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Choroidal calcification in Bartter syndrome.

G Marchini·R Tosi·B Parolini·G Castagna·M Zarbin
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Abstract

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.

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Bartter SyndromeCalcinosisCalciumCataractCataract ExtractionChoroid DiseasesDiagnosis, DifferentialFundus OculiHumansLens Implantation, IntraocularMagnesiumMaleMiddle AgedSyndromeUltrasonographyVisual AcuityCase ReportsJournal Article

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G Marchini, R Tosi, B Parolini, G Castagna, M Zarbin. 1998. Choroidal calcification in Bartter syndrome.. https://doi.org/10.1016/s0002-9394(98)00126-3

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