Calcification Lesions in Eyes of a Bartter Syndrome Patient

PURPOSE:

Bartter syndrome is characterized by hyperplasia of the renal juxtaglomerular apparatus, hyperaldosteronism, and hypokalemic alkalosis. We report a case of Bartter syndrome associated with normal serum calcium levels and posterior choroidal calcification.


METHODS:

Case report. A 59-year-old man with bilateral cataract and Bartter syndrome underwent a complete ophthalmic examination, including standardized echography before and after cataract surgery.

RESULTS:

Before cataract surgery, echography identified small, hyperreflective, multifocal, bilateral choroidal lesions with posterior shadowing. After surgery, these lesions appeared as yellow-white, barely elevated plaques with smooth edges and were diagnosed as choroidal calcification.

CONCLUSIONS:

Choroidal calcification may occur in patients with Bartter syndrome. This condition should be added to the differential diagnosis of posterior segment calcification. Am J Ophthalmol 1998 Nov;126(5):727-9, Marchini G, Tosi R, Parolini B, Castagna G, Zarbin M

Department of Ophthalmology, University of Verona, Italy. barbagio@hotmail.com
PMID: 9822242, UI: 99038036

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