Ring around the cornea: if a corneal ring makes you suspect Wilson's disease, refer the patient for further diagnostic testing.(Cornea+Contact Lens Q+A)(Case study)

Review of Optometry, May, 2006 by Shovlin, Joseph P.

Q A 19-year-old male patient has a green-brown colored deep ring in the periphery of both corneas, and he reports recent gait problems. I'm concerned that he might have Wilson's disease. Can you tell me more about this disease and how I should manage this patient?

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A Wilson's disease is a genetic condition (autosomal recessive) that causes excessive copper accumulation in the liver or brain. This accumulation starts immediately after birth and results in hepatitis, psychiatric problems, or neurological symptoms. (1) If not detected and treated, Wilson's disease can lead to copper poisoning and death. (1)

Patients with Wilson's disease may have jaundice; abdominal swelling; abdominal pain; vomiting of blood;...

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