Sclerochoroidal Calcification Leads to Diagnosis of Primary Parathyroid Cancer

Abstract

Introduction There are many innocuous retinal findings which arise from normal age-related change. It is important to distinguish sclerochoroidal calcifications (SCC) as either benign or malignant. Sclerochoroidal calcifications are pale, elevated fundus lesions found in the sclera, choroid, and/ or retina that originate from excess calcium deposition onto normal tissue. This uncommon finding is often benign, and the patient suffers no visual or systemic complications. However, in rare circumstances, these retinal lesions can originate from potentially harmful systemic conditions. A careful ophthalmic and systemic work up is needed to determine the lesion’s etiology and if intervention is required. This case demonstrates a causal relationship between a SCC fundus lesion and primary parathyroid cancer. CE Notification This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.