Thyroid Symptoms: Underactive and Overactive Signs to Watch
There are two opposite patterns. An underactive thyroid usually causes tiredness, weight gain, feeling cold, constipation, dry skin or hair, low mood…
Graves' Eye Disease Treatment in Lahore
Graves' eye disease, also called thyroid eye disease, is an autoimmune condition in which the immune system attacks the muscles and fat behind the eyes. This swelling pushes the eyes forward and can cause dryness and double vision, and if the optic nerve is squeezed, loss of sight. Its treatment is timed by the Clinical Activity Score taken at every appointment, and corrective eye surgery is coordinated with eye surgeons in Lahore once the disease has been inactive for six months.
ConsultantDr. Rizwan NiaziConsultant Endocrinologist, DHA Lahore
Experience21+ yearsWeight Loss, Diabetes and Hormone Care
QualificationsMBBS · MCPS · MDMRCP and PG Dip. Diabetes (UK)
Member ofADA & ATA (USA)American Diabetes and American Thyroid Associations
گریوز آئی ڈیزیز، آنکھوں کی تھائیرائیڈ بیماری
(عام نام: تھائیرائیڈ کی وجہ سے آنکھوں کا باہر نکلنا) یہ بیماری اس وقت ہوتی ہے جب جسم کا مدافعتی نظام آنکھوں کے پیچھے موجود پٹھوں پر حملہ کرتا ہے، جس سے آنکھیں سوج کر باہر نکل آتی ہیں۔ یہ عام طور پر تھائیرائیڈ کے مریضوں میں ہوتی ہے مگر تھائیرائیڈ نارمل ہونے پر بھی ہو سکتی ہے۔ بروقت علاج نہ ہو تو بینائی مستقل متاثر ہو سکتی ہے۔
Symptoms of Graves' Eye Disease
Symptoms can affect one or both eyes, and at first they are often mistaken for allergies or tiredness.
Early Warning Signs
Dry or constantly watery eyes, light sensitivity, puffy eyelids in the morning, redness and an ache behind the eye.
Progressive Symptoms
Bulging of one or both eyes, double or blurred vision, pain on eye movement, a wide staring look and trouble closing the eye.
Seek Urgent Help Now
A sudden change in vision, an eye that will not close at night, rapid redness and pain, fading colours or fast-increasing bulging.
Why Timing Matters: The Active Phase
Left untreated during the active phase, which usually lasts 12 to 18 months, it can cause permanent damage, so early care protects sight and appearance.
When treatment starts early, inflammation is stopped before permanent scarring, bulging often settles or improves, and vision is protected in the vast majority of patients; surgery may be avoided altogether. The disease usually becomes inactive within 18 months. Some bulging or double vision may remain, eyelid changes often partly correct themselves, and regular follow-up catches any flare-up early.
What you can do:
- Stop smoking, the biggest thing within your control.
- Keep your thyroid levels stable at all times.
- Never miss a follow-up appointment.
- Use your eye drops daily, even when your eyes feel better.
- Tell Dr. Rizwan straight away if your vision changes.
What Triggers Graves' Eye Disease?
The same antibodies that attack the thyroid attack the tissue behind the eyes, and it can happen even when thyroid levels are normal.
That is why a normal thyroid test does not rule it out, and why antibody testing matters. It is an autoimmune reaction, not something you caused.
Graves' or Overactive Thyroid
People with Graves' disease or an overactive thyroid are most at risk.
Cigarette Smoking
Smoking doubles the risk, raises the antibodies behind the disease and makes anti-inflammatory treatment work less well.
Women More Often
Women are 5 times more likely to be affected than men.
Age 30 to 60
The 30 to 60 year age group is most often affected.
Family History
A family history of autoimmune thyroid conditions raises the risk.
Poorly Controlled Thyroid
Unstable thyroid levels make the eye disease more likely to start or worsen.
How Graves' Eye Disease Is Assessed in Lahore
An eye examination measures how far each eye is pushed forward, how it moves, your vision and the position of the eyelids.
Thyroid blood tests, TSH, T3 and T4, and the antibody tests that show the immune system attacking eye tissue are available at all major labs in Lahore. The Clinical Activity Score is an internationally validated measure of the inflammation in and around the eye, and a score above a set threshold means active disease that needs treatment now.
For moderate or severe cases, an orbital CT or MRI scan gives a detailed picture of the muscles and fat behind the eye and checks whether the optic nerve is under pressure.
Graves' Eye Disease Treatment in Lahore, Stage by Stage
Mild disease is managed with lubricating drops, selenium, sunglasses and stopping smoking, while moderate to severe active disease needs anti-inflammatory treatment and severe disease needs urgent care.
Mild: Monitor and Protect
Drops to protect the cornea, selenium supplements, UV-protective sunglasses, tight thyroid control and activity scoring every 3 months.
Moderate to Severe: Active Treatment
Anti-inflammatory infusions or tablets, orbital radiotherapy in selected cases, activity scoring every 6 weeks and eye care shared with ophthalmology.
Severe: Urgent Care
If sight is at risk: emergency high-dose treatment, urgent decompression surgery for the optic nerve and checks every few days.
Corrective Surgery Later
Remaining bulging, double vision or eyelid changes are corrected with planned operations, done in sequence.
Radioactive iodine for the thyroid can trigger or worsen the eye disease while it is active, so if it is needed it is planned alongside eye-protective measures, or another thyroid treatment is chosen. For the thyroid side, see Graves' thyroid disease treatment.
Dr. Rizwan is one of the very few consultants in Lahore with dedicated thyroid eye disease expertise, and his care follows the international EUGOGO guidelines.
Eye Changes With a Thyroid Condition? Book an Assessment
New eye changes should not wait: contact the clinic by WhatsApp or phone as soon as you notice them, Mon to Sat, by appointment.
Book a consultation with Dr. Rizwan Niazi
Send a WhatsApp message or call the clinic to choose a time.
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