Thyroid eye disease

Thyroid eye disease is a condition wherein one or both eyes bulge forward and the eye aperture gets widened giving a frightening and staring look to the individual. The eye condition may or may not be associated with abnormal thyroid hormone level in the body (hyper or hypo thyroidism). In this disease, there is swelling of the soft tissues around eyeball (muscle, fat). This can lead to ocular discomfort such as watering, redness and bulging of eyeball leading to corneal dryness and even frank infection (ulcer). Swelling of the muscles of eye can lead to double vision and in severe cases loss of vision due to pressure on nerve.
The initial (active) phase of thyroid eye disease involves frequent swelling of tissues around the eyes and is treated with medications (commonly Steroids). Fortunately, the active phase of most thyroid eye disease patients lasts for 18-24 months. However, the deformities (prominent eyeball, raised eyelids, or squint) may persist, and require surgery in the second (inactive) phase.
Decompression surgery is typically done first to sink the prominent eyeball into bony orbit. This may need to be followed by eyelid surgery to reduce eye aperture. Finally, if the patient has persistent double vision, squint surgery may need to correct that.

Concerned Doctors in CLGEI
Dr. Debarati saha, M.B.B.S., M.S. ,FLVPEI (Hyderabad)