Arcus Senilis

Eye examinations can reveal medical problems.. Jetta Productions


Arcus senilis is a white or gray opaque ring or arc around the cornea of the eye. The cornea is the clear, dome-like structure in the front part of the eye. The cornea is made of 6 different layers and is normally transparent. The cornea delivers a large part of the refracting power for the eye so that light rays will properly on to the retina. Arcus senilis is seen often in the elderly, but is sometimes present at birth.

When arcus senilis develops in early or middle life, it is referred to as arcus juvenilis. The arc or ring that occurs with arcus senilis comes from lipids (fats) or cholesterol deposited in the cornea.


Arcus will most likely develop in all of our eyes provided we live long enough. For most people, arcus is benign and will not affect vision. However, when arcus develops in people younger than about forty years of age, there is cause for concern. Because arcus are deposits of lipids, if you have arcus and you are younger than forty, it could represent high lipid blood levels and therefore possible high cholesterol.

The connection between arcus and high cholesterol or atherosclerosis has been very controversial. As far back as 1852, German pathologist Rudolf Virchow discussed an association between corneal arcus and atherosclerosis. However, nearly 40 years later, physician William Osler suggested that arcus was not diagnostic for “fatty degeneration” of the heart.

Even now, the link between arcus and vascular lipid deposits is very controversial. In 2008, the National Institutes of Health published an article that concluded: “Corneal arcus reflects widespread tissue lipid deposition and is correlated with both calcific atherosclerosis and xanthomatosis in these patients.

Patients with more severe arcus tend to have more severe calcific atherosclerosis. Corneal arcus ... suggests increased atherosclerosis in these hypercholesterolemic patients.”


When doctors perform an eye examination, many factors are taken into consideration before making an assessment. For example, when a doctor sees arcus in a younger person, they will pay particular attention to their findings in the retina. During the examination, special eye drops will be instilled into the eye to dilate the pupil. When the eye is dilated, the retinal blood vessels are inspected for signs of disease. The blood vessel appearance and thickness can give clues to possible elevated lipid levels and atherosclerosis. If there appears to be atherosclerosis of the retinal blood vessels, and the patient also happens to have arcus, then it is more likely that he or she will recommend a visit to your primary care doctor, internists or cardiologist.


There is really no good way to make arcus go away.

Some have advocated eye tattooing to help cover it up. However, for the most part, this is not recommended in the medical community. 

What You Should Know

Most eye doctors practice with a general rule in mind when it comes to arcus. In patients over forty years of age, arcus is most often a benign finding. However, if you are younger than forty, see your family doctor and at least have your cholesterol blood levels checked. Just because you are younger than forty and have arcus, does not mean you absolutely have elevated lipid levels, but at a very minimum, it is recommended that you have it checked.

Also Known As: Arcus senilis corneae

Continue Reading