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Ophthalmology and Visual Sciences

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Kayser-Fleischer Ring in Wilson's Disease

Category(ies): Cataract/Lens; Cornea; Glaucoma/Iris
Photographer: Brice Critser
Contributor: Thomas J.E. Clark, MD

September 19, 2017

Figure 1.  Slit lamp photographs of sunflower cataracts of the right and left eye. Note the ring-shaped, anterior capsular opacities that resemble a "sunflower," a finding that is classically associated with Wilson's Disease.

 

Figure 2.  Slit lamp photographs of a Kayser-Fleischer ring. A,B) Note the prominent golden/copper hue of the peripheral corneal endothelium—a result of copper deposition, primarily in Descemet membrane. Figure 2.  Slit lamp photographs of a Kayser-Fleischer ring. A,B) Note the prominent golden/copper hue of the peripheral corneal endothelium—a result of copper deposition, primarily in Descemet membrane. Figure 2.  Slit lamp photographs of a Kayser-Fleischer ring. C) Note how the posterior corneal reflex loses the prominent golden/copper hue centrally but maintains the dull metallic sheen superiorly and inferiorly (seen most prominently inferiorly in this photograph).

Figure 2.  Slit lamp photographs of a Kayser-Fleischer ring. A,B) Note the prominent golden/copper hue of the peripheral corneal endothelium—a result of copper deposition, primarily in Descemet membrane. C) Note how the posterior corneal reflex loses the prominent golden/copper hue centrally but maintains the dull metallic sheen superiorly and inferiorly (seen most prominently inferiorly in this photograph)

 

Figure 3.  Slit lamp gonioscopy photgraphs of a Kayser-Fleischer ring. Note the dark brown/gold/copper band located anterior to the trabecular meshwork in the peripheral cornea.

Figure 3.  Slit lamp gonioscopy photographs of a Kayser-Fleischer ring. Note the dark brown/gold/copper band located anterior to the trabecular meshwork in the peripheral cornea.


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last updated: 09/19/2017
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