Thyroid Eye Disease and Glaucoma- the double sword
Author: Cornelia Poitelea
Base Hospital / Institution: University Hospitals Sussex
ePoster presentation
Abstract ID: 24-328
Purpose
We would like raise awareness of the risk of glaucoma optic neuropathy that can be associated to the thyroid eye disease, due to a series of possible mechanisms. This association has been previously recognised, however, it may be overlooked in the oculoplastic clinics and a thorough glaucoma examination, including angle morphology and monitoring beyond the active phase of the thyroid eye disease is required in order to avoid visual loss.
Methods
We present a series e of cases presenting with either angle closure features and/or high intraocular pressure and we look at the the current data on this association. We discuss the current proposed mechanism that lead to this association as well as possible treatments.
Results
Rise in intraocular pressure can be linked to a multitude of causes, including pretrabecular, trabecular and post trabecular meshwork conditions, with some publications listing up to a third of patients having a diagnosis of glaucoma.
Conclusion
Raised intraocular pressure can be a common feature in active thyroid eye disease, however, the mechanism of pressure rise has to be investigated and treated accordingly. Angle morphology and laser iridotomy may need to be performed in some cases and the oculoplastic surgeons may need to ask for help from the glaucoma colleagues for long term monitoring and treatment of high risk patients. The treatment may involve longterm topical treatment, laser or surgery.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Roshni | Sawh | University Hospitals Sussex |
| Kimberly | Hastings | University Hospitals Sussex |
