Recently, Xiaoyan went to Changsha Aier Eye Hospital for examination. The doctor told her that she had thyroid-related eye disease (TAO) . Xiaoyan, who got the result from
, felt very strange. She had no problems with her health in normal times, so why did she get such a disease?
After being treated by Dr. Zhou Yandan, director of the orbital and eye plastic surgery and lacrimal duct specialist in Hospital, no contraindications were found after the examination. She formulated a personal surgical plan for Xiaoyan - transnasal endoscopic orbital decompression surgery .
With the cooperation of Director Zhou and his team and the anesthesia team, the operation went smoothly and smoothly, with no signs of surgery on the skin, and Xiaoyan's eyeballs retreated significantly.
▲Binocular comparison of Xiaoyan before and after surgery
What is thyroid-related eye disease
thyroid-related eye disease, medical abbreviation TAO, is a common orbital disease in adults. The thyroid function can be hyperactivity, normal or hypothesis, and can occur at any age, and the incidence in women is slightly higher than that in men.
Director Zhou introduced that thyroid is an endocrine organ located in people's neck. It seems to have nothing to do with the eyes, but it has a certain correlation in the immune system.
"When there is a problem with our thyroid gland (such as hyperthyroidism, hypothyroidism), the immune system will produce antibodies. While attacking the thyroid gland, it will also attack the orbital tissue, thereby causing muscle fat hyperplasia behind the eyeball edema , and ultimately making the eyeball prominent , making the eyes look big and bulging."
manifestations of thyroid-related eye disease
The main symptoms of thyroid-related eye disease include protrusion of the eyeball, eyelid retraction, double vision and strabismus , corneal conjunctival lesions, and even corneal perforation, compressing the optic nerve and causing blindness.
TAO related treatment
Director Zhou said that this is a type of autoimmune system disease, so the treatment is also relatively complicated.
First, the ophthalmologist must be classified according to the severity and formulate different plans according to different grading, mainly the following treatment plans.
1. Conservative treatment
mainly keeps the eyes moist and protects the cornea. Artificial tears can be used during the day and eye ointment at night.
2, glucocorticoid systemic treatment and local treatment
are mainly used in the active period to reduce soft tissue edema.
3, orbital local radiation therapy
is suitable for patients with strabismus with diplopia or restricted eye movement.
4. Surgery (stage) treatment
Stage 1: Orbital decompression surgery
artificially removes part of the orbital wall and expands the orbital space, that is, removes part of the " non-load-bearing wall " of the orbital "room" to extend the muscles and fat inside to the outside of the "room", broadens the "housing area", and enables the protruding eyeballs to return to the "room".
retreats to a normal position, protects the cornea and effectively alleviates the compression symptoms of the optic nerve.
Stage 2: Ophthalmia surgery
If the patient has strabismus or double vision, it can be improved through ophthalmia surgery to correct the eye position so that the visual objects of both eyes will not show heavy shadows.
Stage 3: Eyelid surgery
70% of patients will have eyelid withdrawal, which can occur in the upper eyelid or in the lower eyelid . Eyelid surgery is to restore the retracted eyelids to their normal position, achieving the dual effects of aesthetics and functional reconstruction.
designs different surgical methods for patients' different degrees of retreat, and achieves symmetry of the eyes after the operation, which is both beautiful and protects the eyeballs.
(Editor Rainbow.)
Hunan Medical Chat Special Author: Changsha Aier Eye Hospital Chen Wang
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