Golden brown pigmented rings in the eyes

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.bmj;385/apr11_7/e077962/F1F1f1Fig 1Slit lamp examination showing golden brown rings (arrows) at the edge of each cornea (R=right eye; L=left eye)Questions1 What is the most likely diagnosis?2 How would you manage this condition?3 What is the prognosis?A1What is the most likely diagnosis?Wilson’s disease—an autosomal recessive genetic disorder caused by mutations in the ATP7B gene, affecting one in 30…
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