Mysterious Rings in the Eye

A 63-year-old woman with cataracts presents with unusual double white-yellow rings in both corneas. Learn about the cause of this ophthalmologic finding.

Lipid deposition


A 63-year-old woman who had presented to the ophthalmology clinic for evaluation of cataracts was found to have white-yellow rings in both eyes. Over the past few years, she had noticed mild worsening of her vision. She reported no history of keratitis or ocular trauma. A lipid panel had been normal at a health maintenance visit 6 weeks before presentation. On ophthalmologic examination, peripheral opacities were observed in the lens of each eye, a finding consistent with age-related cataracts. A funduscopic examination was normal. Visual acuity was 20/30 in each eye. On slit-lamp examination, two concentric white-yellow rings were seen in each cornea. No corneal thinning or inflammation was apparent. Deposition of what substance is responsible for this finding?

What is the most likely diagnosis?

Calcium deposition
Copper deposition
Crystal deposition
Iron deposition
Lipid deposition

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