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"It's a team approach between primarily endocrinologists and oculoplastic surgeons," Douglas told WebMD.

Once a patient receives a diagnosis of thyroid eye disease, their treatment could involve a team of experts. "Don’t settle for an unsatisfactory answer," he told WebMD. But if patients notice their eyes bulging, or if they experience vision changes or eyelids that won't close completely, Douglas advised seeing a doctor. People often blame aging or allergies for their eye issues, and their symptoms might be dismissed by their provider as mild allergies, Douglas said. Interestingly, it rarely is the presenting symptom of Graves’ disease. The presence of gynecomastia can be explained in thyrotoxicosis due to a concomitant disbalance of sex hormones. It has a variety of underlying causes, such as malignant, drug-related or hormonal. About 80% of patients with thyroid eye disease have already been diagnosed with Graves', but some people with the disease don’t have a thyroid condition at all, according to Douglas. Gynecomastia is a symptom with a potential high disease burden. The condition often affects people who also have Graves' disease, which causes the body to make too much thyroid hormone. A pop-eyed man with Graves disease toxic diffuse goiter, hyperthyroidism.

Fortunately, "the majority of cases are mild," Douglas told WebMD. Symptoms can include redness, dryness, discomfort, irritation or pain behind the eyes as well as eyelid retraction or bulging eyes. In this condition, tissues around your eye become inflamed. Thyroid eye disease is a rare autoimmune condition that causes swelling, inflammation, and damage in the muscles and tissues around the eyes. An autoimmune disorder called Graves’ disease is the most common cause of hyperthyroidism and bulging eyes.
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WebMD recently interviewed surgeon Raymond Douglas, MD, PhD, professor of Surgery and director of the Thyroid Eye Disease Program at Cedars-Sinai, about the signs of thyroid eye disease and how to treat it.
