Sclerochoroidal calcification in a patient with classic Bartter's syndrome

PURPOSE: To report sclerochoroidal calcification in a patient with classic Bartter's syndrome. DESIGN: Observational case report. METHODS: A 42 year-old woman with a 26-year history of classic Bartter's syndrome was found to have bilateral fundus tumors. The patient presented initially with quivering lips and hand stiffness at age 6 years but was not diagnosed until age 16 years. Treatment included magnesium and potassium supplementation and Amiloride therapy. RESULTS: On ocular examination, there were multifocal, yellow,white, geographic, solid choroidal lesions along the superior and inferior retinal vascular arcades in both eyes. Ultrasonography showed echogenic, placoid calcified lesions at the level of the sclera and choroid, consistent with bilateral sclerochoroidal calcification. CONCLUSIONS: Sclerochoroidal calcification can be associated with classic Banter's syndrome.