Rings, Dots, Lines & Spots

1. Rings , Dots , Lines &Rings , Dots , Lines & Spots !Spots ! By Dr.Ahmed
Alsherbiny MSc. Ophth
2. Rings
3. Ring Keratitis Acanthamoeba keratitis
4. Kayser-Fleischer�s ring Wilson�s disease
5. Corneal rust ring A small, reddish brown, circular opacity remained in the
cornea after the removal of an iron foreign body.
6. Coat's White ring A form of iron deposit at the level of Bowman's layer Commonly
associated with previous corneal foreign body
7. Fleischer�s ring visible all around the base of cone in Keratoconus .
8. Soemmering�s ring early opacification of lens capsule after cataract extraction
9. Vossius� ring Iris Pigment on anterior lens capsule in concussion injury to eye
10. Weiss ring Posterior vitreous detachment (PVD)
11. Double ring sign the peripheral margin of the encircling ring corresponding to
the border of a normal-sized optic disc. Seen in Hypoplasia of the Optic Disc
12. Golden Ring A golden ring within the lens is evidence of successful
delineation.
13. Lines
14. Arlt's Line Trachoma conjunctival scar in sulcus subtarsalis.
15. Ferry�s Line Corneal epithelial iron line at the edge of filtering blebs
16. Hudson-Stahli Line Horizonatl corneal epithelial iron line at the inferior one
third of cornea due to aging.
17. Khodadoust Line corneal graft endothelial rejection line composed of
inflammatory cells.
18. Paton�s Line Circumferential retinal folds due to papilledema
19. Sampaolesi line Increased pigmentation anterior to Schwalbe�s line in
pseudoexfoliation syndrome.
20. Zentmeyer line (Scheie�s Line( �Pigment on lens equator and posterior capsule
in pigment dispersion syndrome.
21. Schwalbe�s Line Angle structure
22. Stockers Line Corneal epithelial iron line at the edge of pterygium
23. White lines of Vogt Sheathed or sclerosed vessels seen in Lattice degeneration
24. Dots
25. Trantas Dot Collections of eosinophils at limbus in vernal conjunctivitis.
26. Mittendorf's dot whitish spot at posterior lens surface,remnant of hyaloid
artery.
27. Gunn's dots light reflectios from internal limiting membrane around disc and
macula
28. Spots
29. Krachmer Spots subepithelial infiltrates seen in corneal stromal graft
rejection
30. Elschnig's spots black spots surrounded by bright yellow or red halos in
patients with advanced hypertensive retinopathy
31. Bitot's spot White, foamy area of keratinising squamous metaplasia of bulbar
conjunctiva,seen in vitamin A deficiency.
32. Brushfield spot Whitish grey spot in peripheral iris,seen in Down's syndrome.
33. Fischer-Khunt spot Senile scleral hyaline plaques are bilateral oval, dark-
greyish areas located close to the insertion of the horizontal rectus muscles
34. Roth spots Haemorrhages with white centres,seen in SABE, severe
anaemia,collagen vascular disorders.
35. Fuchs' spot A small black spot on the fundus in high myopia, occurring after
macular haemorrhage
36. Thank You