To Stop Bulging After Basedow’s Disease

Until now, many people still believe that bulging eyes is just a symptom of Basedow's disease. If so, then when the disease from the symptoms must be gone.
However, in clinical practice, many cases of patients who have been treated from Basedow have been completely treated, completely thyrotoxicosis but still do not go out of the eye, even new bulges appear or continue to progress. Such bulging is no longer just a symptom of Basedow, but it is relatively independent of thyroid disease.
Goiter's eye is actually just one of the most visible signs of "thyroid-related eye disease

." The disease is also known as "Basedow Eye Disease". People with thyroid hormone disorders both on the hyperthyroid side and the hypothyroid side were more likely to have eye disease than those with the thyroid.
The common eye damage is related to the thyroid
Blurred vision: edema and proliferation of orbital organ pushing the eyeball protruding forward causing this syndrome The bulge of the eyeball is calculated by the projection from the top of the cornea to the straight line that crosses the outer edge of the eye sockets and is measured with a Hertel ruler.




A convex degree of 18 - 20mm is a slight bulge, 21 - 23mm is average, over 24mm is a severe bulge, or if the bulge is one eye, the convexity should be 3 mm or more than the other eye. Severe bulge in the eyes that causes the eyelids to not close properly can lead to complications of corneal ulcers, in which case the eye must be removed.
Lashes: This is a noticeable sign in the upper lashes. Normally, the upper eyelid covers the upper part of the cornea (iris), the free edge of the upper eyelid is about 2mm below the peak of the cornea. When the eyelash margin is at the top of the cornea, the eyelid shrinkage is already at level 2 or higher if the distance between the edge of the eyelid and the cornea is more distant.
The shrinkage of the eyelashes makes the observer feel worse. Lashes shrinking with bulging eyes causing a slight opening when closed and sleeping Open your eyes, exposing the cornea leads to a feeling of dryness, dry eyes, watery eyes and fear of light.




Double vision (double vision) or squint: there are 4 pairs of eye muscles that ensure the eye can glide in all directions. These glaucoma muscles become inflamed, edematous, enlarged and gradually fibrous, but the degree of damage to each muscle is very different, leading to double vision, sometimes initially more severe and later worse than strabismus. Meet more than squinting down and peeking inside. Strabismus or double vision can tell you have enlarged eye muscles. However, for a definite diagnosis and to know the degree of hypertrophy of each muscle it is best to rely on computerized tomography (CT).
Glaucoma: edema and proliferation of organizations in the eye sockets will squeeze into the eyeball from behind. This pressure can both cause bulging in the eyes and can cause glaucoma. Long-term increased intraocular pressure will lead to vision damage, market.



Measuring intraocular pressure, therefore, is an indispensable test for examination.
Decreased vision: When the hypertrophy of the eye muscles pinches the optic nerve at the top of the eye sockets, this is a common cause of vision loss associated with thyroid-related eye disease. Vision loss may also be caused by long-term increased intraocular pressure.
Progressive eye disease associated with the thyroid
Initially the inflammatory phase. At that time, the crystallized conjunctiva will make the eyes red. In case of severe agglomeration, edematous conjunctiva may present through the eyelid cleft. More common is the level of dark red convergence at the adhesion of the ocular muscles, where the cornea is about 5-8 mm from four to the top and bottom.
In the later stage - the noninflammatory stage - the conjunctiva is no longer erectile but is almost white in color.



At that time, signs of bulging eyes, shrinking eyelashes and squinting are more clearly seen.
Is it difficult to determine the thyroid-related eye disease?
Clinically relatively easy for one of the bulging eyes, eyelid shrinkage, but appears in patients with disseminated toxic thyroid goiter or previously had thyroid disease but have been treated stably, even lice with hypothyroidism. The signs of vision, intraocular pressure, conjunctival erection ... only valid for the diagnosis and stage of disease.
If the patient has only one eye, it is very difficult for the diagnosis of thyroid disease to be diagnosed, requiring specialized examinations in specialized facilities.
Treatment of eye diseases related to the thyroid gland
It depends on the severity of the disease.



If the disease is mild: functional signs such as visual acuity of each eye are normal, no double vision, closed eyelashes, no signs of inflammation, it is only necessary to examine indicators such as vision, degree convex, intraocular pressure, eyelid shrinkage, ocular condition and follow up every 3-6 months.
If the disease is severe but still at an inflammatory stage, treatment with corticosteroids or eye sockets should be treated. Severe or non-inflammatory disease with stable but stable treatment, surgery for sore-eye pressure reduction is recommended. If the patient is ill in both eyes, then the second eye is operated on at least one month behind the other eye.
After about 2-3 months, both eyes will not convex convex to the indications of surgical treatment of upper eyelid muscle shrinkage and correction if any. In case of a threat of functional or physical injury such as ulcerative corneal ulceration, severe vision loss due to optic nerve.

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