Hyperthyroid synophthalmos can be divided into simple synophthalmos and infiltrative synophthalmos. Hyperthyroid synophthalmos that requires hormonal impact is usually infiltrative synophthalmos, and infiltrative synophthalmos is usually not curable.
1. Simple synophthalmos: Simple synophthalmos is due to sympathetic nerve excitation, which further leads to increased tension of the extraocular muscles and the levator ani muscle, clinically manifested as an increase in the size of the eyelid fissure, after the hyperthyroidism has been effectively controlled, the synophthalmos can be restored to varying degrees, and some patients can even be cured.
2. Infiltrative synophthalmos: infiltrative synophthalmos is mainly caused by immune factors, local lymphocyte infiltration, extraocular muscles and post-orbital tissue volume increase, hormone impact can only relieve local inflammation, but for the role of the tissue has been proliferated effectively, so the hormone impact can not be a complete cure for hyperthyroidism synophthalmos, but only a certain degree of symptomatic relief.
Patients with infiltrative proptosis complain of photophobia, diplopia, blurred vision, which can be combined with ocular muscle paralysis, due to the high degree of protrusion of the eyeball leading to corneal exposure, resulting in congestion, edema, infection, and in severe cases, blindness.
Hyperthyroidism caused by protruding eyeballs should be treated in regular hospitals as soon as possible, and untimely treatment may cause irreversible damage to the patient’s eyes.
Hyperthyroidism protruding eyes can consult the endocrinology department, standardized treatment under the guidance of physicians.