- Bangtao Yao, associate professor1,
- Jun Yang, neurologist2,
- Yong Zhang, radiologist3
- 1Department of Ophthalmology, Nanjing Lishui People’s Hospital, Zhongda Hospital Lishui branch, Southeast University, Nanjing, Jiangsu Province, China
- 2Department of Neurology, Nanjing Lishui People’s Hospital, Zhongda Hospital Lishui branch, Southeast University, Nanjing, Jiangsu Province, China
- 3Department of Medical Imaging, Nanjing Lishui People’s Hospital, Zhongda Hospital Lishui branch, Southeast University, Nanjing, Jiangsu Province, China
- Correspondence to: B Yao yaobamtao_njmu{at}163.com
A woman in her late 30s presented with golden brown lesions of both corneas during a routine ophthalmic examination. She had no ocular discomfort, systemic problems, history of alcohol consumption, or personal or family history of eye diseases. Her best corrected visual acuity was 20/20 in both eyes. On slit lamp examination, golden brown rings were visible at the edges of each cornea (fig 1). Anterior segment optical coherence tomography showed hyper-reflective bands on the periphery of each cornea at the level of Descemet’s membrane, indicating a Kayser-Fleischer ring. No other ocular abnormalities were detected.
A
1 What is the most likely diagnosis?
Wilson’s disease—an autosomal recessive genetic disorder caused by mutations in the …