The rare disease reference center " Wilson disease and other rare copper-related diseases" of the Rothschild Foundation follows a large number of patients with Wilson's with varying degrees of impairment and located at different times of their care. Many people with Wilson's disease have a characteristic greenish-brown ring, known as Kayser-Fleischer, appearing at the periphery of the cornea due to a deposit of copper at the Descemet membrane. As a general rule, if the patient is compliant with his treatment, the ring usually disappears within a few years, although it may persist in some patients. However, apart from the stage of diagnosis, and the evolution of the ring, ophthalmological examinations are little used for the follow-up of these patients. The objective of this study is to describe the retinal parameters, in particular vascular with two new retinal imaging technologies (OCT-A :Optical Coherence Tomography-Angiography , Adaptive optics) in patients with Wilson's disease and to correlate them with the parameters of the usual follow-up of these patients (hepatic assessment, exchangeable plasma copper, neurological scores, compliance, etc.).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
124
Retinophotography, OCT-A (Optical Coherence Tomography- Angiography), OCT-B scan (Optical Coherence Tomography B Scan), Measurement of corrected visual acuity in ETDRS (Early Treatment Diabetic Retinopathy Study), Measurement of intraocular pressure, adaptive optics
Hôpital Fondation A. de Rothschild
Paris, France
Measuring the width of the Kayser-Fleischer ring
OCT-B scan
Time frame: Enrollment
Corrected visual acuity measurement
ETDRS
Time frame: Enrollment
Intraocular pressure measurement (mmHg)
Time frame: Enrollment
Measurement of the thickness of the retinal nerve fibers layer (RNFL)
OCT-B
Time frame: Enrollment
Measurement of the central avascular zone (in µm2)
OCT-A
Time frame: Inclusion
Measurement of the capillary density of the superficial plexus (in%)
OCT-A
Time frame: Enrollment
Measurement of the capillary density of the deep plexus (in%)
OCT-A
Time frame: Enrollment
Measurement of photoreceptor density (per mm2)
Adaptive optics
Time frame: Enrollment
Measurement of wall to lumen ratio (in %)
Adaptive optics
Time frame: Enrollment
Measurement of the arterial wall section area (µm²)
Adaptive optics
Time frame: Enrollment
Measurement of the diameter of the arterial lumen (µm)
Adaptive optics
Time frame: Enrollment
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