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January 2006, Vol 124, No. 1 >

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Photo Essay | January 2006

An Unusual Pattern of Corneal Calcification in Tertiary Hyperparathyroidism

Poorna Abeysiri, MRCOphth; Ajay Sinha, FRCOphth
Arch Ophthalmol. 2006;124(1):138-139. doi:10.1001/archopht.124.1.138.
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A 46-year-old asymptomatic woman with bilateral Snellen visual acuity of 20/20 was referred by her optician for corneal signs. She was kyphotic (Figure 1) with subcutaneous white deposits in her fingers (Figure 2). Slitlamp examination showed a Vogt white limbal girdle with adjacent white, flakelike subepithelial deposits of the limbal conjunctiva (Figure 3) bilaterally. There were peripheral curvilinear white corneal deposits of the anterior stroma spreading 3 mm centrally, evenly distributed in all clock hours (Figure 4) bilaterally.
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Figure 1.

Marked kyphosis induced by vertebral fractures due to osteopenia.

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Subcutaneous white deposits of the digits.

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Vogt white limbal girdle of the cornea.

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Peripheral curvilinear subepithelial white deposits.

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An unusual pattern of corneal calcification in tertiary hyperparathyroidism.
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