Peer Reviewed
Ophthalmology clinic

Puffy eyes: cosmetic problem or thyroid eye disease?

Anthony Maloof
Abstract
Early recognition of thyroid eye disease is the key to preventing disease progression. Advanced disease causes disfigurement, double vision and blindness. In this article, Dr Maloof presents his approach to diagnosis and management of this debilitating condition.
Key Points

    Thyroid eye disease (TED) is an inflammatory disease of the orbit and is associated with thyroid disease such as Graves’ disease. It presents in many different ways and is often misdiagnosed and undertreated.

    The eye changes in TED usually progress slowly but sudden deterioration can occur. When severe, the disease causes disfigurement, double vision and blindness. The typical early warning symptoms of red eyes, recurrent or persistent eyelid swelling or puffiness around the eyes, or chronic watery eye (epiphora) should be heeded.

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