|Year : 2020 | Volume
| Issue : 1 | Page : 57
Keyser–Fleischer ring with sunflower cataract: A clinching sign of Wilson's disease
Vaibhav Kumar Jain, Priya Singh, Sarswati, Anubha Ojha, Kumudini Sharma
Department of Ophthalmology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
|Date of Submission||29-Nov-2019|
|Date of Decision||06-Jan-2020|
|Date of Acceptance||25-Jan-2020|
|Date of Web Publication||04-Mar-2020|
Dr. Vaibhav Kumar Jain
Department of Ophthalmology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Raebareli Road, Lucknow - 226 014, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
|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 Dec 4];58:57. Available from: https://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). Therefore, its examination plays a crucial part in diagnosing WD. Though rare, sunflower cataract also aids in the diagnosis of WD.
|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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Ram J, Gupta A. Kayser-Fleischer ring and sunflower cataract in Wilson disease. JAMA Ophthalmol 2014;132:873.
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.