Judging by the medications he's on, it seems like he's had a kidney
transplant. Could be conjunctival and corneal calcification due to chronic
renal failure?
*Katie Lachut *| (315)806-9733 | https://www.flickr.com/photos/katielachut
Ophthalmic Photographer with VCU Health System | RIT 2013
On Wed, Oct 17, 2018 at 1:52 AM Paula Morris <paula.morris@xxxxxxxxxxxx>
wrote:
Those are pretty significant deposits. Looks like copper but the Kaiser
Fleischer looks a little atypical. Does the patient have any of the
systemic symptoms of Wilson's? Poor liver function, jaundice, leaden gait?
Mike had a great idea about this being presented in the Rare Case
symposium next year. Where's a cornea specialist when you need them?
p
------------------------------
*From:* optimal-bounce@xxxxxxxxxxxxx [optimal-bounce@xxxxxxxxxxxxx] on
behalf of Warren, Kathleen [Kathleen_Warren@xxxxxxxxxxxxxxxx]
*Sent:* Tuesday, October 16, 2018 9:11 AM
*To:* optimal@xxxxxxxxxxxxx
*Subject:* [optimal] Re: Help Needed - What is diagnosis?
Wilson’s Disease is a good diagnosis – it causes the buildup in the
*Descemet's
Membrane too – but you said it was part of Bowmans?*
*From:* optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx]
*On Behalf Of *Warren, Kathleen
*Sent:* Tuesday, October 16, 2018 10:46 AM
*To:* optimal@xxxxxxxxxxxxx
*Subject:* [optimal] Re: Help Needed - What is diagnosis?
I didn’t see the copper ring before - hmmmm
*From:* optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] *On
Behalf Of *Katie Lachut
*Sent:* Tuesday, October 16, 2018 10:33 AM
*To:* optimal@xxxxxxxxxxxxx
*Subject:* [optimal] Re: Help Needed - What is diagnosis?
* External Email - Use Caution *
Here's more images if it helps.
*Katie Lachut **|* (315)806-9733* |*
https://www.flickr.com/photos/katielachut
Ophthalmic Photographer with VCU Health System | RIT 2013
On Tue, Oct 16, 2018 at 10:15 AM Dennis THAYER <
dmarc-noreply@xxxxxxxxxxxxx> wrote:
Perhaps Wilson’s disease? That had a deposition of copper in a ring around
whole cornea OU.
Dennis
On Oct 16, 2018, at 8:59 AM, Warren, Kathleen <
Kathleen_Warren@xxxxxxxxxxxxxxxx> wrote:
My guess – and by no means do I even know – but maybe a build up from the
Ursodial – bile, could be causing formation ? I used to work for a
veterinarian clinic, and the images remind me of urinary crystals that can
form and block the passing of urinary fluids. Thus, why I am thinking of
the side effects of this particular drug on the list that is to break up
stones that could be forming could be congregating there –
Good luck and keep us posted - Kat
*From:* optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx
<optimal-bounce@xxxxxxxxxxxxx>] *On Behalf Of *David Bennett
*Sent:* Tuesday, October 16, 2018 9:31 AM
*To:* optimal@xxxxxxxxxxxxx
*Subject:* [optimal] Help Needed - What is diagnosis?
* External Email - Use Caution *
Group,
30 YO Male with bilateral corneal deposition of golden oil like deposits
in Bowman’s layer. Any idea’s?
Dave
*David B. Bennett*
*VCU Health System*
Department of Ophthalmology
Ophthalmic Diagnostic Imaging
Richmond, VA 23298
804-828-8335
david.bennett@xxxxxxxxxxxxx
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