Thyroid Eye Disease - Double Vision

Thyroid Eye Disease
	Options for Orbital Reconstruction
	Double Vision Surgery
	Eyelid Surgery
	Other Facial Rejuvenation Options
	Before & After Pictures

Double Vision Surgery

Inflammatory cells invade the eye muscles resulting in discomfort and double vision. As the inflammatory process subsides, fibrosis is deposited making the eye muscles function even more limited. The eyes may move inwards (esotropia) or one or both eyes may have difficulty looking upwards (hypotropia).

During the active phase, steroids (either oral prednisone or intravenous methylprednisolone) may be helpful. Temporary prisms (fresnel prisms that are applied to your glasses) may be helpful in some cases.

Surgery is usually reserved for when your eyes are no longer red and swollen and the double vision is stable from day to day.

Strabismus means that eyes are not aligned. Inflammation and enlargement of the eye muscles can pull/push the eye in different directions such that each eye sees a different image, and this can cause double vision.

Eye Straight	Left eye hypertropia
Incision line for strabmisbus surgery	Incision made to allow surgeon to find muscle
Eye muscle isolated	Suture placed in muscle before it is cut
Eye muscle is cut	Eye muscle is repositioned
Knot is tied	Position of muscle compared before & after

Pre and Post-Op Strabismus Surgery Instructions
Before & After Pictures of Thyroid Eye Surgical Procedures
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