Treatment FAQ

graves disease what treatment worsenes eye

by Dannie Hauck Published 3 years ago Updated 2 years ago
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Radioactive iodine therapy
Radioiodine therapy may increase your risk of new or worsened symptoms of Graves' ophthalmopathy. This side effect is usually mild and temporary, but the therapy may not be recommended if you already have moderate to severe eye problems.

How do you treat bulging eyes from Graves disease?

Treating exophthalmos
  1. medicine to correct the level of thyroid hormones in your blood. ...
  2. steroid injections into a vein (intravenously) – this can help reduce the inflammation associated with the condition.
  3. corrective surgery – this may be done to improve the appearance of your eyes once the inflammation is under control.

Can you reverse bulging eyes from Graves disease?

In most patients who develop Graves' ophthalmopathy, the eyes bulge forward or the eyelid retracts to some degree. Many patients with mild to moderate Graves' ophthalmopathy will experience spontaneous improvement over the course of two to three years or will adapt to the abnormality.

Can you fix Graves disease eyes?

Surgery. If Graves' eye disease affects your vision, your doctor may recommend a surgery called orbital decompression. This surgery makes the eye socket bigger to ease pressure on the optic nerve and help the eye move back to the correct position.Dec 22, 2021

Can your eyes go back to normal with Graves disease?

Will my eyes go back to normal after treatment? Most patients think once their medical doctor treats the body's thyroid problem the eyes will go back to normal. This is often not the case. In some patients the eyes worsen in the months and years after medical treatment despite the body being stabilized.

How do you fix bulging eyes naturally?

using extra pillows in bed at night to help reduce some of the puffiness around your eyes. wearing sunglasses if you have sensitivity to light (photophobia) trying to avoid exposing your eyes to irritants such as dust. using eye drops to help relieve soreness and moisten your eyes if you have dry eyes.

Is there a treatment for thyroid eye disease?

Today, the U.S. Food and Drug Administration (FDA) approved Tepezza (teprotumumab-trbw) for the treatment of adults with thyroid eye disease, a rare condition where the muscles and fatty tissues behind the eye become inflamed, causing the eyes to be pushed forward and bulge outwards (proptosis).Jan 21, 2020

Is thyroid eye disease permanent?

Typically, the active or inflammatory stage of thyroid eye disease lasts one to three years. During this time, your doctor will avoid surgically treating these symptoms because the tissues are constantly changing, and the results will not be stable.

Who treats thyroid eye?

Most eye surgeons (ophthalmologists) and hormone specialists (endocrinologists) will be in contact with an oculoplastic surgeon with experience in treating patients with thyroid eye disease. They work as a team to manage the problem.Apr 21, 2021

Can you prevent Graves disease?

There’s no way to completely prevent Graves’ disease or Graves’ eye disease. But if you have Graves’ disease and smoke, you’re 5 times more likely to develop eye disease than non-smokers. Draman MS, et al. (2017). TEAMeD-5: Improving outcomes in thyroid eye disease.

Can Graves disease cause double vision?

GO can lead to loss of vision, but this is rare. Symptoms generally start around the same time as other symptoms of Graves’ disease, but some people develop eye symptoms first.

How to treat dry eye?

There are quite a few things you can do on your own to ease symptoms, such as: 1 Eye drops to lubricate and relieve dry, irritated eyes. Use eye drops that don’t contain redness removers or preservatives. Lubricating gels can also be helpful at bedtime if your eyelids don’t close all the way. Ask your doctor which products are most likely to help without irritating your eyes further. 2 Cool compress to temporarily relieve irritation. This may be especially soothing just before you go to bed or when you first get up in the morning. 3 Sunglasses to help protect against light sensitivity. Glasses can also protect you from wind or breezes from fans, direct heat, and air conditioning. Wraparound glasses may be more helpful outdoors. 4 Prescription glasses with prisms may help correct double vision. They don’t work for everyone, though. 5 Sleep with your head raised to reduce swelling and relieve pressure on the eyes. 6 Corticosteroids such as hydrocortisone or prednisone can help reduce swelling. Ask your doctor if you should be using corticosteroids. 7 Don’t smoke, as smoking can make matters worse. If you smoke, ask your doctor about smoking cessation programs. You should also try to avoid second-hand smoke, dust, and other things that can irritate your eyes.

