Lipid keratopathy is the deposition of lipid in the corneal stroma. Typically, the lipid deposition is secondary to corneal vascularization due to a corneal ulcer, herpetic keratitis, or interstitial keratitis. The lipid will classically deposit at the end of the vascular ingrowth. Rarely, the lipid will deposit primarily with no antecedent infection or cause for vascular ingrowth. If the lipid deposition is in the visual axis, vision will be reduced. As with any ocular condition, vision needs to be documented.