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Kevin Trueblood Dr. Khalert Technical Explanation for a Lay Audience

Thyroid-Associated Eye Disease (TED). Kevin Trueblood Dr. Khalert Technical Explanation for a Lay Audience -Also known as Graves’ Ophthalmopathy -. Why are you here?. Everyone here has been diagnosed with TED, hyperthyroidism, and/or Graves’ Disease. To be educated! We will cover:

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Kevin Trueblood Dr. Khalert Technical Explanation for a Lay Audience

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  1. Thyroid-Associated Eye Disease (TED) Kevin Trueblood Dr. Khalert Technical Explanation for a Lay Audience -Also known as Graves’ Ophthalmopathy-

  2. Why are you here? • Everyone here has been diagnosed with TED, hyperthyroidism, and/or Graves’ Disease. • To be educated! • We will cover: • What is TED? • What are the symptoms? • What are my treatment options?

  3. First and Foremost What is the thyroid gland?

  4. The Thyroid • It is a large endocrine gland that wraps around your Adam’s Apple. • An endocrine gland is an organ that releases hormones into the bloodstream. • The thyroid’s hormones are key in managing your metabolism and functional growth. • It also regulates blood pressure, heart rate, and internal body temperature. • IT IS IMPORTANT!!!

  5. What happens when the thyroid stops working properly? • Hyperthyroidism: When the thyroid produces to many hormones. • Hypothyroidism: When the thyroid doesn’t produce enough hormones. • Hyperthyroidism is what we are concerned with today.

  6. What causes Hyperthyroidism? • Graves’ Disease – an autoimmune disease. • Meat (believe it or not) • Some medications • Thyroiditis – inflammation of thyroid. • Certain foods with iodine • Genetics

  7. Mama Trueblood

  8. How is this connected with TED? • TED can come about in many ways, but it is most commonly formed from the unfortunate combination of Graves’ Disease and hyperthyroidism. • The thyroid releases antibodies that falsely attack the muscles and tissues around the eyes. • These areas become inflamed and fill with water, which can cause a number of problems.

  9. WARNING

  10. Upper lid retraction. Sometimes one eye can be affected. Extreme damage to cornea.

  11. What to expect • Proptosis: swelling pushing the eyes forward. • Retraction of eyelids. • Less eye movement. • Double vision. • Problems blinking and closing eyes. • Damage to cornea or optic nerve.

  12. Symptomatic Treatment Treatment Options • In many cases, TED is not severe enough for complex treatment options. • Medicated eye drops can help dry eyes. • Eye tape can be used for incomplete lid closure. • More pillows can prevent eye flooding!

  13. Double Vision • Also known as diplopia • Posture training • Prism eyeglasses • Surgery to reduce enlargement behind eyes

  14. Medical Decompression • The use of medication to decompress the affected areas • Not recommended!

  15. Radiotherapy • A noninvasive way to reduce tension in eye muscles. • Recommended use for only first year of diagnosis. • Radiation is dangerous in the long-term!

  16. Surgical Decompression • Used as last resort. • Needed when the cornea or optic nerve are in danger. • Can be used cosmetically as well. • Incision and fat draining.

  17. Lid Surgery • Sometimes after TED has been resolved, the eyelids are still retracted. • Done immediately after surgery. • Surgical muscle manipulation. • Insertion of “spacers” about 4 mm thick.

  18. Don’t Worry! • Only 1 in 20 people with hyperthyroidism will get TED. • Most cases of TED are not severe. • Now that you are educated, you have a better chance of catching the symptoms early and receiving non-invasive treatment.

  19. Go educate yourselves!! • Graves’ Disease • Hypothyroidism • Goiter • TED without thyroid problems • Radiotherapy

  20. Questions?

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