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Photo Essay
January 2006

Ocular Calcifications in Primary Hyperparathyroidism

Arch Ophthalmol. 2006;124(1):136-137. doi:10.1001/archopht.124.1.136

A 34-year-old white woman sought medical care for a 2-month history of redness and foreign body sensation in both eyes. The patient’s medical history was significant for 10 to 15 years of primary hyperparathyroidism, which had been treated with parathyroidectomy.

Her best-corrected visual acuity was 20/25 OD and 20/20 OS. A slitlamp examination was significant for calcifications of the bulbar conjunctiva in both eyes, with significant conjunctival injection and extensive calcifications of the eyelid margin (Figure 1). Examination showed extensive corneal band keratopathy and limbal calcifications in both eyes. The rest of the anterior segment and the fundoscopic examination results were normal.

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