![Picture](/uploads/1/3/7/9/13798116/published/uric-acid-sign.jpg?1502841198)
- Cream colored plaque(s) in the ciliary zone caused by the tophi moving inward away from zone 6 and into zone 4.
- May look smeared and without clear definition.
- When tophi are smeared together in zones 5 and 6, we should ask about uric acid tendencies.
- Shows a potential genetic tendency for uric acid crystal accumulation and gout.