Graves’ Eye Disease / Thyroid Eye Disease

Thyroid eye disease is an autoimmune condition linked to thyroid disorders, most often Graves’ disease. It causes inflammation of the tissues around the eye, leading to bulging eyes, redness, and sometimes double vision.

• Bulging or protruding eyes
• Eyelid retraction
• Double vision
• Eye discomfort and redness
• Difficulty closing the eye

• Graves' disease (hyperthyroidism)
• Smoking significantly increases severity
• Recent radioactive iodine therapy

• Stop smoking, as it is the most important modifiable factor affecting disease severity
• Maintain good control of thyroid function and attend regular follow-up appointments
• Use artificial tears to protect the ocular surface if dryness is present
• Wear sunglasses to protect the eyes from wind and bright light
• Seek ophthalmic evaluation if double vision or worsening vision develops

Stopping smoking is the most important step. Artificial tears and lubricants manage surface symptoms. Intravenous methylprednisolone treats active inflammation. Orbital decompression, squint surgery, or eyelid surgery may be needed in later stages.

• Daily Eye Care
• UV Protection