Ocular Findings Associated with Hypoparathyroidism

Ocul Immunol Inflamm. 2021 Nov 17;29(7-8):1287-1291. doi: 10.1080/09273948.2020.1735451. Epub 2020 Apr 8.

Abstract

Purpose: To determine the corneal and retinal changes associated with serum calcium, phosphorus and parathyroid hormone (PTH) levels in patients with hypoparathyroidism.Methods: Patients who were under follow-up for hypoparathyroidism in the endocrinology department were included in the study. All participants underwent a complete ophthalmological examination. Moreover, central corneal thickness (CCT), anterior chamber depth (ACD), retinal nerve fiber layer (RNFL) thickness, ganglion cell layer (GCL) thickness were recorded. Serum biochemical parameters were recorded.Results: In a total of 75 patients (35 in the hypoparathyroidism group and 40 in the healthy control group) were included in this study. Central corneal thickness (519.95 ± 33.21 vs. 539.10 ± 32.96, p: 0.001) and RNFL (105.10 ± 11.89 vs. 113.56 ± 9.54, p: 0.005) were significantly thinner and ACD was significantly deeper in the hypoparathyroidism group.Conclusion: We determined thinner CCT and RNFL values in patients with hypoparathyroidism related to serum calcium levels together with a significant deepness in ACD.

Keywords: Hypoparathyroidism; cataract; ocular findings; retinal nerve fiber layer; vitamin D.

MeSH terms

  • Adult
  • Anterior Chamber / pathology
  • Calcium / blood
  • Corneal Diseases / blood
  • Corneal Diseases / diagnosis*
  • Female
  • Humans
  • Hypoparathyroidism / blood
  • Hypoparathyroidism / diagnosis*
  • Male
  • Middle Aged
  • Nerve Fibers / pathology
  • Parathyroid Hormone / blood
  • Phosphorus / blood
  • Retinal Diseases / blood
  • Retinal Diseases / diagnosis*
  • Retinal Ganglion Cells / pathology
  • Tomography, Optical Coherence
  • Visual Acuity / physiology

Substances

  • Parathyroid Hormone
  • Phosphorus
  • Calcium