ArticleActa neurologica Belgica2016
The sunflower cataract in Wilson's disease: pathognomonic sign or rare finding?
Article in Acta neurologica Belgica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 49 citations in OpenAlex.
- Re-examining the Diagnostic Criteria for Wilson's Disease: A Case Report and Literature Review.Cureus · 2025Article
- Role of artificial intelligence-based ocular biomarkers in hepatobiliary diseases: A scoping review.World journal of hepatology · 2025Review
- Article
- Bilateral Kayser-Fleischer ring with sunflower cataract in Wilson's disease.BMJ case reports · 2024Article
- Clinical and Forensic Signs Resulting from Exposure to Heavy Metals and Other Chemical Elements of the Periodic Table.Journal of clinical medicine · 2023Review
- Wilson Disease and Alpha1-Antitrypsin Deficiency: A Review of Non-Invasive Diagnostic Tests.Diagnostics (Basel, Switzerland) · 2023Review
- Wilson Disease Combined with Keratoconus: A Case Report.Beyoglu eye journal · 2023Article
- Eye Involvement in Wilson's Disease: A Review of the Literature.Journal of clinical medicine · 2022Review
- Clinical and biochemical footprints of inherited metabolic disorders. VII. Ocular phenotypes.Molecular genetics and metabolism · 2022Review
- Case Report: The First Reported Concurrence of Wilson Disease and Bilateral Retinitis Pigmentosa.Frontiers in medicine · 2022Article
- Acute-Onset Visual Impairment in Wilson's Disease: A Case Report and Literature Review.Frontiers in neurology · 2022Article
- An Eye on Movement Disorders.Movement disorders clinical practice · 2021Review
- Wilson's Disease: An Update on the Diagnostic Workup and Management.Journal of clinical medicine · 2021Review
- Immunoglobulin a nephropathy as the first clinical presentation of Wilson disease: a case report and literature review.BMC gastroenterology · 2021Review
- Wilson's Disease: Facing the Challenge of Diagnosing a Rare Disease.Biomedicines · 2021Review
- Challenges in the diagnosis of Wilson disease.Annals of translational medicine · 2019Review
- Ocular manifestations of Wilson's disease.BMJ case reports · 2019Article
- Optical coherence tomography as a marker of neurodegeneration in patients with Wilson's disease.Acta neurologica Belgica · 2017Article
- Wilson's Disease and Nevus of Ota in a Child: A Case Report.Case reports in ophthalmologyArticle
- Wilson's Disease: Clinical Practice Guidelines of the Indian National Association for Study of the Liver, the Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition, and the Movement Disorders Society of India.Journal of clinical and experimental hepatologyReview
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The presence of Kayser-Fleischer ring in patients with Wilson's disease (WD) is well documented and included in diagnostic algorithms; however, data about the occurrence of the second postulated ophthalmological sign of WD, sunflower cataract (SC), are limited and even conflicting. The aim of our study was to verify the occurrence of SC in WD. From January 2010 to May 2015, 81 consecutive, newly diagnosed WD patients underwent detailed ophthalmological examinations, including slit lamp examination with special attention to lens transparency, to verify the presence of SC in WD-naive patients. SC was detected in only one (1.2 %) of the examined WD patients, did not impact visual acuity; moreover, completely disappeared following a year of treatment for WD. SC may be a very rare and reversible ophthalmological manifestation of WD that is observed seldom and only at the time of WD diagnosis. We postulate that a finding of SC in WD patients is an interesting finding that may occur in the course of WD, but it is not a pathognomonic sign of WD.
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