Dr.PARMITA DUTTA

Dr.Jawahar Jyoti Kuli

Abstract

Thyroid eye disease is associated in 10% cases with euthyroidism.A 40 year old male came to opd with the complains of protrusion of left sided eyeball since 4 weeks,insidious in onset and gradually progressive in nature,associated with drooping of left upper eyelid, associated with redness and soft tissue swelling since 1 month.

O/E:Left axial proptosis, Luedds exophthalmometry ,R/E-23 mm,L/E-26 mm, Ptosis-4 mm L/E, Lid lag sign present,mild conjunctival congestion,periorbital edema. V/A- R/E-6/18,L/E-6/18.

Thyroid Function Tests: normal

CT SCAN ORBITS: Left Medial and lateral rectus hypertrophy with choroid inflammation

MRI: bilateral enlarged recti,more on the left side with tendinous sparing, suggesting thyroid ophthalmopathy.

After Medicine consultation,treatment:Tab Neomarcazole10 mg TID,Tab propranolol40 mg BD ,Lubricating eye drops and ointment.

At 6 months-Serum TSH<0.015, BCVA-6/6 B/E, Luedds exophthalmometry-R/E-23 mm,L/E-23mm with gradual resolved signs and symptoms.