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What Causes White Line Of Pigmentation Along The Lower Part Of The Cornea?

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Posted on Tue, 10 Jun 2014
Question: I am having a white line (pigmentation) in the lower part of the cornea. A bigger line in the right eye and a smaller one in the left eye.
My work includes working over computers.
Just want to confirm whether it is normal or sign of something serious for the eyesight.
doctor
Answered by Dr. Dadapeer K (1 hour later)
Brief Answer:
It looks like arcus and will not affect eyesight.

Detailed Answer:
Hello
Welcome to Health care magic

Iam Dr. Dadapeer K, an ophthalmologist and I answer health problems related to eye.
It seems from the history that you are having white line of pigmentation along the lower part of the cornea in both the eyes with line in the right eye being bigger than in the one in left eye.

From the description it appears like arcus which is a white opacity in the periphery of the cornea because of deposition of lipids. It is common in people aged 50 or above, however sometimes in normal health individuals or in those with increased lipid levels or in those with allergic keratoconjunctivitis it is common to find it.
It is a benign condition and it will not affect the sight as it lies in the periphery of the cornea only.
Hence no need to worry this will not cause any vision related problems.
Since your work includes computers you can use the pseudo tears eye drops to prevent corneal dryness and this is not related to the white pigmentation.

If possible do send a photo of the eyes so that I confirm the diagnosis for you and advice you further.
Hope the information is helpful to you.

Thank you
with regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dadapeer K (22 minutes later)
Thank you for your reply and the information is very satisfying.
As asked by you uploaded the pictures of both the eyes under ‘Upload new report’. The eye with smaller line is left and the one with bigger is the right eye.
doctor
Answered by Dr. Dadapeer K (1 hour later)
Brief Answer:
It is arcus juvenilis.

Detailed Answer:
Hello
Thank you for the follow up query.

It is arcus only and in your case called as arcus juvenilis. It characeristically begins in the upper or lower part of the peripheral cornea and then progresses gradually to form a band of 0.5 to 1mm, separated by the corneoscleral junction by a clear area.
All these features are found in the photos which you have sent.

No need to worry this will not involve the central part of the cornea and it will not affect sight.
However the cause for it need to be evaluated. As I had mentioned in the previous reply the causes are
Hyperlipoproteniemia or altered lipid profile: About 50% of people with arcus juvenilis show this, hence you need to undergo blood examination for lipid profile.

However it can occur in normal people without any cause also, hence no need to worry if the lipid profile comes normal.

Hence I advice you to get lipid profile examination by blood testing, otherwise no need to worry as it will not affect the eye sight.


Hope the information is helpful to you.

Thank you
With regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dadapeer K

Ophthalmologist

Practicing since :2003

Answered : 5709 Questions

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What Causes White Line Of Pigmentation Along The Lower Part Of The Cornea?

Brief Answer: It looks like arcus and will not affect eyesight. Detailed Answer: Hello Welcome to Health care magic Iam Dr. Dadapeer K, an ophthalmologist and I answer health problems related to eye. It seems from the history that you are having white line of pigmentation along the lower part of the cornea in both the eyes with line in the right eye being bigger than in the one in left eye. From the description it appears like arcus which is a white opacity in the periphery of the cornea because of deposition of lipids. It is common in people aged 50 or above, however sometimes in normal health individuals or in those with increased lipid levels or in those with allergic keratoconjunctivitis it is common to find it. It is a benign condition and it will not affect the sight as it lies in the periphery of the cornea only. Hence no need to worry this will not cause any vision related problems. Since your work includes computers you can use the pseudo tears eye drops to prevent corneal dryness and this is not related to the white pigmentation. If possible do send a photo of the eyes so that I confirm the diagnosis for you and advice you further. Hope the information is helpful to you. Thank you with regards