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Corneal findings in a patient with Wilson’s disease and keratoconus

Poster Details


First Author: B.Engin Potoglu TURKEY

Co Author(s): T. Gonen   C. Cosar                 

Abstract Details

Purpose:

To evaluate the corneal findings in a patient with Wilson’s disease and keratoconus.

Setting:

Department of Ophthalmology, School of Medicine, Namik Kemal University, Tekirdag, Turkey

Methods:

In this report, detailed ophthalmic examination, pentacam corneal topography, and anterior segment optical coherence tomography findings in a 27-year-old female with decreased vision who had liver transplantation for Wilson’s disease are presented.

Results:

Best corrected visual acuity was 20/50 in the right eye and 20/30 in the elft eye. Slit lamp biomicroscopy showed Kayser-Feischer and Fleischer rings, Vogt’s stria, and prominent corneal nerves in both eyes. The keratoconus diagnosis is confirmed by pentacam corneal topography. Kayser-Fleischer ring is seen as a bright and hyperreflective band in pentacam corneal topography and anterior segment optical coherence tomography images, respectively.

Conclusions:

This simultaneous coincidental relationship between Wilson's disease and keratoconus is infrequently observed and has been named as “double corneal ring” in the English literature previously.

Financial Disclosure:

None

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