What is Graves disease?

Graves’ disease is an autoimmune disorder that causes your thyroid gland to produce more hormones than it should. Overactive thyroid is called hyperthyroidism. Among the potential symptoms of Graves’ disease are irregular heartbeat, weight loss, and an enlarged thyroid gland ( goiter ). Sometimes, the immune system attacks tissues ...

What are the symptoms of Graves disease?

Among the potential symptoms of Graves’ disease are irregular heartbeat, weight loss, and an enlarged thyroid gland ( goiter ). Sometimes, the immune system attacks tissues and muscles around the eyes. This is a condition called thyroid eye disease or Graves’ ophthalmopathy (GO). Inflammation causes the eyes to feel gritty, dry, and irritated.

Why do my eyes bulge out?

Sometimes, the immune system attacks tissues and muscles around the eyes. This is a condition called thyroid eye disease or Graves’ ophthalmopathy (GO). Inflammation causes the eyes to feel gritty, dry, and irritated. This condition can also make your eyes appear to bulge out. Graves’ eye disease affects between 25 and 50 percent ...

What is it called when your eyes are bulging?

bulging of the eyes, also called proptosis or exophthalmos. light sensitivity. double vision. In severe cases, you might have trouble moving or closing your eyes, ulceration of the cornea, and compression of the optic nerve. GO can lead to loss of vision, but this is rare.

What is Graves' eye disease?

What Is It? Graves' eye disease, also called Graves' ophthalmopathy, is a problem that develops in people with an overactive thyroid caused by Graves' disease. Up to one-half of people with Graves' disease develop eye symptoms. Usually the eye symptoms are mild and easily treated. Eye problems result from the swelling of tissues, ...

How do you know if you have Graves disease?

Usually the eye symptoms are mild and easily treated. Eye problems result from the swelling of tissues, muscles and fat in the socket behind the eye.

Why does my eye swell?

Eye problems result from the swelling of tissues, muscles and fat in the socket behind the eye. This swelling causes exophthalmos, an abnormal protrusion of the eye, commonly associated with Graves' disease. The eyelids and membranes may retract as they swell. This can lead to exposure and infection of the cornea.

See your eye doctor for an exam

Regular eye exams are important for your eye health and because eye exams can reveal health problems like Graves’ eye disease. In some cases, your eye doctor may be the first health care provider to spot signs of Graves’ disease.

Notes and References

Graves’ disease. National Institute of Diabetes and Digestive and Kidney Diseases. September 2017.

What are the symptoms of a swollen eye?

When this occurs, various eye problems can appear. For example, you may develop the following: 1 Caruncular edema (swelling of the small, pink, and globular nodule located in the inner corner of the eye) 2 Chemosis (swelling of the conjunctiva) 3 Conjunctival redness (the thin, transparent lining that covers the inner eyelid and outer surface of the eye) 4 Eyelid redness 5 Eyelid swelling 6 Retrobulbar pain (behind the eyeball) 7 Dysthyroid optic neuropathy (optic nerve dysfunction that could lead to permanent loss of vision) 8 Corneal breakdown or corneal erosion (when the epithelial cells in the cornea begin to break free from the area and cause pain) 9 Exophthalmos (otherwise known as proptosis or displacement of the eye) 10 Diplopia (double vision) 11 Motility restriction 12 Strabismus (improper alignment of the eyes that affects binocular vision)

How to tell if you have a swollen eye?

If you have this eye condition, you may experience one or more of the listed symptoms below: 1 Dry, itchy, irritated eyes 2 Bug-eyed look due to bulging eyes 3 Light sensitivity 4 Teary eyes 5 The sensation of pain or pressure around the eyes 6 Trouble closing the eyes completely 7 Double vision, especially when during peripheral fields of vision 8 Pain when you move your eyes either up and down or left to right

What are the symptoms of a GO?

GO can vary in severity. However, specific symptoms and physical traits characterize this disease, including: 1 Bulging of the eyeballs 2 Dry, gritty ocular sensation 3 Photophobia (light sensitivity) 4 Excessive tearing 5 Double vision (diplopia) 6 The feeling of pressure behind the eye

How to treat Graves' ophthalmopathy?

