Thyroid eye disease Flashcards
1
Q
Thyroid eye disease
A
Autoimmune disorder with an active inflammatory phase and inactive fibrotic phase
2
Q
What is thyroid eye disease associated with
A
Hyperthyroidism but can also be hypothyroid
3
Q
Investigations for thyroid eye disease
A
TFTs Anti thyroid antibodies - anti TPO, anti TSH FBC, U+Es, LFTs CRP Weight anf blood pressure TPMT Urinanalysis CXR Photograph eyes CT/MRI - decompression
4
Q
Presentation of thyroid eye disease
A
Gritty watery eyes Puffy eyelids Proptosis - bulging eyes Optic neuropathy Upper lid retraction Lid lag Increased intraocular pressure Strabismus Diplopia
5
Q
Proptosis
A
Eyes bulge forward
6
Q
Management of thyroid eye disease
A
Control thyroid levels:
- anti-thyroid medication
- thyroidectomy
Orbital decompression surgery
Steroids for inflammatory phase
Strabismus surgery or lid surgery - fibrotic phase
Advice:
- stop smoking
7
Q
Complications of thyroid eye disease
A
Exposure keratitis - lid extraction Glaucoma - due to proptosis Choroidal folds Strabismus Optic nerve compression
8
Q
Which management is contraindicated in thyroid eye disease
A
Radioactive iodine ablation - makes thyroid eye disease worse
9
Q
Presentation of hyperthyroidism
A
Intolerance to heat Weight loss Appetite increased Sweaty Hair thinning Tachycardia Nervousness Tremor
10
Q
Presentation of hypothyroidism
A
Intolerance to cold Weight gain Appetite loss Bradycardia Constipation Depression Dry skin Muscle cramps
11
Q
Conditions associated with Grave’s disease
A
Pernicious anaemia Vitiligo T1DM Myasthenia gravis Sjogrens RA SLE
