Can Medications Like Hydroxychloroquine That Treat Autoimmune Diseases Cause Eye Damage
Hydroxychloroquine is a medication used to treat many autoimmune diseases. It can be very effective, with few side effects. Rarely, hydroxychloroquine can cause damage to the cells in the macula the center of the retina and hurt your vision. This problem, called hydroxychloroquine maculopathy, is more likely if youre taking higher doses for 5 years or more. If youre taking hydroxychloroquine, you should have regular eye exams to watch for early signs of hydroxychloroquine maculopathy.
Steroids are often prescribed to control autoimmune diseases. Steroids work very well in most cases and rarely cause serious side effects if used short term. However, they have many side effects if used long term. Steroids can cause problems with the eyes like cataracts and glaucoma.
How To Enhance Hearing Protection
Because ear sensitivity can occur for a variety of reasons, its best to consult a healthcare professional for a proper diagnosis.
If you suspect a connection with a thyroid issue, seek an endocrinologist, a doctor who specializes in the endocrine system, particularly hormones.
You may undergo a series of blood and auditory tests to confirm the connection. Usually, to deal with hormone problems, the doctor may prescribe medications or hormone replacement therapy .
For a more holistic approach to treating your ear sensitivity, LIV Health offers a personalized healthcare plan.
You can also reduce the symptoms of your ear problem by:
- Limiting exposure to noises with high decibel levels
- Undergoing cognitive-behavioral therapy if the reason is due to mental health issues like PTSD or anxiety
- Opting for sound therapy or ear retraining such as exposure to pink noise or white noise to improve hearing response
- Treating the root cause of hypothyroidism, including mineral and vitamin deficiencies
What is cognitive-behavioral therapy? It is a type of psychotherapy that emphasizes the changing of a persons negative thoughts or behavior.
What is pink noise? It is a color noise deeper than white noise, such as the rustling of leaves. Since the noise spreads, it doesnt hurt the ears.
Have you experienced hearing problem symptoms due to hypothyroidism? Share your experience with us in the comments below.
How Common Is Thyroid Eye Disease
About one in four patients with Graves disease will have thyroid eye disease. It does not occur with other causes of an overactive thyroid .
Thyroid eye disease is almost five times more common in women than men. However, the disease is often more severe in men. In 90% of people it is associated with an overactive gland, in which case it may be diagnosed before, after, or at the time of diagnosis of Graves disease. In 5% of people it is associated with an underactive thyroid gland and 5% of people affected do not have any thyroid problems. Thyroid eye disease is seven times more likely to occur in smokers.
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Graves Disease And Vision Loss What You Need To Know
If you or someone you love has just been diagnosed with Graves Disease, youre probably unsure of what to expect. When first diagnosed, one of the bigger concerns people have is the potential loss of eyesight due to Thyroid Eye Disease. So how does Graves Disease affect the eyes?
What is Graves Disease?Graves Disease is an autoimmune disease that affects the thyroid gland. It is the most common type of hyperthyroidism which is sometimes referred to as having an overactive thyroid. Those suffering from Graves Disease will experience most of the effects associated with hyperthyroidism, including weight loss, nervousness, muscle weakness, brittle hair and nails, tremors, difficulty sleeping, and an overabundance of energy followed by extreme tiredness. In addition to these side effects, many of those with Graves Disease will likely experience a skin disease known as pretibial myxedema and eye problems.
How does Graves Disease affect eyesight?Graves Disease can cause proptosis bulging eyes caused by the swelling and inflammation in the muscles and tissue surrounding the eye. The side effects associated with Graves Disease are sometimes called Thyroid Eye Disease , Graves Eye Disease or Graves Ophthalmopathy. The bulging associated with proptosis can make it difficult for eyelids to protect the eyes, ultimately resulting in unpleasant side effects like dry, painful and irritated eyes.
Dry Blurry Eyes And Hypothyroidism
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- Managing eye health with hypothyroidism
Eye problems are not commonly associated with hypothyroidism, an underactive thyroid. However, if you have Hashimoto’s thyroiditis, you may be at higher risk for eye disease. Hashimoto’s thyroiditis is an autoimmune condition that damages the thyroid gland. According to the American Thyroid Association, six-percent of people with Hashimoto’s have eye disease related to their thyroid functioning.
Eye conditions related to the thyroid are more common with Graves’ disease, an autoimmune condition causing hyperthyroidism than they are with Hashimoto’s. Indeed, one of the hallmark symptoms of Graves’ disease is bulging eyes. While thyroid-associated eye disease may get overlooked in people with Hashimoto’s, studies find that both hyper- and hypothyroid autoimmune processes can cause uncomfortable eye symptoms.
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What Are The Symptoms Of Thyroid Eye Disease
If you have Graves disease, eye symptoms most often begin within six months of disease diagnosis. Very rarely, eye problems may develop long after the Graves disease has been treated. In some patients with eye symptoms, hyperthyroidism never develops and, rarely, patients may have hypothyroidism. The severity of the eye symptoms is not related to the severity of the hyperthyroidism.
