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. 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 photographs of a Kayser-Fleischer ring. Note the dark brown/gold/copper band located anterior to the trabecular meshwork in the peripheral cornea.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
last updated: 09/19/2017