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患者男,17岁,因双手握持无力1年伴有颤抖1个月于1991年5月19日来我院神经内科就诊,因怀疑Wilson 氏病转眼科会诊。眼科检查:双眼视力5.0(5.1—0.50 DS),裂隙灯显微镜见周边角膜内皮层有宽约1～1.5mm 黄绿色的色素沉着环,散瞳后见晶体前囊中心区直径约3.5mm 之圆盘状黄绿色素沉着,其边缘呈短光芒状色素分布,赤道部附近未见任任色素沉着,晶体后囊亦见均匀细砂状淡绿色素沉着,眼底未见异常。Goldmann 前房角镜检查:双眼房角开放,小梁网后2/3区域呈白色未见色素沉着,但小梁网前1/3部分始至前方巩膜区均见均匀黄色细颗粒附着,呈砂纸样,宽约1 mm。诊断:(1)角膜Kayser—Fleischer 氏环(2)房角铜沉着。文献资料公认此环是由于铜代谢障碍致铜细小色
Male patient, 17 years old, weakness in his hands due to weakness 1 year with trembling 1 month May 19, 1991 to our hospital neurology clinic, due to suspected Wilson’s disease ophthalmology consultation. Eye examination: binocular visual acuity 5.0 (5.1-0.50 DS), the slit lamp microscope see the corneal endothelium around the width of about 1 ~ 1.5mm yellow-green pigmentation ring, dilated see the crystalline anterior capsule diameter of about 3.5mm circle Discoid yellow-green pigment calm, the edge was short ray-like pigment distribution, no any pigmentation near the equator, the crystal posterior capsule also see the fine sand-like light green pigmentation, fundus no exception. Goldmann gonioscopy: binocular open angle, 2/3 area after trabecular meshwork was not white pigmentation, but before trabecular meshwork 1/3 part of the anterior scleral area were seen uniform yellow fine particles attached, was Sandpaper, width 1 mm. Diagnosis: (1) corneal Kayser-Fleischer’s ring (2) angle copper calm. This document is generally accepted as a result of copper metabolism caused by copper fine color