BILATERAL KEYSER FLEISCHER RING IN WILSON DISEASE
Published 2024 - 28th ESCRS Winter Meeting
Reference: P136 | Type: Presented Poster & Poster | DOI: 10.82333/brx5-es39
Authors: Taha Boutaj* 1 , Romaissae Benkirane 1 , Latifa Sbai 1 , Zineb Hilali 1 , Samira Tachfouti 1 , Abdellah Amazouzi 1 , Ouafa Cherkaoui 1
1Ibn Sina University Center,Rabat,Morocco
Purpose
To report the case of a 36-year-old patient with a history of Wilson's disease who presented a bilateral Kayser-
Fleischer ring.
Setting
Department of Ophthalmology A. Hopital des specialites. Rabat. Morocco
Methods
We report the case of a 36-year-old male patient, from a consanguineous marriage, with a history of Wilson's
disease in its three clinical forms, hepatic, neurological and psychiatric.
Results
Visual Acuity was 7/10 in both eyes. Intraocular pressure was normal. Examination of eyelid found a meibomite.
Bio-microscopic examination objectives a bilateral Keyser Fleischer ring. The anterior chamber was normal. After dilation,
the examination of the lens is normal. The fundus was unremarkable. The biological assessment shows a low blood level
of ceruloplasmin at 10 mg/dl and a high 24-hour cupruria at 126 micrograms. Brain MRI reveals generalized signal
change, gliosis, and atrophy of the thalamus and brainstem.
Conclusion
Wilson disease is a rare, autosomal recessive disorder caused by abnormal copper accumulation in the
body particularly involving the brain, liver, and cornea. Ophthalmologic manifestations are one of the criteria used to
establish a provisional diagnosis of Wilson's disease. It can be treated and managed if it is diagnosed early.