Thyroid eye disease is a condition that affects patients with thyroid abnormalities, causing eyelid and orbital issues such as bulging eyes and double vision. Early diagnosis and management by an experienced oculofacial plastic surgeon are crucial for optimal outcomes, and treatment options may include medical and surgical methods.
Why Thyroid Eye Disease Often Goes Undiagnosed
Thyroid eye disease often goes undiagnosed because the symptoms in the early stages are vague and can be easily mistaken for other eye conditions. Some patients may experience eyelid retraction, bulging eyes, double vision, and excessive tearing, but these symptoms may not be severe enough to raise concern.
Patients may also be unaware of the link between their thyroid condition and eye problems. Consequently, they may not seek medical attention until the symptoms become more pronounced, leading to a delayed diagnosis. This underscores the importance of seeking medical advice from reliable oculofacial plastic surgeons or physicians at an early stage.
Symptoms Of Thyroid Eye Disease:
- Eyelid retraction (upper and/or lower eyelids)
- Bulging eyes
- Double vision
- Excessive tearing
- Light sensitivity
- Vision loss (rare)
- Pain in and around the eyes
- Dry eyes
- Difficulty closing the eyes
- Puffy eyelids
- Redness and swelling around the eyes
Procedures for Thyroid Eye Disease
The procedure details for thyroid eye disease-related surgery vary based on the individual patient’s symptoms and the extent of their condition. The surgery aims to improve the appearance and function of the eyes and alleviate any discomfort or pressure. The following are some of the potential procedures involved.
Orbital Decompression Surgery
Orbital decompression surgery is performed on patients with thyroid eye disease who are experiencing pressure, discomfort, or swelling in the eye socket caused by inflammation or accumulation of fatty tissues. The goal is to create more space in the eye socket to relieve pressure and reduce swelling, which may improve eye function and appearance. The procedure involves removing bones or tissues from the eye socket and may be performed with procedures such as eyelid surgery or muscle repair.
Eyelid Retraction Surgery
Eyelid retraction surgery is performed on patients with thyroid eye disease who have eyelids that are retracted, drooping, or bulging, especially if the eyelid can no longer cover the whole eye because it’s pushed out of position. The goal is to correct the position of the eyelids to restore a normal appearance and improve eye function. The procedure may involve repositioning the eyelids, tightening the muscles and tendons that control the eyelids, or removing excess skin and fat.
Potential Causes Of Thyroid Eye Disease:
- Overactive thyroid (hyperthyroidism)
- Underactive thyroid (hypothyroidism)
- Thyroid nodules or cancer
- Autoimmune disorders (such as Graves’ disease)
- Radiation therapy for a different medical condition
- Inflammation in the thyroid gland and surrounding tissues
- Hormonal imbalances
- Genetics (in some cases)
Schedule Your Consultation With Dr. Braunstein
Dr. Alexandra Braunstein is an experienced oculofacial plastic surgeon who specializes in treating patients with thyroid eye disease. By scheduling a consultation, you can receive a comprehensive evaluation and discuss your treatment options. Dr. Braunstein will review your medical history, examine your eyes, and discuss your symptoms. Based on this information, she will develop a personalized treatment plan tailored to your specific needs. Schedule your consultation with Dr. Braunstein to get started on the path to recovery.
