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Ophthalmology and Visual Sciences

Kayser-Fleischer Ring in Wilson's Disease

Kayser-Fleischer Ring in Wilson's Disease

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

Slit lamp photographs of sunflower cataracts of the right eye
Figure 1a. Slit lamp photographs of sunflower cataracts of the right eye. Note the ring-shaped, anterior capsular opacities that resemble a "sunflower," a finding that is classically associated with Wilson's Disease.
 Slit lamp photographs of sunflower cataracts of the left eye
Figure 1b. Slit lamp photographs of sunflower cataracts of the left eye. Note the ring-shaped, anterior capsular opacities that resemble a "sunflower," a finding that is classically associated with Wilson's Disease.
Slit lamp photographs of a Kayser-Fleischer ring side profile
Figure 2a. Slit lamp photographs of a Kayser-Fleischer ring. Note the prominent golden/copper hue of the peripheral corneal endothelium—a result of copper deposition, primarily in Descemet membrane.
Slit lamp photographs of a Kayser-Fleischer ring directprofile
Figure 2b. Slit lamp photographs of a Kayser-Fleischer ring. Note the prominent golden/copper hue of the peripheral corneal endothelium—a result of copper deposition, primarily in Descemet membrane.
S posterior corneal reflex loses the prominent golden/copper hue centrally
Figure 2c. 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)
 Slit lamp gonioscopy photographs of a Kayser-Fleischer ring
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.