endocrine disease

thyroid disease affects what part of the eye
Click the card to flip 👆
1 / 18
Terms in this set (18)
thyroid disease affects what part of the eye
extraocular muscles + adnexa (tissue around eye) - INFLAMMATION AT EOMS

also affects thyroid cells
thyroid disease ocular signs often associated most with
hyperthyroidism (people who are hypothyroid were hyperthyroid at one point so good to ask questions)
thyroid disease

are ocular conditions and severity associated with thyroid hormone level?
no, treatment of a systemic condition does not impact the course of ocular issues
thyroid disease who impacted most
more women (early 40s)

if diagnosed later (50s) more severe
risk factors for thyroid disease
smoking - 7 to 8 times more likely to develop ocular symptoms and for ocular symptoms to not work as well
clinical signs of thyroid disease (ocular)
scleral show/eyelid retraction/proptosis - infalmmation can push eyelid forward

lagopthalmos - eyelid not able to cover whole eye since retracted, incomplete ability to blink which can lead to inability to move tears

ocular surface diseaseL tear volume, exposure keratitis - can lead to blindness (superficial punctate keratitis)

periorbital edema - swelling ocular adnexa + fat pads

diplopia - swelling cause eye to move and lead to diplopia (inferior rectus impacted first)

optic neuopathy - compression can lead to blindness
two concerns for blindness for thyroid disease
exposure keratitis (spk - superficial punctate keratitis) or optic nerve compression (optic neuropathy)
lab tests (Not diasnostic)
ultrasound to assess recti muscles
mri
diagnostic for thyroid disease ocular
ocular management thyroid disease
corneal exposure: goggles, drops
infalmmation: radiation, steroids
diplopia: prism, surgery, occlusion
lifestyle: smoking, salt, sun
pituitary adema

what visual field effect do you see?
affects nasal fibers, so affects temporal world

see a bitemporal effect
pituitary edema ocular complicationsmotility defects - diplopia ptosis nystagmus headaches swollen ON increase intracranial pressure -> optic atrophy 9possibly mistaken for gluacomacushings syndrome - __________ cortisol in bloodexcess cortisol in bloodcushings syndrome primary cause secondary causeprimary cause: adrenal tumor secondary cause: tumor of pituitary glandcushings syndrome at riskstress steroid use autoimmune diseasecushings syndrome ocular complicationsexophthalmos - retro-orbital fat deposition elevated introcular pressure - ocular hypertension cataracts - long term high cortisol levels central serous retinopathy - sub-retinal fluid leads to retinal detachment or retinal pigmented epithelium detachmentaddison's diseaseplasma levels of cortisol are chronically lower than normal (adrenal insufficiency)addison;s disease leads tolow blood pressurecause of addison's diseaseautoimmune, tumors