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Scleralchoroidal calcification is an uncommon condition often discovered as an incidental finding. It is ordinarily believed to be idiopathic, but is also associated with PHPT. It is important that these patients are identified because of the systemic implications and treatable nature of these disorders. 82 years old patient with Primary hyperparathyroidism (PHPT) and past medical history of osteoporosis, Dyslipidemia, osteoarthritis and mild cognitive impairment was referred by the optometrist to the ophthalmology department after noticing some pale lesions in both fundi. The appearance was deemed classical of Scleralchorodial Calcification related to hypercalcaemia caused by primary hyperparathyrodism. Right Left

A rare ophthalmic condition associated with primary hyperparathyroidism (Scleralchoroidal Calcification)