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August 1989

Unilateral Arcus Lipoides Corneae With Traumatic Cyclodialysis in Two Patients

Author Affiliations

Erlangen, West Germany

Arch Ophthalmol. 1989;107(8):1121-1122. doi:10.1001/archopht.1989.01070020187014

To the Editor.  —We would like to document two cases of unilateral arcus lipoides associated with traumatic cyclodialysis in nonphthisical eyes.

Report of Cases. 

—Case 1.  —A 63-year-old man without a history of systemic illness presented with a unilateral cataract of the left eye. Ten years ealier, he had suffered a severe blunt ocular trauma from a tennis ball. On examination, visual acuity was 20/ 20 OD and light perception in the left eye. By applanation tonometry, intraocular pressure was 18 mm Hg OD and 12 mm Hg OS. Slit-lamp examination, gonioscopy, and ophthalmoscopy of the right eye revealed no abnormalities, and in particular, no signs of corneal arcus lipoides. Examination of the left eye disclosed a very marked, circular, and yellow-white arcus lipoides extending through the entire corneal thickness, separated from the limbus by a clear zone (Fig 1). There was a mature cataract. On gonioscopy, a cyclodialysis

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