WHAT IS THYROID EYE DISEASE?
WHO GETS THYROID EYE DISEASE?
How serious is thyroid eye disease?
WHAT ARE THE SYMPTOMS OF THYROID EYE DISEASE?
In the milder forms of thyroid eye disease, these are related to dry eye. If the condition is more severe, symptoms re related to increased inflammation around the eye, resulting in bulging eyes are double vision.
- A feeling of eye grittiness
- Swelling in upper eyelids
- Eye bags
- Redness of eyelids
- Sensitivity to light
- Blurred or double vision
- Dry or watery eyes
- Bulging eyes (giving a ‘staring’ look)
- Pain and discomfort
- Finding it hard to move the eyes
- Sight loss
HOW IS TED DIAGNOSED?
HOW LONG DOES IT LAST AND WHAT CAN I DO ABOUT IT?
WHAT TREATMENTS ARE AVAILABLE DURING THE “ACTIVE” PHASE?
WHAT ABOUT DURING THE “INACTIVE” PHASE?
WHAT IS THE RELEVANCE OF SMOKING?
OUR DEDICATED TEAM APPROACH TO YOUR TREATMENT
Thyroid eye disease can be complicated and can affect different people in different ways. Many factors require detailed consideration, including thyroid hormone control, an accurate ophthalmic assessment and diagnosis, review of orbital imaging, the delivery and management of medication and immunosuppression in some patients and the selection of patients for surgery prior to the delivery of surgical therapy. At The Ezra Clinic, we offer a dedicated multidisciplinary service, where specialists from different areas will come together to discuss and review your management in order to deliver the best possible care. Our team is led by Dr Damato, a specialist in the medical treatment of TED, often in collaboration with an endocrinologist, a radiologist and other oculoplastic surgeons from the Clinic. We meet regularly to review your results, scans and photos and plan ongoing management as part of a multidisciplinary team. This unique team based approach ensures that you are in the best possible hands and have the best possible treatment.
YOUR NEW PATIENT APPOINTMENT
The first appointment is critical step in determining how to plan your care. All new TED patients are seen by Dr. Damato for an in-depth initial assessment. A CT scan of the eye sockets, along with a range of blood tests are usually carried out and your case will be discussed by the TED Multidisciplinary team. Further treatment will depend very much on which of the two main phases of the disease you may be in:
- If you are in the “Active Phase”, this means that the disease is progressing actively. The eyes are often painful and red. You may also feel that things are getting worse every few days. The Active phase may respond to immunosuppression such as steroids or newer biologics. At the Ezra Clinic, we are able to offer a wide range of treatments for the Active Phase.
- The “Burned out”, or “inactive phase” describes the disease when it becomes stable. The goal is to reverse the changes that have occurred. This is commonly performed surgically, and may require a range of treatments such as orbital decompression, eyelid lowering, blepharoplasty, or sometimes all of these surgeries. The image opposite demonstrates the types of outcomes we can achieve in arresting the progress of the disease medically and providing surgery to reverse any disfigurement.
BEFORE AND AFTER
This lady presented with severe thyroid eye disease. She demonstrates typical changes including lid retraction, bulging eyes and eyelid bags. She was treated initially with an orbital decompression to restore the position of the eyes.
This was followed by upper and lower lid blepharoplasty with midface lift to restore the cheek volume and smooth interface with the eyelid. The results were transformational as seen in the before and after eyelid treatment pictures, with a very positive impact on the patient’s quality of life.
Our approach to TED is comprehensive, and highly patient focussed. Our clinicians have extensive experience in managing TED, with particular specialisms in managing the inflammatory components of the condition and also ensuring that the aesthetic rehabilitation is executed to the highest possible standards. Our combined research output is extensive and includes a wide body of work on the impact on TED on Quality of life, the role of aesthetic interventions, new biologic treatments such as Tepezza (Teprotumumab), and immunosuppression.