Eye Movement Disorders
Thyroid Eye Disease
•Autoimmune orbital fibroblast proliferation associated with thyroid immune diseases (Grave’s, Hashimoto’s etc.)
•Signs: Hyper/hypothyroidism and proptosis, problems with eye movement, dry eye disease
•Risk factors: Smoking!
Must counsel for smoking cessation.
Radioactive Iodine treatment for the thyroid also worsens eye disease
•Treatment: Eye protection with artificial tears. Severe disease may necessitate steroids, decompression surgery, immune modulating agents