left eye showing similar findings

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

1. Agrawal S, Agrawal J, Agrawal TP. Double-ring corneal arcus J Cataract Refract Surg. 2002;28:1885–6
2. Rumelt S, Rumelt-Blitstein I. Double arcus cornealis Eye. 2004;18:1020–1
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