Bilateral hypocalcaemic cataracts due to idiopathic parathyroid insufficiency:A case report  

作　　者：Yan Li 

机构地区：[1]Department of Ophthalmology,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan Province,China [2]Medical School of Ophthalmology and Optometry,North Sichuan Medical College,Nanchong 637000,Sichuan Province,China

出　　处：《World Journal of Clinical Cases》2022年第26期9378-9383,共6页世界临床病例杂志

摘　　要：BACKGROUND Hypoparathyroidism is uncommon,and cataracts secondary to hypoparathyroidism are even rarer.Herein,we report a case of bilateral cataracts following hypoparathyroidism.CASE SUMMARY A 27-year-old man presented to our hospital because of painless and progressive visual impairment of both eyes over two years.He was previously diagnosed with hypocalcemia but did not take calcium supplements regularly.He had no history of anterior neck thyroid surgery.After admission,the biochemical analysis indicated a serum calcium level of 1.21 mmol/L and an intact parathyroid hormone level of 0 pg/mL.Ocular examination revealed bilateral symmetrical opacity of the lens presenting as punctate opacity in the posterior subcapsular cortex together with radial opacity in the peripheral cortex(N1C2P3).Phacoemulsification with an intraocular lens was performed in both eyes sequentially.Postoperatively,the patient had a satisfactory recovery and greatly improved visual acuity.CONCLUSION This patient had hypocalcemia owing to idiopathic parathyroid insufficiency.Hypoparathyroidism may go unnoticed for years but with some latent clinical manifestations,such as bilateral symmetrical posterior subcapsular cataracts.This case report highlights that the cause of hypocalcemia in particularly young patients should be further investigated.Clinicians should be aware of hypoparathyroidism as a cause of bilateral cataracts.Early identification of hypoparathyroidism can save patients from further complications.

关 键 词：Posterior subcapsular cataract HYPOCALCEMIA HYPOPARATHYROIDISM Case report 

分 类 号：R582[医药卫生—内分泌] R776.1[医药卫生—内科学]