Treatment FAQ

what is the treatment for exophthalmos

by Jena Stoltenberg Published 3 years ago Updated 2 years ago
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These include: orbital decompression surgery, where a small amount of bone is removed from 1 or both of your eye sockets. eyelid surgery to improve the position, closure or appearance of your eyelids. eye muscle surgery to bring your eyes into alignment and reduce double vision.

What is the difference between exophthalmos and proptosis?

Apr 08, 2022 · Treatment Options for Exophthalmos Fortunately, treatment for exophthalmos does exist. Refer to your ophthalmologist, as you will need tests and magnetic resonance imaging to diagnose your condition. 6 Treating exophthalmos often involves surgery. You may need medication to treat thyroid eye disease, as well.

How to cure bulging eyes naturally?

May 22, 2017 · Surgical options for treatment can include: Orbital decompression: Enlarging the orbit of the eye can make more room for the eye and its muscle and tissue. Eye muscle surgery: This can be done to correct abnormal eye muscles. Eyelid surgery: This works by protecting the cornea and outer eyeball from ...

Can exophthalmos be reversed?

Nov 02, 2021 · Treatment of the underlying cause is necessary for the management of exophthalmos to maintain ocular function. In the case of thyroid-associated orbitopathy and other secondary causes, effective management requires an interprofessional approach between eye specialists, primary care clinicians and, endocrinologists. [17] Lifestyle Modifications

How to get rid of bags under your eyes?

Jan 07, 2022 · The initial treatment to the most common cause of exophthalmos, thyroid eye disease, is to correct your thyroid hormone levels. Medication can help your problem from worsening, but it will not always solve your eye symptoms. The following may also be recommended by a doctor: Stop smoking Wear sunglasses if you suffer from photophobia

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How is Graves ophthalmopathy treated?

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. Treatment with corticosteroids, such as prednisone, may lessen swelling behind your eyeballs.

Can bulging eyes go back to normal?

Eye protrusion Although less variable than eyelid retraction, the protrusion of the eye can return to normal on its own. After being stable for several months or more, it is sometimes desirable to surgically move the eye into a more normal position.

Does exophthalmos go away with treatment?

Many of the symptoms of thyroid eye disease tend to improve over time, although this can take several years. There's a chance your eyes will continue to protrude if corrective surgery is not done. Some people with exophthalmos are left with long-term vision problems, such as double vision.

What causes exophthalmos?

In adults, the most common cause of unilateral and bilateral exophthalmos is thyroid-associated eye disease, such as Graves-related ophthalmopathy. In children, orbital cellulitis is the most common cause, whereas bilateral exophthalmos is most likely due to neuroblastoma and leukemia.Nov 2, 2021

What is bulging eye?

What is Exophthalmos (Bulging Eyes)? Exophthalmos, also known as proptosis, refers to a condition characterized by bulging eyes. 5 It can affect one or both eyes, and it looks like your eyeball is protruding out of your eye socket. Upper eyelid retraction may also be present.

What is the best treatment for thyroid ophthalmopathy?

With thyroid associated ophthalmopathy, patients may use propylthiouracil (an oral medication for hyperthyroidism) followed by surgery, propylthiouracil and then radioactive iodine, or any one of them alone. 4 Methimazole and teprotumumab are also available.

Why do my eyes bulge when I have thyroid issues?

The level of thyroid hormones in your blood can cause bulging eyes. This is because, if your thyroid function is off and your levels are too high , it can cause inflammation. You will need to do a series of blood tests to check your levels and confirm that you have a thyroid problem.

What causes exophthalmos?

What is exophthalmos a symptom of? Exophthalmos may be a symptom of various causes, such as thyroid eye disease, eye injury, abnormally shaped blood vessels behind the eyes, an infection of the eye socket tissue, cancer, and other eye conditions.

What happens if you leave your left eye protruding?

While the symptoms may just be uncomfortable at first, if you leave exophthalmos untreated for too long, it can lead to serious damage and vision loss.

Why does my eyelid retraction occur?

Exophthalmos is the protrusion of the eye anteriorly out of its orbit, which happens because of an increase in orbital contents within your eye’s rigid bony orbit. 1. With exophthalmos comes a slight risk of compressing your optic nerve.

Why do I need chemo for my eyeball?

Or, you may need chemotherapy to reduce a tumor if cancer is at the root of what is pushing your eyeball outwards . If you have an autoimmune condition, your doctor may prescribe you other treatments. In the meantime, your doctor may also give you eye drops and other pain medications to better manage the symptoms.

How to tell if your eye is protruding?

A physician can normally notice a protruding eye by looking at it, but as exophthalmos is normally a sign of some disease or condition, tests will be needed to find the cause. A blood test to see if the thyroid gland is functioning properly. Measurement of the degree of protrusion, using an exophthalmometer.

What is Graves disease?

Graves’ disease affects the thyroid gland. Graves’ disease is an autoimmune disease that causes hyperthyroidism. A person with hyperthyroidism has an overactive thyroid gland that produces excess hormones and causes it to grow. The thyroid is in the neck, below the Adam’s apple.

What causes a bulging eyeball?

Graves' disease and thyroid disorders. Common cause. Other causes. Diagnosis. Treatment. Complications. Outlook. Exophthalmos describes a condition where the eyeball protrudes from the eye socket, making it appear to bulge. It can affect one or both eyes.

Why do my eyes protrude from my sockets?

If a person’s immune system attacks the thyroid gland, it may react by producing extra hormones. The autoimmune antibodies can attack the muscles and soft tissue surrounding the eyes, which can cause them to protrude from the sockets. This can lead to:

What does it mean when your eyes are bulging?

Overall, the first step for any individual who notices bulging eyes is to seek medical care. Remember, exophthalmos is a sign that something more is going on, in or around the eye or within the brain.

