Thyroid eye disease. Squint surgery - The operation

Thyroid Eye Disease - Squint Surgery

Introduction to Thyroid Eye Disease

Thyroid Eye Disease (TED) is an autoimmune condition associated with thyroid disorders such as Graves' disease. It can cause inflammation, swelling, and a range of eye-related symptoms, including double vision. In severe cases, TED can lead to the misalignment of the eyes, known as strabismus or squint.

What is Squint Surgery?

Squint surgery, also known as strabismus surgery, is a procedure to correct the alignment of the eyes. This surgery is performed to improve eye coordination and relieve double vision. It involves tightening or loosening the muscles around the eyes to reposition them appropriately.

Preoperative Assessment

Before the operation, a thorough assessment is essential. This includes a full eye examination, imaging studies, and measurements of the misalignment. The surgeon will review the patient's medical history and discuss potential risks and benefits of the procedure.

The Surgical Procedure

The operation is typically done under general anaesthesia, although local anaesthesia may be used in some cases. The surgeon makes small incisions in the tissue covering the eye. Depending on the need, the eye muscles are either shortened (tightened) or lengthened (weakened) to correct the eyes' alignment. The procedure usually lasts 60 to 90 minutes.

Postoperative Care

After the surgery, patients may experience mild discomfort, redness, and swelling. It is normal to have blurred vision temporarily. The doctor will prescribe medication to prevent infection and manage pain. Follow-up appointments are crucial to monitor healing and ensure the success of the surgery.

Recovery and Results

Recovery time varies, but most patients return to normal activities within a week. Squint surgery has a high success rate, with many patients experiencing significant improvement in eye alignment and reduction in double vision. In some cases, additional surgeries may be necessary for optimal results.

Where to Get Treatment in the UK

Many hospitals and clinics across the UK offer squint surgery, including NHS and private practices. It is important to choose a specialist with experience in treating Thyroid Eye Disease. Consulting with your GP for a referral to an ophthalmologist is a good starting point.

Conclusion

Squint surgery for Thyroid Eye Disease can significantly enhance the quality of life for affected individuals. Proper assessment, skilled surgical intervention, and diligent postoperative care are critical components for achieving the best outcomes.