Managing Common Eye Conditions in the Pharmacy

US Pharmacist

Arcus Senilis

Arcus senilis (corneal arcus) is a bilateral condition manifesting as a white ring in the periphery of the cornea.^[7] It is a lipid-rich corneal deposit that does not affect the patient's vision. It begins at the top and bottom of the cornea and spreads to form a complete ring. It is most commonly seen in elderly patients. Therefore, arcus senilis in patients below 50 years of age should be referred for a lipid profile, since it may indicate hyperlipidemia, hypercholesterolemia, or hyperlipoproteinemia.^[8] However, the relationship between arcus senilis and cardiovascular disease is yet to be established.^[9]

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Cite this: Managing Common Eye Conditions in the Pharmacy - Medscape - Apr 01, 2010.

Table 1. Questions to Ask During an Eye Care Consultation
How long have you had the problem? Have you had this problem before? What is the pattern of occurrence of this problem? Has it gotten worse or better over time? Is there any pain? Is there any discharge? Is your vision affected? Do you know what the problem could be? Is there an obvious cause? Have you been using a computer for prolonged periods of time?

Source: Reference ^[1].

Table 2. Symptoms That Require Immediate Referral
Pain in the eyes Blurred or distorted vision Worsening symptoms Any doubt about the diagnosis No improvement with any OTC medications previously used (after 7 days)

Source: Reference ^[1].

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Managing Common Eye Conditions in the Pharmacy

Arcus Senilis

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