Why is it important to quit smoking after exophthalmos?

It is important to work closely with the medical team to come up with a treatment plan to manage any thyroid problems, along with any eye complications. Quitting smoking is key for improving the outcome of exophthalmos, while close follow-ups will ensure the best care possible. Last medically reviewed on May 22, 2017.

What causes exophthalmos?

Graves’ disease is the most common cause of exophthalmos. Anywhere from 25-50 percent of people with this condition will have an eye involvement. Interestingly, eye involvement can occur up to 10 years before the diagnosis of thyroid problems is made and up to 20 years after.

Definition of Exophthalmos

Imagine that you are 5 years old again and you and your best friend are bored at home on a rainy summer day. To pass the time, you come up with the genius idea to make mud pies in the kitchen. You present your masterpiece to your mom, expecting her to be impressed. But you are shocked to discover that she is not at all mesmerized by your handiwork.

Causes

This condition can be caused by a number of different illnesses, including Graves' disease, glaucoma, and leukemia to name a few. Graves' disease is the most common cause of this condition. It is an autoimmune disease in which your body produces an excess of the thyroid hormones (hyperthyroidism).

Treatment Options

Treatment begins by treating the underlying cause of the exophthalmos. If the condition is caused by Grave's, then treatment is geared toward inhibiting the excess thyroid hormones. Treatment for this includes: radioactive iodine therapy, anti-thyroid medications, and surgery to remove all or part of the thyroid gland.

What causes exophthalmos?

Causes of Exophthalmos. The main cause of exophthalmos is Graves' ophthalmopathy, also known as thyroid eye disease. This disease affects one in three people who suffer from an overactive thyroid gland. It is most common among middle-aged women and smokers.

What does it mean when your eyes are bulging?

What Are Bulging Eyes? Bulging eyes, or exophthalmos, is a condition in which one or both eyes begin to bulge or protrude. The bulging can lead to double vision. In rare cases, the optic nerve may be compressed. This can lead to permanent vision loss if not quickly addressed.

How to get rid of exophthalmos?

Raise your head using additional pillows while lying in bed. Avoid irritants, such as dirt and dust, as much as possible. Use eye drops to lubricate your eyes as needed. In some cases, this may be all you need, and your exophthalmos will go away with time. For more severe cases, you may need corticosteroids.

What is the procedure to fix double vision?

Eyelid surgery: This is when the eye is surgically altered to improve its appearance, position, or closure. Eye muscle surgery: This surgery adjusts the muscles around the eye to align your eyes, helping to lessen double vision.

What are the risks of radiation therapy?

Risks include short-term vision problems, cataracts, and (in rare cases) retinopathy, which can threaten eye sight. In cases of severe or persistent exophthalmos, ...

How to treat cancerous tumors?

The best way to approach cancerous tumors varies, but treatment can involve chemotherapy, radiotherapy, and surgery. As with any treatment plan, always listen to your doctor.

Can an exophthalmos cause permanent vision loss?

If you are quick to see a doctor once you notice a problem, exophthalmos usually does not lead to permanent vision loss. The first goal is to get the inflammation under control. The appearance of the eye, the recovery timeline, and the potential for permanent damage depend on the severity of the exophthalmos.

What causes swelling in the eye socket?

Hyperthyroidism can cause inflammation and swelling in the tissues of the eye sockets. There’s not much room to maneuver in the eye socket, which is surrounded by bone on the top, bottom and rear. When eye socket tissues swell, there’s usually only one direction for an eyeball to go: forward.

What causes a swollen eye?

Bulging eyes also may be evidence of: 1 Glaucoma, which is the result of excess pressure in the eyeball that damages the optic nerve 2 Periorbital cellulitis or orbital cellulitis, an infection in the eyelids or tissues near the eye 3 Hemangioma, an excess of blood vessels seen in small children 4 Histiocytosis, an excess of a specific kind of white blood cell 5 Leukemia, a cancer in the tissues that create blood cells 6 Neuroblastoma, a rare nerve cancer 7 Rhabdomyosarcoma, a malignant tumor of muscle attached to bone

What does it mean when your eyes are red?

Red, irritated eyes are the first clues that something’s amiss. Because Graves' disease and hyperthyroidism are the most likely issues, your doctor will also check for symptoms such as extreme readings in your pulse or blood pressure, or swelling in the neck near your thyroid gland.

What is the term for an excess of blood vessels in the eye?

Glaucoma, which is the result of excess pressure in the eyeball that damages the optic nerve. Periorbital cellulitis or orbital cellulitis, an infection in the eyelids or tissues near the eye. Hemangioma, an excess of blood vessels seen in small children. Histiocytosis, an excess of a specific kind of white blood cell.

What is the role of thyroid glands in the body?

The thyroid is a gland in your neck that has one of the most important jobs in the endocrine system, which produces hormones that help the body control things like growth and metabolism. Thyroid hormones tell the body how to metabolize food, converting it into energy.

Why does my eye move out of its natural position?

If anything moves an eye out of its natural position, something is definitely wrong. The most likely explanation is trouble in your thyroid gland , but many other things could be happening. Keep in mind that exophthalmos is neither a condition nor a disease.

What is Graves' disease?

Graves' disease. Most cases of hyperthyroidism result from Graves' disease, an autoimmune reaction that causes the thyroid to overproduce hormones. The condition specific to vision is called Grave’s eye disease. These are the most common symptoms of Graves' eye disease: Eyes feel irritated or gritty.

What Does Thyroid Eye Disease Look Like?

This particular ocular disease will have standard clinical features, including:

What Eye Problems Can Graves' Disease Cause?

Graves’ disease is a serious health condition. In many cases, people with this disease can develop Graves’ ophthalmopathy.

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