Symptoms of thyroid eye disease are caused by the tissues, fat, and muscles of the eye socket swelling and pushing the eyeball forward. It may be possible that symptoms may appear in one eye more than the other. The symptoms of thyroid eye disease include:
Dry, gritty and irritated eyes
Bulging eyes and lid retraction giving a staring or startled appearance
In more advanced thyroid eye disease, there may also be:
- Trouble moving eyes and closing eyes
- Inability to completely close your eye causing a corneal ulcer
- Colors appear to be dull or not as bright
- Blurred or loss of vision due to optic nerve compression or corneal damage
Thyroid Eye Disease Center
Quick link – Oculofacial Plastics and Reconstructive Surgery
The eye changes associated with thyroid disease are referred to as Thyroid Eye Disease . Your doctor may also use the term Thyroid Associated Orbitopathy . Although TED is seen in all types of thyroid disorders, it is most common in patients that are or were hyperthyroid. It also rarely occurs in those who are hypothyroid and even when there is an absence of thyroid abnormalities in the body.
Thyroid disease can cause multiple eye problems. These include redness and swelling, double vision, decreased vision, eyelid retraction , and a bulging of the eye itself. It is important to realize that if one of these occurs, it does not mean you will necessarily get all the other symptoms too.
Eye problems will usually occur and frequently change in type or severity for between six months and two years. Once stabilized, it is unusual for the eyes to start changing again. Some patients are left with permanent changes, and in others the eyes return to normal. A great deal can be done to improve these conditions with medical treatment, although some patients will need surgery to help ease their issues.
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Who Is At Risk For Thyroid Eye Disease
Thyroid eye disease is most commonly associated with Graves disease. It can also occur with normal thyroid hormone levels or low levels of thyroid hormones .
Other risk factors for thyroid eye disease include:
- Age: Usually affects middle-age adults but can occur at any age
- Gender: Females are affected more than males
- Family history of thyroid eye disease
- Smoking: Smoking increases the risk of thyroid eye disease by 78 times, causes thyroid eye disease to have a longer active phase, and it reduces the effectiveness of treatments
- Radioactive iodine therapy: Radioactive iodine has been used to treat hyperthyroidism and Graves disease. This treatment should be used with caution in people with active thyroid eye disease as it may worsen the condition unless steroids are given at the same time
- Low blood levels of selenium, a dietary mineral.
Is There A Connection Between Dry Eye And Thyroid Health
A link has been noted between thyroid antibodies and eye conditions, but the exact reasons for this link still needs further study. What is clear is that autoimmune conditions cause your immune system to attack or overreact to healthy cells.
For people with autoimmune thyroid conditions, this sometimes includes the healthy cells around the eyes. Immune cells will react abnormally to the tissue and muscle around the eyes, causing dry eye.
They can also cause inflammation of your lacrimal glands, where tears are made, further drying out your eyes. And because thyroid eye disease can cause your eyes to bulge, this may also exacerbate dry eyes.
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Amalgam Is A Controversial Subject
Dental amalgam fillings are a controversial subject and a matter of many debates among scientists. While some agree, they are harmful to our health others to disagree. For example, in their report, the FDA concluded there is insufficient evidence to support an association between exposure to mercury from dental amalgams and adverse health effects in humans, including sensitive subpopulations.
That being said, WHO is not so quick to claim amalgam is entirely harmless. The organization stated that contemporary dental restorative materials, including dental amalgam, are considered to be safe and effective. However, adverse biological reactions to the materials do occur occasionally, and they need to be treated on an individual basis. WHO report also stated the organization recognizes the importance of concern about amalgam and will continue to monitor the safety and effectiveness of this and other dental restorative materials.
On their website, WHO, wrote about mercury in general and explained that it might have toxic effects on the nervous, digestive, and immune system as well as it can affect lungs, eyes, kidneys, and skin. Whats more, WHO considers mercury as one of the top 10 chemicals or groups of chemicals of major public health concern.
When it comes to the safety of dental amalgam fillings, the jury is still out there. But, its worth mentioning that many dentists dont recommend these fillings to their patients anymore.
Fact: If You Have Ted You Should See An Ophthalmologist Who Has Experience Treating Ted
Thyroid Eye Disease is a unique and rare eye condition, and not all doctors are used to treating it. Thats why its important that you see a doctor who has the right experiencea TED Specialist.
TED Specialists are ophthalmologists who usually have advanced training, such as oculoplastic surgeons, neuro- ophthalmologists, and strabismus surgeons.
While there are about 20,000 eye doctors in the US, most are not used to seeing TED patients. TED Specialists have advanced training in specific types of eye and vision care.
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The Eye Specialist Role
Roger Dailey, M.D., F.A.C.S., specializes in TED and has nearly 30 years of experience in treating patients that develop thyroid related eye problems. His first role may be to help you get through the time when your eyes are changing and provide simple solutions to the irritation, tearing and swelling often associated with TED. Often this involves something as simple as using artificial tears frequently during the day and lubrication ointment at night. In addition, sleeping with your head elevated at night will often help decrease swelling around the eyes. The second role is to help determine when your eyes have stopped changing so that corrective surgery can commence if necessary. A third role is to help you watch for the rare serious problems associated with TED that need prompt treatment. This may involve some degree of vision loss.
