Leader Heights Eye Center, 309 Leader Heights Road, York, PA 17402 • Phone: (717) 747-5430

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Thyroid-Related Ophthalmopathy (Graves’ Disease)

Graves’ disease is an “autoimmune” disease (one in which the patient’s own immune system attacks certain areas of the body) that can affect the thyroid gland, the tissues around the eye, or both.

The thyroid gland, located in the front of the neck, produces hormones that regulate your body’s metabolism (the process by which the body transforms food into energy). In Graves’ disease the thyroid often is overactive. Some symptoms of an overactive thyroid are weight loss despite a good appetite, nervousness, rapid pulse, and sweating. The over-active thyroid can be treated with radiation or surgery.

Some eye problems associated with the disease are:

Graves’ disease is diagnosed by blood tests and often a CT or MRI of the eye sockets (orbits).

These problems are treated by non-surgical and surgical methods. Non-surgical methods include taking steroid medications by mouth to control swelling and inflammation, wearing sunglasses to relieve light sensitivity, prisms in the eyeglasses to relieve double vision, and applying lubricating ointment to relieve dry eye. Surgical methods include repositioning the muscles that move the eye or raise the eyelid, removing scarred tissue, and relieving compression on the optic nerve to preserve sight. Surgery on the eyelids or eye muscles must wait until the disease becomes inactive and there is no change to the patient’s condition for six months.

It is important to note that cigarette smoking worsens the eye manifestations of Graves’ disease.

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