
Keeping the head elevated in bed at night can help reduce swelling from the thyroid eye to a certain extent. Selenium supplements can help if eye swelling is mild. Medications such as steroids and immunosuppressants that treat inflammation also bring down the swelling.
If a thyroid eye disease is severe, the doctor may perform radiotherapy to the tissue behind the eyes to reduce swelling, but this therapy is sparingly used because it can induce eye tumors.
Using artificial tears and eye ointments to keep the eyes lubricated can help with dry eyes from thyroid eye disease. Symptoms of thyroid eye disease usually take several months to subside and changes in the eyes from the disease often require surgical treatment.
Check with your doctor before using supplements or other medications.
What is thyroid eye disease?
Thyroid eye disease, also known as Graves’ eye disease, is an autoimmune condition in which the body’s immune system attacks the fat and muscle tissue within the eye socket, causing inflammation. Thyroid eye disease is not directly caused by Graves’ disease but arises from the same autoimmune condition that causes Graves’ disease.
Graves’ disease is a condition in which the immune system attacks the thyroid gland, resulting in an overactive thyroid (hyperthyroidism). Hyperthyroidism causes an abnormal increase in the metabolic rate that leads to symptoms such as fast and irregular heartbeat, tremors, fatigue, and weight loss.
Thyroid eye disease develops in approximately 50% of people with Graves’ disease. Thyroid eye disease is associated with hyperthyroidism in 90% of the cases. Approximately 5% of thyroid eye disease patients have an underactive thyroid (hypothyroidism) and 5% have normal thyroid function.
What are the symptoms of thyroid eye disease?
The symptoms of thyroid eye disease include:
Early symptoms:
- Eye redness, pain, and/or itching
- Puffiness of the eyes
- Watering eyes or dry eyes at different times
- Irritation or gritty feeling in the eyes
- Sensitivity to light
- Bulging eyes
- Swelling of eyelids
- Double vision
Late symptoms:
- Protrusion of the eyes and inability to close the eyelids
- Ulcers in the cornea from dryness
- Reduced eye and eyelid movements because of swelling
- Compression of the optic nerve from swollen tissue
- Loss of vision, rarely

QUESTION
Where is the thyroid gland located? See AnswerWhat causes thyroid eye disease?
Thyroid eye disease is caused because the immune system mistakenly attacks healthy muscle and fat tissue around the eyes. Normally, the immune system attacks foreign organisms and abnormal cells such as cancer cells in the body.
In Graves’ disease, the immune system develops antibodies that attack the thyroid gland. In Graves’ eye disease, the antibodies attack the tissue around the eyes, likely because these tissues contain proteins that appear similar to the proteins in the thyroid gland.
Women are five times more likely than men to be affected by thyroid eye disease, possibly because women are more prone to autoimmune disorders. Smoking, including secondhand smoke, increases the risk for developing thyroid eye disease with more severe consequences.
Is thyroid eye disease curable?
Thyroid eye disease cannot be cured but can be managed well with appropriate treatment. The inflammation phase may last from six months to two years, but usually, the eyes become stable once normal thyroid levels are maintained.
Some of the changes that come from thyroid eye disease can be surgically corrected once the inflammation subsides, however, some changes may be permanent, depending on the severity of the condition.
Permanent loss of vision is extremely rare but can happen if the disease is left untreated until a late stage of the disease. After treatment, thyroid hormone levels, as well as the condition of the eyes, must be evaluated on a regular basis and treated as needed.
Health News
- Weed-Friendly Posts on Social Media Get Teens Using Cannabis
- Deer Carry COVID Variants No Longer Seen in People
- Working Gets Tough When Grieving a Lost Spouse
- Obamacare Helped Women in Some Southern States Get Better Breast Cancer Care
- AHA News: Pregnancy Complications Could Increase Woman's Stroke Risk at Earlier Age
More Health News »
What is the treatment for thyroid eye disease?
Treatment for thyroid eye disease depends on the symptoms and severity of the condition. The patient first undergoes tests to evaluate thyroid hormone levels. Treatment includes correcting abnormal thyroid levels. The eyes may be checked for the presence of tissue swelling, with CT or MRI scans.
Hyperthyroidism is treated with antithyroid medications that prevent the thyroid gland from producing excess thyroid hormone. Anti-thyroid medications include:
- Carbimazole
- Propylthiouracil
Hypothyroidism is treated with thyroid hormone (thyroxine) tablets to maintain normal levels of thyroxine, which is usually a lifelong treatment.
Thyroid eye disease treatments involve two phases;
- first, when the inflammation is active phases
- second, to correct eye changes after the inflammation has subsided.
Active phase
In January 2020, the FDA approved the first medication to specifically treat thyroid eye disease. The medication is a human-derived monoclonal antibody, which blocks the inflammatory activity of an enzyme known as insulin-like growth factor-1 receptor (IGF-1R) and reduces inflammation in the eyes. The medication approved by FDA is:
- Teprotumumab (Tepezza)
Symptom-based treatments during the active phase include:
- Dry eyes:
- Use of artificial tears and sunglasses during the day
- Eye ointments in the night
- Using eye pads or keeping eyes taped close to protect and keep them moist.
- Swelling:
- Selenium supplements
- Sleeping with the head elevated
- Steroids such as prednisone
- Radiotherapy to the tissue at the back of the eyes
- Double vision:
- Use of special glasses with prisms
Remission phase
After remission is achieved, treatments for thyroid eye disease are usually surgical procedures to correct changes to the eyes caused by the disease. Surgeries may include one or more of the following, depending on the patient’s condition:
- Eyelid surgery: Eyelid surgery may be required to reposition the eyelids if the eyeballs are protruding and it is difficult to close the eyes completely.
