Delhi Journal of Ophthalmology

A Case Report of Coincidental Finding of Kayser-Fleischer Ring in a Patient Seeking Treatment for Trauma

Senny Chapagain
Geta Eye Hospital, Kailali, Nepal

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Senny Chapagain, MD
Geta eye hospital, Dhangadi, Kailali, Nepal
Email: sharmasenny@gmail.com


Received: 20-JAN-2020 Accepted: 14-MAY-2020 Published Online: 20-DEC-2020
DOI: https://dx.doi.org/10.7869/djo.598

Abstract
A 30-year-old male presented to the out-patient department with history of trauma to the left eye with his hand. On examination, subconjunctival hemorrhage in left eye with bilateral Kayser-Fleischer ring and anterior sub capsular cataract was observed. There were no coexisting neurologic or hepatic symptoms at presentation. However, the patient had a history of jaundice one year back. We report an interesting case of Wilson disease presenting with ocular features in the absence of neurologic symptoms. Early detection and treatment of Wilson disease is possible in these cases with timely referral for systemic evaluation to prevent long-term complications.

Keywords :Autosomal Recessive, Copper Metabolism, Descemet Membrane, Wilson's Disease, Kayser- Fleischer Ring, Anterior Capsular Cataract

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