Graves' Disease Treatment for Bulging Eyes

In Graves' eye disease, the muscles and the tissues around the eyes are attacked by the autoimmune system causing protrusion of the eyes and retraction of the eyelids. This condition may cause blindness. However, there are treatments to alleviate symptoms and repair the changes.
  1. Cornea Protection

    • In Graves' eye disease, there is often decreased blinking and tear production. To protect the cornea, artificial tears or lubricating ointments are often used and sometimes the eyelids are taped shut at night.

    Prednisone

    • For some patients, the swelling in the muscles and tissues can be decreased by prednisone. However, this treatment can cause serious side effects especially if used for a long time.

    Radiation Therapy

    • Although not used as commonly now, radiation of the muscles and eye tissues can improve the symptoms of Graves' eye disease.

    Orbital Decompression

    • An eye surgeon might release some of the pressure inside of the orbits by removing parts of bone to give the swollen tissues room to expand. This procedure is typically done at the beginning stages of the disease.

    Muscle Surgery

    • When the muscles around the eyes swell, they can cause double vision. Surgery can be performed after the inflammation has gone down to even out the alignment of the muscles.

    Glasses with Prisms

    • Prisms can help with double vision. An eye doctor can prescribe glasses with prisms for patients with double vision from Graves' eye disease.

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