- Eye muscle surgery: Scar tissue from inflammation can make the eye muscle short and stiff and cause misalignment of the eyes which can result in double vision. Eye muscle surgery is performed to realign the eye muscles and correct double vision.
- Orbital decompression surgery: Swollen tissue at the back of the eyes can compress the optic nerve and compromise vision. Orbital decompression surgery involves the removal of a bone between the eye orbit and sinuses to make space for the swollen tissue and remove the pressure from the optic nerve.

SLIDESHOW
Hyperthyroidism: Symptoms, Treatment, Medication See SlideshowHealth Solutions From Our Sponsors
https://www.yourhormones.info/endocrine-conditions/thyroid-eye-disease/
https://www.thyroid.org/graves-eye-disease/
https://my.clevelandclinic.org/health/diseases/17558-thyroid-eye-disease
https://www.umkelloggeye.org/conditions-treatments/thyroid-eye-disease
Top How Can I Reduce Swelling from Thyroid Eye? Related Articles
Can Thyroid Cause Burning Mouth Syndrome?
Yes, thyroid disease may cause burning mouth syndrome. Burning mouth syndrome is a severe, painful condition characterized by burning sensations in the tongue, lips, palate (roof of the mouth), gums, inside of the cheeks, and the back of the mouth or throat. The feeling is often described as a scalding or tingling sensation.Graves' Disease
Graves' disease is an autoimmune disease that affects the thyroid. Some of the symptoms of Graves' disease include hand tremors, rapid heartbeat, trouble sleeping, enlarged thyroid, thinning of the skin or fine brittle hair. Causes of Graves' disease are thought to be multifactorial such as genes, gender, stress, and infection. Treatment for Graves' disease is generally medication.How Does Graves Disease Affect the Body?
Graves’ disease is an autoimmune disease that affects the thyroid gland. In this disease, there is an overproduction of thyroid hormones. Thyroid hormones control the body’s metabolism, so they affect almost all the organs of the body.How Does Graves’ Disease Affect Your Eyes?
What is Graves' disease, and how does it affect your eyes? Learn the signs of thyroid eye disease, what causes it, and how it is treated.How Invasive Is Thyroid Surgery?
The thyroid gland is shaped like a butterfly and sits just below Adam’s apple. It is attached to the deeper neck structures (trachea and voice box) and elevates when we swallow.Thyroid Blood Tests
Thyroid blood tests determine the adequacy of the levels of thyroid hormones in in a patient. The blood tests can determine if the thyroid gland's hormone production is normal, overactive, or underactive. The level of thyroid hormones may help to diagnose hypothyroidism or hyperthyroidism. The test may also point to other diseases of conditions of the thyroid gland.
Thyroid Disorders Symptoms and Signs
Thyroid diseases and disorders are caused because the body either makes too much or too little thyroid hormones, which are necessary for vital functions of the body.Thyroid disease and disorder symptoms and signs depend on the type of the thyroid problem. Examples include heat or cold intolerance, sweating, weight loss or gain, palpitations, fatigue, dry skin, constipation, brittle hair, joint aches and pains, heart palpitations, edema, feeling bloated, puffiness in the face, reduced menstrual flow, changes in the frequency of bowel movements and habits, high cholesterol, hoarseness, brittle hair, difficulty swallowing, shortness of breath, a visible lump or swelling in the neck, tremors, memory problems, depression, nervousness, agitation, irritability, or poor concentration.
Thyroid problems are more common in women.
Thyroid Disorders
There are several types of thyroid disorders including hypothyroidism, hyperthyroidism, goiters, thyroid nodules, and thyroid cancer. Symptoms vary by condition. Diagnosis is made with blood tests, scans, ultrasound, or biopsy. Treatments depend on the disorder and can include medication or surgery.Thyroid Peroxidase Test
The thyroid peroxidase test measures the level of an antibody that is directed against thyroid peroxidase (TPO). A presence of TPOAb in the blood reflects a prior attack by the body's immune system on thyroid tissue. A positive thyroid peroxidase test may signal chronic thyroiditis. Other autoimmune disorders, however, may have a positive TPOAb test.Illustrations of Thyroid
The thyroid is a butterfly-shaped gland located in the front of the neck just below the Adams apple. See a picture of the Thyroid and learn more about the health topic.Your Thyroid: Common Thyroid Problems and Diseases Explained
Learn about thyroid problems such as hyperthyroidism, hypothyroidism, thyroid cancer, and more. Discover symptoms and treatments for various thyroid problems.Thyroid Quiz
Your unexplained change in weight could indicate a thyroid condition. Take the Thyroid Quiz to learn about common symptoms and treatments of overactive and underactive thyroid disorders.Thyroid Scan
Thyroid scanning is used to determine how active the thyroid is in manufacturing thyroid hormone. This can determine whether inflammation of the thyroid gland (thyroiditis) is present. It can also detect the presence and degree of overactivity of the gland (hyperthyroidism) or, conversely, it can determine the presence and degree of underactivity of the gland (hypothyroidism).Thyroid Problems
The thyroid gland is a butterfly-shaped gland located in the front of the neck. The thyroid gland produces important thyroid hormones, which are produced by the pituitary gland. There are six types of thyroid problems. Home remedies, medications, surgery, lifestyle changes, and surgery. Usually, most types of thyroid problems can be managed with home remedies, medications, lifestyle changes (diet, yoga), and surgery.What Kind of Doctor Treats Thyroid Eye Disease?
Thyroid eye disease, also known as Graves’ orbitopathy or Graves' ophthalmopathy, is an eye condition that happens in a person with an overactive thyroid. Most eye surgeons (ophthalmologists) and hormone specialists (endocrinologists) will be in contact with an oculoplastic surgeon with experience in treating patients with thyroid eye disease.