Thyroid Eye Disease Los Angeles

Thyroid eye disease, also known as thyroid ophthalmopathy or Graves’ ophthalmopathy, describes a group of changes to the eye socket and eyelids caused by underlying thyroid disorder. Thyroid eye disease is most commonly associated with Graves’ disease or overactive thyroid but can also be caused by other autoimmune thyroid disorders and low thyroid function.

The doctors at Eyesthetica perform many treatments and surgeries to rehabilitate the changes related to thyroid eye disease.

What are the signs and symptoms of thyroid eye disease?

The visible changes associated with thyroid eye disease include bulging or protrusion of one or both eyes. Commonly, there is a change in the height of the upper eyelid with elevation or retraction. The fat that surrounds the eye and fills the upper and lower eyelids can become more prominent with an increase in the bags around the eyes. Eyes can become red, irritated, and dry.

Additionally, the muscles that surround and move the eye into different positions of gaze can become thick and inflexible, leading to double vision. In severe cases of thyroid eye disease, the eye socket can become so swollen and crowded that it can apply dangerous pressure to the optic nerve, leading to vision loss.

How is thyroid eye disease treated?

The most important factor in treating and controlling the changes of the eyes from thyroid disorders is good control of the underlying condition. This involves close care with an endocrinology specialist to manage the thyroid function with monitoring and medications. The doctors at Eyesthetica communicate closely with other doctors to ensure complete care.

The doctors at Eyesthetica have all been trained in the most current and cutting-edge therapies for severe thyroid eye disease, which ranges from treatment with oral or IV medicines to radiation treatment or surgery. The approach to therapy is tailored to the individual need of the patient depending on the manifestations of their thyroid-related disease.

What are some of the surgical options for thyroid eye disease?

The surgeons at Eyesthetica correct changes in the upper eyelid such as upper eyelid retraction with surgical approaches either through the inside of the eyelid or through the upper eyelid skin. Lower eyelid retraction can be repaired with lower eyelid surgery to reposition or strengthen the lid by borrowing tissue from the hard palate for grafting.

Decompression surgery is another strategy utilized in some severe cases of thyroid eye disease. Fatty decompression, or removal and sculpting of the prominent fat of the upper and lower eyelids, can be performed through a hidden incision on the inside of the lower eyelid. This can be augmented with upper eyelid surgery and removal of the medial fat pad.

The doctors at Eyesthetica also perform bony decompression surgery, where the bones of the orbit are reshaped to protect the eye, restore the previous appearance, and protect the vision. This can be performed through the inside of the lower eyelid or through a transantral approach through a small incision in the mouth. Decompression surgery enlarges the orbital space by removing the bone adjacent to the sinuses. Fatty decompression may be performed at the same time.

Thyroid Eye Disease Los Angeles

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