Thyroid Eye Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

Thyroid eye disease (TED) is a medical disorder marked by swelling of the muscles and fatty tissues surrounding the eyeball within the eye socket (orbit).
This swelling is due to the inflammation of these tissues.
There is restricted space inside the eye orbit so when the tissues swell, the eyeball is pushed forward.
Cause:
Thyroid eye disease is an eye condition linked to autoimmune thyroid disease.
Symptoms of Thyroid disease:
1. Neck thyroid swelling
2. Heat intolerance
3. Tremors
4. Sweatiness
5. Loss of weight
6. Palpitations
Autoimmune thyroid disease happens when the body's antibodies attack tissues of the thyroid organ.
This is called Thyroid Eye Disease, an autoimmune disease.
The cause is not known exactly why this happens in some people and not in others.
Symptoms are produced by the tissues of the eye socket swelling and pushing the eyeball forward:
The biochemical events result in swelling of the orbital soft tissues particularly the eye muscles and orbital fat.
Eye symptoms are:
1. Blurring of vision
2. Staring appearance of eyes
3. Protrusion of the eyes
4. Tearing
5. Eye discomfort and gritty sensation
6. Eye redness
7. Puffy eyelids
8. Double vision
9. Squint
10. Reduced vision
Diagnosis:
Thyroid function tests (TFTs)
MRI scan
Treatment:
Most thyroid eye disorder gets better with good thyroid hormone control.
Local therapy:
Tear substitutes and lubricants help to cover the surface of the eye from drying.
Sleeping on extra pillows assists to decrease swelling around the eyes.
Double vision is problematic if it involves forward and down looking positions as in reading.
Special lenses called prisms may give relief for this.
Medicines
Medical therapy (immunosuppressive and radiotherapy) are more effective in the acute phase of the disease.
In the early stage of the disease and where the disease stays mild, artificial tears (ocular lubricants) may be enough.
Immunosuppression
Steroids are given in selected cases, normally taken orally
Surgery
Surgical treatment is normally reserved for patients in the inactive stage.
With injured vision, early lid surgery or orbital surgery is necessary
Surgery is reserved normally for inactive disease.
Surgical rehabitation is normally staged with orbital decompression surgery to decrease proptosis.
Squint and eyelid surgeries may eliminate double vision and exposure respectively.
Radiotherapy
Radiotherapy may be done in some places on some patients

TABLE OF CONTENT
Introduction
Chapter 1 Thyroid Eye Disease
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Hyperthyroidism
Chapter 8 Goiter
Epilogue

• Language: English
• Publisher: Kenneth Kee
• Release date: Sep 19, 2017
• ISBN: 9781370443345

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Thyroid Eye

Disease,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2015 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes the Thyroid Eye Disease, Diagnosis, Treatment and Related Conditions or in vernacular terms

(What You need to treat Thyroid Eye Disease)

This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://ken-med.com.

From which many free articles from the blog was taken and put together into 600 amazon kindle books and some into Smashwords.com eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical conditions.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Thyroid eye disease

What is Thyroid Eye Disease?

Thyroid eye disease (TED) is a medical disorder marked by swelling of the muscles and fatty tissues surrounding the eyeball within the eye socket (orbit).

This swelling is due to the inflammation of these tissues.

There is restricted space inside the eye orbit so when the tissues swell, the eyeball is pushed forward.

This produces the clear window in the front portion of the