Multiple calcified deposits along the eyelid margins secondary to chronic renal failure and hyperparathyroidism.
BACKGROUND
Corneal and conjunctival calcification have been associated with chronic renal failure and hyperparathyroidism. Corneal alterations include band keratopathy and/or limbal involvement similar to limbal girdle of Vogt. Conjunctival lesions resemble pingueculae. Lid lesions, which include calcified deposits adjacent to the meibomian gland orifices, are much less common.


METHODS
A 52-year-old woman came to SUNY State College of Optometry clinic with a medical history of gestational hypertension, which led to chronic kidney failure and secondary hyperparathyroidism. Slit-lamp examination revealed multiple small, white, round calcium deposits, which were found just posterior to the Meibomian gland orifices, along the superior and inferior lid margins.


CONCLUSIONS
Ocular calcification has been observed in patients with certain systemic diseases such as chronic renal failure, hyperparathyroidism, hypophosphonemia, sarcoidosis, hypervitaminosis D, and metastatic neoplasia. We present the third report of eyelid calcification associated with a systemic disease.
Canellos
Harriette Moutopoulos
HM
State University of New York, State College of Optometry, Department of Clinical Sciences, New York, New York 10036, USA. hcanellos@sunyopt.edu
Cooper
Jeffrey
J
Paek
Anny
A
Chien
Joyce
J
D002114:Calcinosis / Q000209:etiology*; D002118:Calcium / Q000097:blood; D005141:Eyelid Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications*; D016030:Kidney Transplantation; D008875:Middle Aged; D016105:Parathyroidectomy
D002118:Calcium