Treating Graves' ophthalmopathy. Mild symptoms of Graves' ophthalmopathy may be managed by using over-the-counter artificial tears during the day and lubricating gels at night. If your symptoms are more severe, your doctor may recommend: Corticosteroids.

How to diagnose Graves disease?

To diagnose Graves' disease, your doctor may conduct a physical exam and check for signs and symptoms of Graves' disease. He or she may also discuss your medical and family history. Your doctor may also order tests including: Blood tests. Blood tests can help your doctor determine your levels of thyroid-stimulating hormone (TSH) ...

Can Graves disease be diagnosed with antibodies?

Your doctor may order another lab test to measure the levels of the antibody known to cause Graves' disease. It's usually not needed to diagnose the disease, but results that don't show antibodies might suggest another cause of hyperthyroidism. Radioactive iodine uptake. Your body needs iodine to make thyroid hormones.

What tests are needed for Graves disease?

Imaging tests. If the diagnosis of Graves' disease isn't clear from a clinical assessment, your doctor may order special imaging tests, such as a CT scan or MRI.

How does radioactive iodine therapy work?

Radioactive iodine therapy. With this therapy, you take radioactive iodine (radioiodine) by mouth. Because the thyroid needs iodine to produce hormones, the thyroid takes the radioiodine into the thyroid cells and the radiation destroys the overactive thyroid cells over time.

Is methimazole a thyroid medication?

Because the risk of liver disease is more common with propylthiouracil, methimazole is considered the first choice when doctors prescribe medication. However, propylthiouracil is the preferred anti- thyroid drug during the first trimester of pregnancy, as methimazole has a slight risk of birth defects.

What is the procedure to remove the thyroid gland?

Surgery to remove all or part of your thyroid (thyroidectomy or subtotal thyroidectomy) also is an option for the treatment of Graves' disease. After the surgery, you'll likely need treatment to supply your body with normal amounts of thyroid hormones.

How to treat a swollen eye?

If your symptoms are mild, you may be able to manage them on your own with aids such as: 1 Over-the-counter eye drops (artificial tears) 2 Lubricating gels 3 Cool compresses 4 Keeping your head elevated during sleep 5 Selenium supplements

What is orbital decompression surgery?

Orbital decompression surgery: If you’re in danger of losing your eyesight because of pressure on your optic nerve, your doctor may suggest this surgery. During the procedure, your doctor removes the bone between your eye socket (orbit) and your sinuses (air spaces beside your eye socket). The swollen tissues can fill this area.

How long does the active phase last?

You may have trouble closing your eyelids. You could even have problems with your vision. This phase can last from several months to up to 2 years.

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What Is It?

Symptoms

  • Symptoms of Graves' eye disease include: 1. Early symptoms— Feeling of irritation in the eyes, excessive tearing or dry eye, forward displacement of the eye, sensitivity to light and double vision 2. Late symptoms— Swelling of the eye, inability to move the eye, corneal ulceration, and, rarely, loss of vision
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Diagnosis

  • If you already have been diagnosed with Graves' disease, a doctor may diagnose eye disease by examining your eyes and finding swelling and enlargement of the eye muscles. A computed tomography (CT) scan or magnetic resonance imaging (MRI) scan of the eye muscles may be helpful. Graves' disease usually is associated with other symptoms of overactive thyroid. Howev…
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Expected Duration

  • Graves' eye disease often improves on its own. But symptoms may persist despite treatment of the overactive thyroid gland and specific eye therapies.
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Prevention

  • Graves' disease cannot be prevented. And usually, the associated eye disease cannot be prevented. However, medical evidence now suggests that treatment of the overactive thyroid gland with radiation therapy is more likely to worsen the eye disease. If radiation of the thyroid must be done, some studies suggest that patients with hyperthyroidism fro...
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Treatment

  • In mild cases, cool compresses, sunglasses and artificial tears provide relief. People with Graves' eye disease often are advised to sleep with their heads elevated to reduce eyelid swelling. If double vision is a continuing problem, glasses containing prisms may be prescribed or surgery on the muscles may be advised. If the thyroid gland is overactive, anti-thyroid medications, radiatio…
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When to Call A Professional

  • Call your doctor if you notice any changes in the appearance of your eye or if you develop any of the symptoms of Graves' eye disease.
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