A pair of big eyes may be the most representative features of hyperthyroidism patients, clinical “eyes” as the main complaint, finally diagnosed as “hyperthyroidism” of the patient is not a minority. In life, many big-eyed beauties are even often subjected to such a concern (ji) heart (du): “Your eyes are so big, it will not be hyperthyroidism, right.” What is the relationship between hyperthyroidism and big eyes? Hyperthyroidism can really “big eyes”? Today to break this topic. “Hyperthyroidism” and “big eyes” are often accompanied by hyperthyroidism, that is, hyperthyroidism, in fact, is only a state, rather than the name of the disease. The most common cause of hyperthyroidism is Graves’ disease, which is essentially an autoimmune disorder. Thyroid dysfunction is caused when the body’s immune cells, which are supposed to “defend against foreign invaders”, attack the thyroid gland of “one’s own people” —-; similarly, when the eye tissue of “one’s own people” is exposed to these immune cells, the thyroid gland becomes dysfunctional, and the eye tissue is affected by these immune cells. —Similarly, when the eye tissue is attacked by these abnormal immune cells, a series of eye diseases will be caused, which is also called “Graves’ eye disease” or thyroid eye disease. This is also known as “Graves’ ophthalmopathy” or thyroid eye disease. It can be seen that hyperthyroidism (Graves’ disease) and thyroid ophthalmopathy are in fact the result of the same cause of damage to different target tissues (thyroid, eye), and the relationship between the two is concomitant rather than causal. Reflected in real life, we will often see the “eyes get bigger” and “hyperthyroidism” is always associated with the appearance. The real beauty of the big eyes, often with a wider eyelid slit, when looking directly at the upper eyelid lightly over the upper edge of the cornea, the lower eyelid and the lower edge of the cornea flush and other characteristics. “Smile Qianxi, beautiful eyes look forward to,” the beauty of the girls who do not want to have such a pair of big watery eyes. But what if you have small eyes? “Long enough, make-up to come together”, eye shadow, mascara, PS tools and other tools came into being, many beauty and even with the help of cosmetic surgery to achieve their own “bright-eyed good-looking” dream. So, with the “thyroid eye disease”, really can also make the eyes bigger? The answer is no, otherwise, the current main medical problem may be from “how to cure” into “how to get”. Thyroid eye disease can be categorized into “benign/non-infiltrating protruding eyes” and “malignant/infiltrating protruding eyes” in terms of its mechanism of occurrence. In the former case, the swollen extraocular muscles reduce the pulling force on the eyeball backward, which, together with smooth muscle spasm and eyelid retraction, causes the eyeball to move forward, resulting in symmetrical proptosis. In the latter case, progressive bilateral or unilateral proptosis is caused by infiltration of lymphoid tissue behind the eyeball and increased volume of extraocular muscles. It can be seen, thyroid eye disease is caused by the “protruding eyes” rather than “big eyes”, is the “King Kong angry eyes” rather than “beauty bright eyes “The eyes have never been “bigger”. Thyroid Eye Disease Thyroid eye disease not only can not enhance the beauty, but will cause a series of symptoms. In the early stages of the disease, there will be periorbital erythema and edema, conjunctival edema, orbital inflammation and congestion, and the patient is often conscious of dryness of the eyes, foreign body sensation, photophobia, accompanied by eyelid recession, protrusion of the eyeballs, diplopia, and pain in the eyeballs and behind the ball. During this period, symptoms are usually mild and can return to normal with rest and treatment. However, if the eye lesions continue to progress without timely and effective intervention, the symptoms will worsen irreversibly, leading to obvious eye protrusion, eye movement disorders, corneal ulcers and perforations, optic nerve atrophy, impaired visual function, and in some severe cases, even blindness. What should I do if I have thyroid eye disease? I. Protect your eyes, start from the details of life 1. Cultivate good eye hygiene habits, do not rub your eyes directly with your hands when there is a foreign body sensation, tingling or tearing in your eyes. 2, avoid reading in poor light conditions, eye time should not be too long, often do eye movement, relax the eye muscles, but pay attention to avoid staring upward and other actions. 3.Wear tinted glasses to prevent light stimulation and dust, foreign objects on the eyes, especially when encountering strong sunlight, sunglasses should become a must-have, serious symptoms (such as diplopia obvious) should also wear eye mask. 4, light diet, limit water and salt intake, prohibit spicy and stimulating food, less alcohol. 5, strict smoking cessation, smoking is considered to be the main risk factor for the occurrence and deterioration of thyroid eye disease, which not only worsens the condition of the eye disease, but also reduces the therapeutic effect and increases the therapeutic risk. 6. It is recommended to lie on your back with a high pillow during sleep, which can relieve the increased orbital pressure caused by the obstruction of venous return and reduce the symptoms. 7, if there is a “white” phenomenon (corneal exposure), it is recommended to use lubricating eye drops during the day and lubricating eye ointment at night. 8. Regularly go to the hospital for corneal examination, timely detection and treatment of corneal ulcers, total ophthalmoplegia and other lesions. Keep thyroid function stable It has been proved that when the patient’s thyroid function is abnormal (including hyperthyroidism and hypothyroidism), the prevalence of ophthalmopathy is also significantly higher, and the symptoms of ophthalmopathy can be alleviated after the thyroid abnormality is corrected. Glucocorticosteroids are the first line of treatment for thyroid-related eye disease, and some patients may also choose hormones combined with immunosuppressants and radiation therapy. Surgery When medication is ineffective, or the condition has progressed to the extent that optic neuropathy, strabismus, eyelid recession, corneal exposure, etc. cannot be resolved by medication alone, professional ophthalmologists are required to perform surgery. The main goals of surgery are to maintain the function of the optic nerve, protect the cornea from exposure, and restore the aesthetics of the eye. These include orbital decompression, strabismus correction, and eyelid retraction correction. In summary, hyperthyroidism (Graves’ disease) and thyroid eye disease are different target organ pathologies of the same etiology, and often occur in conjunction with each other. Hyperthyroidism itself can not “open the eyes”, patients once the symptoms related to eye disease, we must consult the doctor in a timely manner, under the guidance of early intervention, scientific treatment, in order to ensure our health, as well as beauty.