A rapidly progressive cataract in a patient with autoimmune hypoparathyroidism and acute liver and renal failure

Cataract is a well-known complication of hypoparathyroidism, albeit the mec hanism is obscure, The progression of cataract is typically slow in patient s with idiopathic hypoparathyroidism, We describe a case of an extremely ra pid evolution of typical hypocalcemic cataracts in a patient with familial autoimmune hypoparathyroidism during acute idiopathic hepatic and renal fai lure, while serum calcium and phosphorus were unbalanced. Physicians and op hthalmologists must be aware of cataracts developing rapidly in the setting of such metabolic derangements.