Unilateral protrusion of the eyeballs can results from trauma, inflammation, malformations in blood supply to the orbit, orbital tumors and cancer. Unilateral proptosis/exophthalmos may be an outcome of a sinus infection which causes abscess by spreading into the orbit. In graves thyroid eye disease, eye muscles show swelling, fibrosis and scarring surrounding the eye. In thyroid eye disease, the eyes fail to blink and seem to be staring. Symptoms usually appear in hyper thyroid patients but can occur when these levels are normal or below normal. The thyroid dysfunction along with abnormal changes in the eye causes Graves’ disease or thyroid eye disease. One of the most common causes of bilateral eye bulging is a thyroid condition referred to as graves condition. Sudden development of a bulging eye needs immediate medical attention. Some people naturally have bulging eyes owing to variations in the anatomy, while others can develop this condition due to various other reasons. What is a Bulging EyeĪ condition of the eye named as proptosis or exophthalmos is characterized by the bulging of the eyes. A multi-specialty effort is needed for the treatment of ocular tumors, which requires coordination between the ophthalmologist, medical oncologist, radiation specialist, head & neck surgeon / ENT surgeon and paediatrician/internal medicine/hospitalist.
The primary requirement in ocular oncology is preservation of life of the patient by removing the tumor, along with effective methods directed at conserving normal vision, followed by cosmetic appearance. Ocular oncology deals with tumors relating to eye. So the treatment for bulging eye due to thyroid condition should target thyroid hormones and their effects. The most common form the grave’s disease is an autoimmune disease. This will determine the overall course of treatment. The challenging part in bulging eye treatment is to find out the underlying cause.
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