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A Case of Bilateral, Multiple, Symmetric, Concentric Ring-Shaped Opacities in the Cornea

Madhu Uddaraju, MS1; Jeena Mascarenhas, MS1; Manoranjan Das, MS1; N. Venkatesh Prajna, MD, FRCS1
[+] Author Affiliations
1Cornea Services, Aravind Eye Hospital, Madurai, India
JAMA Ophthalmol. 2015;133(4):483-484. doi:10.1001/jamaophthalmol.2014.5379.
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This case report describes a rare and intriguing case of bilateral concentric ring-shaped opacities not associated with any ocular or systemic conditions.

Article InformationCorresponding Author: Jeena Mascarenhas, MS, Cornea Services, Aravind Eye Hospital, 1, Anna nagar, Madurai Tamil nadu 625020, India (jeenamas@gmail.com).

Published Online: January 8, 2015. doi:10.1001/jamaophthalmol.2014.5379.

Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

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Figure.
Slitlamp Images Depicting the Concentric Ring Opacities

A, Broad slit illumination image of the right eye showing 4 corneal ring opacities (arrowheads). B, Broad slit illumination image of the left eye showing 4 corneal ring opacities (arrowheads). C, High-magnification image showing the posterior corneal stromal location of the opacities (arrowheads). D, Diffuse illumination of the right eye illustrating the rings (arrowheads) with alternating distinctness and clear intervening stroma. E, Diffuse illumination of the left eye illustrating the rings (arrowheads) with alternating distinctness and clear intervening stroma. F, Confocal image of the right eye showing bandlike structures with interspersed thin streaks of white lines and scarring.

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