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Does Graves Disease Affect The Ocular Nerves?

Posted on Fri, 27 Jun 2014

Question: If I have Graves disease could it affect my ocular nerves?

Answered by Dr. Binu Parameswaran Pillai (1 hour later)

Brief Answer:
Hello

Detailed Answer:
Hi,
Good day.

Grave's disease is an auto immune disorder where there is antibodies produced against TSH receptor which stimulates thyroid gland to produce excess hormones.

TSH receptor is also present in eyes and there is a 30% chance of involvement of eye in Grave's disease. This is more common in smokers and if you have selenium deficiency. When the eye involvement is severe, it may affect ocular nerve as well. But this is rare.

You should control hyperthyroidism, avoid smoking ( even passive smoking), take selenium supplementation ( 200 microgram daily) and these may help. Avoid hot weather.

Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (3 minutes later)

Thanks,

I am a smoker, and I do have some strange involuntary eye movements. On my blood work would my TSH be low or high? It was at .245

Answered by Dr. Binu Parameswaran Pillai (2 minutes later)

Brief Answer:
Low

Detailed Answer:
Hi,
Smoking definitely has a negative impact on thyroid. TSH of 0.245 is just below normal.

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar