Cool compresses, sunglasses, or prisms for glasses may also help relieve symptoms. In mild cases when there is a feeling of grittiness in the eyes, tearing or sensitivity to light, artificial tear drops may be recommended. So, while it is of critical importance to one’s health and well-being to have thyroid function monitored and treated, doing so will not prevent or stop TED. It is not the thyroid hormone which causes TED, but rather the associated autoimmune reaction. Patients who have been newly diagnosed with thyroid eye disease should seek evaluation by their family physician, internist or endocrinologist to assess and treat any underlying thyroid gland disorder. The presenting symptom of TED may be eyelid puffiness, pain, redness, tearing, blurred vision, double vision, eyelid retraction or bulging eyes the presentation may be unilateral or asymmetric. Inflammation causes swelling and/or scarring that may push the eye forward resulting in a bulging appearance. Autoimmune thyroid disease is associated with, but not the direct cause of Thyroid Eye Disease, wherein antibodies are produced which target some of the fibroblasts in eye muscles or orbital connective tissue within the eye socket. So, strangely, one may have Graves’ disease and yet have an underactive, normally active, or overactive thyroid hormone production. Some people with Graves’ disease may also have Hashimoto’s thyroid disease, which is associated with antibodies which reduce thyroid hormone production. Graves’ disease is an autoimmune condition that leads to the production of antibodies which stimulate thyroid cells to produce excess thyroid hormone. Thyroid eye disease is sometimes associated with an over-active thyroid (hyperthyroidism) due to Graves’ disease. Thyroid eye disease (TED, Graves’ eye disease, Graves’ ophthalmopathy) may occur in the absence of known thyroid disease, or may precede thyroid disease. It is most commonly associated with an overactive thyroid gland (hyperthyroidism), particularly in individuals with Graves’ disease, an autoimmune disorder that affects the thyroid. Thyroid eye disease, also known as Graves’ ophthalmopathy or Graves’ orbitopathy, is an autoimmune condition that primarily affects the tissues and muscles around the eyes.
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