CHOROIDAL NEOVASCULARIZATION AS A LATE COMPLICATION OF HYPERPARATHYROIDISM

PURPOSE: To report choroidal neovascularization in a patient with scle rochoroidal calcification secondary to hyperparathyroidism. METHOD: Ca se report. Bilateral ocular fundus abnormalities observed in a 74-year -old woman were documented with fluorescein angiography and ultrasonog raphy.RESULTS: Two yellow, irregular, oval placoid lesions were observ ed 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 sub sequent fluorescein angiography disclosed choroidal neovascularization . Medical history included hyperparathyroidism treated with surgical e xcision of a parathyroid adenoma 27 years earlier. CONCLUSION: Choroid al neovascularization may be a late complication of hyperparathyroidis m. (Am J Ophthalmol 1998;126:320-322. (C) 1998 by Elsevier Science Inc . All rights reserved.).