Calcium hydroxyapatite crystals in the anterior chamber of the eye in a patient with renal hyperparathyroidism

Youngsub Eom, Ji Yun Han, Su Yeon Kang, Hyo Myung Kim, Kuhl Huh, Jong-Suk Song

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: To report a case of calcium hydroxyapatite crystals in the anterior chamber of a patient with renal hyperparathyroidism. Methods: Case report. Results: A 54-year-old man visited our clinic with mild ocular pain and decreased visual acuity in his left eye. A slit-lamp examination showed peripheral corneal band keratopathy and multiple white crystals in the anterior chamber. The patient had chronic renal failure and was on regular hemodialysis treatment for 12 years. He had previously undergone total parathyroidectomy because of secondary renal hyperparathyroidism. Aqueous humor analysis showed elevated phosphate levels. Multiple crystals were removed using a manual irrigation and aspiration cannula and were found to be calcium hydroxyapatite crystals on elemental analysis using energy dispersive X-ray spectroscopy. Ocular pain and visual acuity improved and corneal edema and ocular inflammation decreased after the surgery. Conclusions: Calcium hydroxyapatite crystals can form in the anterior chamber of the eye in a patient with renal hyperparathyroidism.

Original languageEnglish
Pages (from-to)1502-1504
Number of pages3
JournalCornea
Volume32
Issue number11
DOIs
Publication statusPublished - 2013 Nov 1

Fingerprint

Hyperparathyroidism
Anterior Chamber
Durapatite
Eye Pain
Kidney
Visual Acuity
X-Ray Emission Spectrometry
Corneal Edema
Parathyroidectomy
Secondary Hyperparathyroidism
Aqueous Humor
Chronic Kidney Failure
Renal Dialysis
Phosphates
Inflammation
Therapeutics

Keywords

  • Calcium hydroxyapatite crystals
  • pseudophakia
  • pseudophakic eye
  • secondary hyperparathyroidism

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Calcium hydroxyapatite crystals in the anterior chamber of the eye in a patient with renal hyperparathyroidism. / Eom, Youngsub; Han, Ji Yun; Kang, Su Yeon; Kim, Hyo Myung; Huh, Kuhl; Song, Jong-Suk.

In: Cornea, Vol. 32, No. 11, 01.11.2013, p. 1502-1504.

Research output: Contribution to journalArticle

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AU - Han, Ji Yun

AU - Kang, Su Yeon

AU - Kim, Hyo Myung

AU - Huh, Kuhl

AU - Song, Jong-Suk

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AB - Purpose: To report a case of calcium hydroxyapatite crystals in the anterior chamber of a patient with renal hyperparathyroidism. Methods: Case report. Results: A 54-year-old man visited our clinic with mild ocular pain and decreased visual acuity in his left eye. A slit-lamp examination showed peripheral corneal band keratopathy and multiple white crystals in the anterior chamber. The patient had chronic renal failure and was on regular hemodialysis treatment for 12 years. He had previously undergone total parathyroidectomy because of secondary renal hyperparathyroidism. Aqueous humor analysis showed elevated phosphate levels. Multiple crystals were removed using a manual irrigation and aspiration cannula and were found to be calcium hydroxyapatite crystals on elemental analysis using energy dispersive X-ray spectroscopy. Ocular pain and visual acuity improved and corneal edema and ocular inflammation decreased after the surgery. Conclusions: Calcium hydroxyapatite crystals can form in the anterior chamber of the eye in a patient with renal hyperparathyroidism.

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