Evaluation of Kayser–Fleischer ring in Wilson disease by anterior segment optical coherence tomography

• DOI: 10.4103/ijo.ijo_400_16
• Publication Date: 2017-06-02T05:56:48Z
• Authors: MittanamalliS Sri...; Advithi Rangaraju; Kavitha Anbarasu; SharatPutta Reddy; Sachin Daga; Sita Jayalakshmi; Bajibhi Shaik
• Keywords: Slit lamp; Descemet's membrane

Purpose: The purpose of the study is to present anterior segment optical coherence tomography (AS-OCT) as an alternative method evaluating Kayser–Fleischer (KF) ring in Wilson disease (WD) not only by ophthalmologists but also other clinicians dealing with WD. Materials and Methods: This was a retrospective case series six WD patients KF ring. Evaluation done naked eye examination using torch light, slit lamp biomicroscopy (SL), AS-OCT. SL narrow superior cornea. AS-OCT Optovue RTvue Premier™ device (Fremont, CA, USA). Results: revealed intense hyperreflective band at level Descemet membrane (DM). Color scale showed greenish/greenish yellow/orange yellow/yellowish/red band. Validation findings second ophthalmologist, medical gastroenterologist, surgical neurophysician. After seeing first observation, they could identify features all pictures ease. Conclusions: observation on On AS-OCT, visualized hyperreflectivity DM peripheral Further, studies are needed evaluate usefulness management.