Managing Eye Health With Hypothyroidism
Blurry vision and dry eyes can be the result of several conditions unrelated to your thyroid. Although under-active thyroid may play a role in eye symptoms, it is necessary to rule out other causes because appropriate treatment for dry eyes and blurry vision relies on knowing the root cause. Consider having a complete eye exam by an ophthalmologist to help rule out any possible causes related to the eye itself.
Test your vision
Your visual acuity can change as you age. If you are struggling with blurry vision, visit your eye doctor to assess for changes in your vision.
Treat your thyroid
Optimizing your thyroid function is essential for your overall health and wellbeing. Meet with your endocrinologist if you struggle with blurry vision or dry eyes. Checking your thyroid function is critical in determining the appropriate medication and dose for you. Reclaiming control of your thyroid with the right medication may help relieve irritating eye symptoms.
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What Causes Thyroid Eye Disease
Your immune system protects you from germs and other things that can make you sick. With thyroid eye disease, your body mistakes your own tissue in and around your eyes for a foreign invader. Your immune system then sends out cells called antibodies that attack the fat, muscle, and other tissue in and around your eye.
Experts canât say for sure what triggers this immune response in some people. Researchers are still studying all the causes.
Expert Diagnosis And Treatment For Thyroid Eye Disease
You can protect your eyes from Graves eye disease and other potential negative impacts from your thyroid. Get your condition diagnosed by Dr. Douglas team of experts, and they can develop the best treatment plan for you. Getting early treatment is important, because as many as 10-20% of patients with thyroid eye disease suffer from vision changes.
Treating your thyroid gland problem alone wont resolve your Graves eye disease symptoms. You may need specialist care to reduce the swelling and relieve pressure around your eye sockets. During the active phase of thyroid eye disease, youll need careful monitoring to preserve your vision, as well as corrective care after your symptoms resolve.
Dr. Douglas may recommend artificial tears to address your symptoms of eye discomfort. We can also treat acute autoimmune inflammation for a limited time with prednisone and radiation therapy. If needed, Dr. Douglas is highly experienced with orbital decompression surgery to reduce your ocular pressure levels.
To consult with Dr. Douglas about your eye discomfort, bulging eyes, or thyroid eye disease concerns, get in touch with our office in Beverly Hills, Los Angeles, California. Just .
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Why Did I Get Graves Disease
Graves disease is an autoimmune condition where your immune system mistakenly attacks your thyroid which causes it to become overactive. The cause of Graves disease is unknown, but it mostly affects young or middle-aged women and often runs in families. Smoking can also increase your risk of getting it.
Can Hyperthyroidism Really Affect Your Vision
High levels of thyroid hormones result in symptoms of a hypermetabolic state, with a rapid pulse, heavy sweating, and high blood pressure. You could experience hair loss and struggle to regulate your internal temperature.
You might tend to think of thyroid problems in a weight-loss context. However, about 20 million people in the United States suffer from thyroid-related eye problems of some kind.
Youre not likely to see effects on your eyes or vision if you have an underproductive thyroid . But, if your thyroid gland overproduces, your hyperthyroidism could impact your eyes.
Patients with thyroid eye disease suffer from a type of autoimmune disorder. If you have thyroid eye disease, your immune cells react to your thyroid gland, and often the tissues around your eyes, as well, as they would an attacking foreign body.
Your thyroid responds to your immune system activity by going into high gear, producing higher-than-normal levels of thyroid hormones. During an autoimmune attack related to thyroid eye disease, the muscles and fat around your eyeballs expand, placing potentially dangerous pressure on your eyes. You could also experience redness, swelling, pain, and bulging of your eye area during an attack.
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Can Dental Work Such As Fillings Lead To Thyroid Issues
Our dental health is important and not just because its nice to see pearly whites, but also because it has a huge impact on our overall health and wellbeing.
What happens in our mouth has a major influence on other body functions. Even dental work, such as fillings can affect our health in many ways.
Most of us have had some dental work done, but weve never asked ourselves whether it could contribute to thyroid problems.
Its time to address that subject.
The primary objective of this article is to provide answers and explain whether there is a potential for dental work to increase the risk of thyroid problems or aggravate their symptoms.
Heres What You Should Know About Graves Ophthalmopathy:
- TED generally develops more commonly in women than in men. It is thought that this is due to a higher incidence of hyperthyroidism in women.
- Risk factors include having had radioactive iodine therapy, being middle aged, and smoking cigarettes. Smoking can reduce the effectiveness of medical treatment for Graves.
- TED occurs in about half the cases of Graves disease.
- When TED is active, the symptoms can last from 6 months to 2 years or more. There may be long inactive periods of time with fewer symptoms as well.
- TED has a genetic component, although the underlying mechanism behind the disease is not fully understood.
- People with TED may be at relative risk for other autoimmune disorders. These can include rheumatoid arthritis, lupus, vitiligo, Addison’s disease, celiac disease, and more.
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