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Photo Essay
January 2006

An Unusual Pattern of Corneal Calcification in Tertiary Hyperparathyroidism

Arch Ophthalmol. 2006;124(1):138-139. doi:10.1001/archopht.124.1.138

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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