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Patients’ previous medical history was notable for recurring tetany and convulsion resembling grand mal epilepsy.

He was well until 11 years old when he began to have an epileptiform seizure lasting for mere minutes and self-terminating.

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Methods: We described a 37-year-old male presented to our hospital with bilateral vision loss for 3 years.Past medical history included recurring tetany and convulsion, regarded as grand mal epilepsy about 9 years prior to diagnosis of hypoparathyroidism and corresponding administration.Quality of job ad is assessed and rated from low to high (1 to 5) by webmaster. Ad of high quality rating will be ranked and displayed higher than ad of low quality. Surgically removed the cataract with serious visual impairment is advised.

Cataract; Idiopathic hypoparathyroidism; Hypocalcemia Idiopathic hypoparathyroidism is an uncommon condition characterized by spontaneously lowered synthesis and/or secretion of parathyroid hormone (PTH), which results in profound hypocalcemia and hyperphosphatemia [1,2].

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This is conventionally interpreted as a result of prevention of calcium reabsorption in renal tubulus and bone matrix, as well as insufficiency of the synthesis of 1,25- dihydroxyvitamin D3 [1,25(OH)2D3] from its inactive precursor 25- hydroxyvitamin D.

It may lead to various general and local manifestations, such as the neuromuscular irritability and mental changes, and among them cataract was relatively rare reported.

Ophthalmic signs of typically lenticular changes in both eyes, combined with laboratory evidence of hypocalcemia and significantly decreased parathyroid hormone (PTH) level, led to a diagnosis of hypoparathyroid cataract.