Evolution of Technology

Thyroid Eye Disease Treatments

This rare complication of thyroid disease has few treatment options.  Intravenous steroids are given to reduce the inflammation and pain but the anatomical changes are primarily corrected surgically.  There are three primary types of surgery performed to treat exophthalmos and its associated complications.  The surgeon can either remove a small section of bone and fat from within the orbit during orbital decompression surgery.  This allows for better positioning of the eyeball within the bony orbit of the skull as it frees up space and the eye is no longer competing with surrounding overgrown muscles and tissues.  In exophthalmos since the eye bulges beyond the eyelid, surgery can be performed to reposition the eyelid in an effort to have it close over the eye.  Finally, if the eye protrudes to a degree that causes double vision the surgeon can perform extraocular muscle repositioning. Numbness, post-operative swelling, nerve damage, and bruising are some complications of thyroid eye disease surgeries.

Evolution of Procedure

Thyroid Eye Disease Procedure

Tepezza is given intravenously on a weekly basis for 8 weeks.   Each infusion takes 60-90 minutes to administer.  After each infusion there will be a waiting period to monitor for any adverse reaction.  Full results are seen after the 5 month treatment period.

Evolution of Diagnosis

Thyroid Eye Disease

Exophthalmos is an ocular condition in people with thyroid disease, most notably Grave’s disease. It occurs when the immune system attacks the tissue behind the eye.  This results in swelling of the muscles and surrounding fatty tissue. The swelling subsequently pushes the eye forward since it is contained in a confined space.  In addition to the cosmetic consequences of a protruding eye, thyroid eye disease can cause eye pain, light sensitivity, double vision, and difficulty closing the eye which would predispose it to dry eyes and infection.  Severe cases can lead to permanent vision loss.