Choroidal neovascularization as a late complication of hyperparathyroidism.
OBJECTIVE
To report choroidal neovascularization in a patient with sclerochoroidal calcification secondary to hyperparathyroidism.


METHODS
Case report. Bilateral ocular fundus abnormalities observed in a 74-year-old woman were documented with fluorescein angiography and ultrasonography.


RESULTS
Two yellow, irregular, oval placoid lesions were observed in the fundus of each eye. Ultrasound examination showed that these areas were extremely sonoreflective and exhibited orbital shadowing. In the left eye, one lesion was accompanied by lipid exudates, and subsequent fluorescein angiography disclosed choroidal neovascularization. Medical history included hyperparathyroidism treated with surgical excision of a parathyroid adenoma 27 years earlier.


CONCLUSIONS
Choroidal neovascularization may be a late complication of hyperparathyroidism.
Cohen
S Y
SY
Centre d'Imagerie et de Laser, Paris, France. sycohen@club-internet.fr
Guyot-Sionnest
M
M
Puech
M
M
D000368:Aged; D002114:Calcinosis / Q000209:etiology* / Q000473:pathology; D002829:Choroid / Q000098:blood supply* / Q000473:pathology; D015862:Choroid Diseases / Q000209:etiology* / Q000473:pathology; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications*; D009389:Neovascularization, Pathologic / Q000209:etiology* / Q000473:pathology