https://www.vetsurgeon.org/f/clinical-questions/29196/primary-hyperparathyroidism 11 year old Greyhound, initially presented with unilateral exopthalmus and increased scleral vascularity. IOPs normal, opthalmic exam normal. Bloods showed hypercalcaemia so we were concerned about a retrobulbar mass - CT of the head clear and normalen-USTelligent Community 10https://www.vetsurgeon.org/thread/224138?ContentTypeID=1Wed, 08 Jul 2020 17:32:11 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:df4c7fdc-d1e2-428e-9dac-bcdece3f21fbAnthony Dennison<p>Thanks Andy! I&#39;ll pass this on to the owner and see what they want to do.&nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/224116?ContentTypeID=1Tue, 07 Jul 2020 15:23:03 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:0e6a9a4d-2080-4fde-b71c-3237d1e4b54bAndrew Kent<p>Hi Anthony,</p> <p>I agree your bloods are consistent with primary hyperparathyroidism. Interestingly many dogs with this disease will be clinically normal or only mildly impacted but generally treatment is suggested due to the potential for long-term complications (calcification of the tissues amongst others). So it may in fact be the best time to try to treat.</p> <p>And I agree we opt for US of the parathyroid glands first hoping this gives us one gland to go after with surgery. Other ablation techniques also described but not common place in the UK.</p> <p>Andy</p><div style="clear:both;"></div>