Kayser Fleischer Ring - An Early Indicator of Wilsons Disease - A Case Study

A 10 year old female child came to the OPD with complaints of decreased vision. She is a known case of lupus nephritis. Though her vision could be improved after refraction in both eyes, more shocking revelation was the deposition of a dense yellow brown deposit of Kayser Fleischer (KF) ring and a sunflower cataract. She was further carried out various diagnostic tests for Wilsons disease and was immediately treated for the same. Unfortunately the child died within two months due to hepatic encephalopathy and sepsis. Hence it is important to understand the significance of early detection of KF ring which is a definite and a long standing indicator of neurological Wilson disease.