Thyroid Eye Disease Flashcards
1
Q
Describe the pathophysiology of thyroid eye disease.
A
Retro-orbital inflammation due to glycosaminoglycan and collage deposition in the muscles.
2
Q
What can you advise to prevent it?
A
- Stop Smoking - most important factor
3
Q
What hyperthyroid treatment can worsen eye disease>?
A
Radioiodine treatment
4
Q
How can you manage thyroid eye disease?
A
- Topical lubricants may be needed to help prevent corneal inflammation caused by exposure
- Steroids
- Radiotherapy
- Surgery
5
Q
When should someone with thyroid eye disease be referred to an opthalmologist?
A
- Unexplained deterioration in vision
- Awareness of change in intensity or quality of colour vision in one or both eyes
- History of eye suddenly ‘popping out’ (globe subluxation)
- Obvious corneal opacity
- Cornea still visible when the eyelids are closed
- Disc swelling
6
Q
What are some features of thyroid eye disease?
A
- Exophthalmos
- Conjunctival oedema
- Optic disc swelling
- Ophthalmoplegia
7
Q
If someone has the inability to close his eyes due to thyroid eye disease, what is a complication?
A
Sore, dry eyes.
If severe and untreated patients can be at risk of exposure keratopathy
