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Is Orbital Decompression Surgery Safe For A Patient With Grave's Disease?

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Posted on Fri, 17 Jul 2015
Question: I have hypothyroidism, first started with hyperthyroidism in 99'. During that time I also developed Graves Disease. My eyes protruded (pic is attached).
My question: I researched and found info about eye decompression surgery. Wanted to know is this a safe surgery, or is there any other kind of ways safer or even natural to reduce swelling and return eye to normal?

Thanks
Hello I have uploaded 2 pics of eyes to help your evaluation.
doctor
Answered by Dr. Binu Parameswaran Pillai (6 hours later)
Brief Answer:
Orbital decompression surgery

Detailed Answer:
Good day.
Noted your concerns. thank you for posting the pictures. The photos shows that you have moderate proptosis. there are no evidence of active graves eye disease now. Eye surgery is done in graves disease during initial active phases if the eye disease is not responding to medicines and if it threatens the vision. Later on during follow up phase, a cosmetic procedure is done like in your case. This is usually safe. You may consult an eye surgeon. There are various types of cosmetic eye decompression surgeries. At this stage there are no other natural ways. During active phase, SELENIUM helps. Smoking is bad for thyroid eye disease and even partial smoking can worsen it.
Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (9 hours later)
I'm very interested in reducing swelling. Does steroids help with reducing swelling? Is it possible for my eyes to ever return to normal on their own?
Lastly, one doctor I went said laser surgery was better because it reduces risk of damaging nerves vs. decompression because there are so many.
Any views on this?
doctor
Answered by Dr. Binu Parameswaran Pillai (3 minutes later)
Brief Answer:
Surgery is time tested

Detailed Answer:
steroids will not help at this stage of your eye disease. as I mentioned earlier , they are helpful only in the acute stage of disease. surgery is time tested . Laser is a new modality and require high skills. Unfortunately, there are minimal or nil chances of your eyes returning to original state on its own. sorry to say this. you need to meet a specialised center experienced in Thyroid eye disease.
regards XXXXXXX
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1438 Questions

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Is Orbital Decompression Surgery Safe For A Patient With Grave's Disease?

Brief Answer: Orbital decompression surgery Detailed Answer: Good day. Noted your concerns. thank you for posting the pictures. The photos shows that you have moderate proptosis. there are no evidence of active graves eye disease now. Eye surgery is done in graves disease during initial active phases if the eye disease is not responding to medicines and if it threatens the vision. Later on during follow up phase, a cosmetic procedure is done like in your case. This is usually safe. You may consult an eye surgeon. There are various types of cosmetic eye decompression surgeries. At this stage there are no other natural ways. During active phase, SELENIUM helps. Smoking is bad for thyroid eye disease and even partial smoking can worsen it. Regards Binu