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Year : 2020  |  Volume : 58  |  Issue : 1  |  Page : 57

Keyser–Fleischer ring with sunflower cataract: A clinching sign of Wilson's disease


Department of Ophthalmology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Date of Submission29-Nov-2019
Date of Decision06-Jan-2020
Date of Acceptance25-Jan-2020
Date of Web Publication04-Mar-2020

Correspondence Address:
Dr. Vaibhav Kumar Jain
Department of Ophthalmology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Raebareli Road, Lucknow - 226 014, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_115_19

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How to cite this article:
Jain VK, Singh P, Sarswati, Ojha A, Sharma K. Keyser–Fleischer ring with sunflower cataract: A clinching sign of Wilson's disease. TNOA J Ophthalmic Sci Res 2020;58:57

How to cite this URL:
Jain VK, Singh P, Sarswati, Ojha A, Sharma K. Keyser–Fleischer ring with sunflower cataract: A clinching sign of Wilson's disease. TNOA J Ophthalmic Sci Res [serial online] 2020 [cited 2020 Jun 1];58:57. Available from: http://www.tnoajosr.com/text.asp?2020/58/1/57/279998



A 12-year-old girl with the diagnosis of chronic liver disease was referred for ophthalmological evaluation to rule out Keyser–Fleischer (KF) ring in the cornea. Her slit-lamp examination revealed bilateral characteristic greenish–brown granular deposition at level of Descemet's membrane suggestive of KF ring [Figure 1]a and also found the yellowish-brown opacities with a petal-like appearance in the anterior subcapsular cortex of the lens, suggestive of sunflower cataract [Figure 1]b. KF ring has been described as a pathognomonic sign of Wilson's disease (WD).[1] Therefore, its examination plays a crucial part in diagnosing WD. Though rare, sunflower cataract also aids in the diagnosis of WD.[2]
Figure 1: Slit-lamp photograph showing greenish-brown depositions at the level of Descemet's membrane of cornea suggestive of Keyser–Fleischer ring (blue arrow in part a), and characteristic early sunflower cataract (b)

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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.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ram J, Gupta A. Kayser-Fleischer ring and sunflower cataract in Wilson disease. JAMA Ophthalmol 2014;132:873.  Back to cited text no. 1
    
2.
Langwińska-Wośko E, Litwin T, Dzieżyc K, Członkowska A. The sunflower cataract in Wilson's disease: Pathognomonic sign or rare finding? Acta Neurol Belg 2016;116:325-8.  Back to cited text no. 2
    


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