|Year : 2019 | Volume
| Issue : 10 | Page : 1724
Resolution of Kayser–Fleischer ring in Wilson disease
Surbhi Khurana, Parul Chawla Gupta, Jagat Ram
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
|Date of Web Publication||23-Sep-2019|
Dr. Jagat Ram
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh - 160 012
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Khurana S, Gupta PC, Ram J. Resolution of Kayser–Fleischer ring in Wilson disease. Indian J Ophthalmol 2019;67:1724
A 6-year-old child with Wilson disease and autoimmune hepatitis presented to cornea clinic for routine ocular examination with unaided vision of 20/20 OU. Microscopic slit lamp examination revealed bilateral thick, circumferential green copper deposition on Descemet's membrane of the cornea suggestive of Kayser–Fleischer (KF) ring [Figure 1]a. After being treated with penicillamine, oral steroids, and immunosuppression for 1 year, KF ring had decreased significantly [Figure 1]b. KF ring is most commonly seen in Wilson disease  but can also be seen in chronic active hepatitis, primary biliary cirrhosis, hepatocellular disorders, and intraocular foreign body containing copper.
|Figure 1: (a) Kayser–Fleischer ring, seen as circumferential green pigment deposition at the level of Descemet's membrane, before treatment. (b) Decrease in KF ring after treatment|
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
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