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Thyroid (Expert Forum)
Left eye swelling
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).
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Left eye swelling
by golden_goddess, Oct 20, 2006 12:00AM
Since I haven't "officially" been diagnosed with Graves Disease....pending RAI Uptake test and MRI....all other tests, my left eye swelling and information from my MD and Opthamologist, indicate that is what I am now faced with. Since I also have Hep C I have decided on not taking any meds which I have read are very toxic to the liver but will opt for radioiodine or surgery and then take thyroid med for life. My question is: after treatment will the swelling in my eye EVER decrease? It isn't really bulging out a lot and the upper lid has retracted a bit. I have read conflicting reports. Thanks
Doctor's Answer
by Mark Lupo, M.D., Oct 21, 2006 12:00AM
, Oct 21, 2006 12:00AM
You need to treat the eye before I-131. The eye may be prominent just due to the hyperthyroidism -- the ophthalmologist should be able to sort this out and determine if there is active Graves Orbitopathy. If the eye disease is severe, some may even suggest surgery over I-131 but with appropriate steroid treatment of the thyroid eye disease, I-131 can be given safely in most cases without aggravating the eye disease and likely improving the eyes over time. Depending on severity of hyperthyroidism, a short course of tapazole may be indicated before surgery or I-131 -- again, depends on severity, age and other health issues.
I like to look at TSH - Receptor Antibodies as well (TBII & TSI) --- these tend to correlate (perhaps TBII > TSI ?) with severity of eye disease in graves.
I like to look at TSH - Receptor Antibodies as well (TBII & TSI) --- these tend to correlate (perhaps TBII > TSI ?) with severity of eye disease in graves.
Member Comments (3)
by golden_goddess, Oct 23, 2006 12:00AM
Thanks for the info...I am guessing I-131 is the RAI treatment? Does that tend to aggrivate Graves eye symptoms and make bulging more prominent?
by golden_goddess, Nov 02, 2006 12:00AM
OK....mild Graves diagnosis yesterday. Doc think a low dose 5mg of Tapazole might be the answer. I also have Hep C and am worried about taking Tapazole. A leading Hep C doc said it was ok but to monitor my liver function tests on a regular bases. Any feedback on Tapazole? thanks
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