This document provides descriptions of various rings, lines, dots, and spots that can be seen in the eye during examination. It describes several types of rings seen in conditions like Acanthamoeba keratitis, Wilson's disease, and posterior vitreous detachment. It also lists several lines associated with conditions such as trachoma, filtering blebs, aging, and graft rejection. Additionally, it mentions dots seen in vernal conjunctivitis and as remnants of the hyaloid artery. Finally, it describes spots associated with corneal rejection, hypertensive retinopathy, vitamin A deficiency, Down's syndrome, and other conditions.

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