Also called graves’ orbitopathy. Swelling around the eye linked to the thyroid.
What it is
Thyroid eye disease is inflammation of the muscles and fat around the eye, linked to thyroid problems, usually an overactive thyroid.
Symptoms
Swollen lids, red gritty eyes, eyes pushed forward, a staring look, double vision and, rarely, reduced vision.
Causes
An autoimmune condition, most often with Graves’ disease. Smoking makes it considerably worse.
When to get it checked
Have it checked promptly if vision is changing, if there is double vision, or if the eye cannot close. Stopping smoking is the single most useful thing you can do.
How it is checked
Every plan starts with an examination by a consultant, not a photograph or a questionnaire.
- Your consultant examines your eyes, measures how far each sits forward, checks your vision and eye movements, and arranges a scan where one is needed.
- What your consultant finds is explained in plain English, there and then.
- You leave with a written plan and, where treatment is right for you, a written fee.
- You are never asked to decide on the day.
If surgery is not the right answer, your consultant will say so, and explain what happens if you do nothing.
Questions patients ask
Do I need a referral?
No. You can request a consultation directly. A letter from your GP or optometrist is helpful if you have one, and your insurer may ask for it.
Will I need surgery?
Not always. Your consultant will explain whether treatment is needed, what each option involves, and what happens if you do nothing.
What happens at the consultation?
Your consultant examines your eyes, measures how far each sits forward, checks your vision and eye movements, and arranges a scan where one is needed. You leave with a written plan and fee, and time to decide.
How soon can I be seen?
The clinic team will offer the first suitable appointment, and sooner where your consultant judges it urgent.