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Endocrine ophthalmopathy

Professional Name Endocrine ophthalmopathy

Summary

Endocrine orbitopathy, the bulging of the eyeballs, occurs together with thyreoid disorders.

Description

Endocrine orbitopathy, the bulging of the eyeballs, occurs together with thyreoid disorders.

Occurrence + Symptoms

Endocrine orbitopathy affects women 6 times as often as it does men. The most noticeable three symptoms are: pulled-back upper eyelid, eyeballs bulging forward, and disturbed movement of the eyes. These symptoms cause the patient to look like they were staring. Besides that, these symptoms can lead to other complaints. Due to the shrinking back of the eyelid (from inflammation and scarification of the elevating muscle of the upper eyelid), the cornea becomes dry, causing conjunctivitis and corneal ulcers. Eye movement disorders can cause the patient to see double. The prominence of the eyeball is a result of the expansion of the muscles and fatty tissue in the eye sockets. It can also lead to damage of the optical nerve.

Consequences + Treatment

If a thyreoid disorder is the underlying cause of endocrine orbitopathy, it needs to be treated first. Further therapeutic measures depend on the severity of the symptoms. Treatment at the acute stage is comprised of cortisone therapy and/or radiation. Chronic stages require treatment of symptoms (keeping the cornea moist, for example). Serious chronic stages may require a surgery.

Possible symptoms of the disease:

protrusion of the eyes
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