With the presence of proptosis, the lids are unable to completely cover the corneal surface, and the eye dries out. Discomfort and vision loss can occur. In severe cases, significant disfigurement may be experienced due to proptosis and periorbital swelling. Patients may also have functional difficulties including double vision, corneal exposure, or possible vision loss from compression of the optic nerve. Thyroid ophthalmopathy can be sight threatening.
Treatment is essential.
Prisms are effective in the treatment of double vision. Artificial tears and other lubricants may be used to treat corneal exposure. Sometimes taping the eyelids closed at night may help. If swelling around the eyes seems worse upon awakening, simply elevating the head of the bed may help alleviate this problem.