Your vision is important. Treating thyroid eye disease right away can be crucial in avoiding any complications that can affect normal sight. At the Yale Sinus and Allergy Program, our surgeons
are experts in the latest surgical treatment for thyroid eye disease.
When the muscles in the eyelids tighten due to thyroid eye disease, the whites of the eye around the iris (colored part) show, creating a “surprised” or wide-eyed look. Surgery can help improve this symptom. The procedure is performed through the nostrils with endoscopes and specialized angled and curved instruments. The paranasal sinuses are opened and the thin, bony wall between the orbit and ethmoid sinuses is removed. Incisions are made in the soft tissue envelope, separating the orbital fat and contents from the sinuses. This allows the fat to herniate or bulge into the open sinus cavity and thus relieves the pressure in the orbit. The eye subsequently resumes a more normal position in the orbit, minimizing the proptosis (eye bulging).
In some cases, vision can be impaired with thyroid eye disease. Treatment options in such situations include corticosteroids or other anti-inflammatory medications, radiation, and surgery. A combination of these may be necessary to protect vision. We collaborate with endocrinology and ophthalmology to ensure you receive the most complete treatment possible.
We understand that undergoing surgery can feel intimidating. We are here to answer all your questions and address all your concerns about your surgery and your condition. It is important to us that you feel comfortable and that you understand what to expect before, during, and after your procedure.