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Thyroid  (Expert Forum)
 | 
what can make you eye bigger if you have graves disease
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).

what can make you eye bigger if you have graves disease

by keylia06, Oct 06, 2006 12:00AM
I have had my thryoid taken out only 90%.  It only effected one eye.  So i started seeing a eye specialist and he decided that i should have my eyelid lowered to see if that would help.  Well it's been two months and my eye is self has gotten bigger.  He said that it got 3mm bigger within 2 months. So he said that i needed to get my thryiod checked and i did all my levels are good.  So i don't know what is making it bigger.  I had it taken out 3 years ago and it never has gone down.  And nobody know nothing.  So is it only going to get bigger.  And do you know what i can do to prevent it from getting bigger.



by Mark Lupo, M.D., Oct 07, 2006 12:00AM
A CT or MRI of the orbits likely has already been done.  Graves can cause eye problems in only one eye, but a mass behind the eye must be considered (hence the CT or MRI).  



The usual thyroid labs do not often detect the abnormality that is the cause of thyroid eye disease -- the antibody that needs to be checked is TRAB (aka TSI & TBII - the two tests together).  



You need to work with an eye specialist with an expertise in thyroid eye problems -- esp if surgery is being considered.  Lid surgery is the last (not first) surgical step in the treatment of most Graves Eye disease.
Member Comments (3)

by Isis498, Oct 07, 2006 12:00AM
To: keylia06
I posted about this issue not long ago, mine is nothing as bad as yours.  I researched this a lot.



What I found, even when your disease is under control, your eyes can still be affected, and may not resolve.  You need to see a Opthamolgist that specializes in Thyroid Eye Disease.  There is surgery you can have to fix this. It is called Orbital Decompression. Here is a site that describes it:



http://www.texaseyeplastics.com/thyroid_eye_disease.htm



Hope this helps.

by Isis498, Oct 08, 2006 12:00AM
To: Forum-M.D.-ML
Sorry, it wasn't my intention to infer that the "fix" for this was a cosmetic lid surgery.  It was a suggestion the procedure of an Orbital Decompression COULD be an option for Thyroid Eye Disease.



Maybe better described here:



http://www.eyemdlink.com/EyeProcedure.asp?EyeProcedureID=36



Which of course, would give a better appearance to the eye itself.

Not to mention, the health of the eye & vision itself.

by unlucky528, Apr 11, 2008 09:11AM
A related discussion, cataract surgery was started.
Continue discussion
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