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Thyroid Eye Disease Management Tips for Patients

Thyroid Eye Disease may bring new challenges, but these tips can help you continue to live your life

The true impact of Thyroid Eye Disease (TED) goes well beyond the eyes. It can also have a big impact on all aspects of life. While these changes may not always be visible, they shouldn’t be overlooked. Along with learning how to speak up for yourself with your doctor, there are small adjustments you can make—in and out of the house—that can help manage your condition and help you live the life you want.

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What you may experience:

Pain and changes to your vision or how easily you can move your eyes can limit how well you do certain tasks. This can include:

  • Difficulty driving
  • Depending on others for care
  • Having to miss work because of symptoms

Ways to help:

  • Place furniture where you can see it
  • Put the TV and computer where there’s no glare
  • Try to always wear non-slip footwear
  • Use single-use products to avoid measuring
  • Have a designated place where you put things
  • If affordable, robot vacuum cleaners help reduce eye strain and tripping hazards while vacumming
  • Tape down rugs to avoid slips and falls
  • Tape or tuck away all cords to avoid tripping
  • Stay away from heavy air flow areas (like vents and fans)
  • Relieve swelling, redness, and irritation with a warm compress
  • Avoid eucalyptus as it can make eyes burn
  • Use saline solution or artificial tear drops as recommended by your doctor

Learn about a few apps that can help you manage living with vision changes

What you may experience:

Dealing with TED can be frustrating, and you may feel embarrassed about how it changes the way you look. It’s not uncommon to feel:

  • Depressive feelings
  • Anxious
  • Self-conscious
  • A loss of self-worth
  • Like you don’t recognize yourself in the mirror
  • Disconnected from friends, family, and hobbies

Ways to help:

  • Meditation and breathing exercises are great ways to reduce stress and anxiety. Consider downloading a meditation app to your phone
  • Be mindful. Acknowledge your feelings but don’t dwell on the negative. Instead, embrace the positives
  • Listening to audio books can uplift and empower
  • Professional counseling can help you cope with emotional challenges

Learn about some apps to help you with the emotional changes of TED

What you may experience:

How you live with Thyroid Eye Disease can change your social life and your relationships because you may feel self-conscious/embarrassed about the changes to your appearance. For example, you may:

  • Avoid other people and social events
  • Have a hard time making normal facial expressions
  • Have problems holding face-to-face conversations

Ways to help:

  • Shop at stores that you know
  • Run errands at off-peak hours to avoid busy areas
  • Know your limits. Be sure to take breaks in places without light glare, windows, or fans
  • Always have sunglasses available. Keep extra pairs in convenient places such as your car, bag or purse, workplace and at home near your car keys
  • When walking with others, sync your steps at a comfortable pace
  • If traveling, avoid carry-on items—check your bags instead
  • In hotels, put a towel over your pillow to avoid dust hurting your eyes
  • Always remember to bring your eye drops

Connect with others who understand what you’re going through

What you may experience:

If you’re like most people, your smartphone or another electronic device is never out of arm’s reach. But TED can cause vision changes that:

  • Make it harder to read on a small screen
  • Cause the bright light of a screen to be painful
  • Make it difficult to navigate a website or search for what you are looking for
  • Make you feel like you can’t participate in text message conversations with your friends or family

Ways to help:

  • Increase the font size on all of your devices. Most smartphones, tablets, and computers will let you do this from the Settings, Accessibility, or Display menu
  • Activate the Read Aloud function for websites, text messages, and email
  • Adjust the brightness on all of your screens so you can see with less pain
  • Download one of the apps below for people living with changes to their vision






See how Ron and LaQuilla went from discouraged to determined while managing their Thyroid Eye Disease

Video preview of TEPEZZA patient, Ron
Read transcript

Ron:

I’m Ron. I have Graves’ disease and Thyroid Eye Disease. I was in law enforcement for 33 years, and simultaneously in the military reserves for 27.

Vickie:

We’ve been married for 28 years. We were both in the Coast Guard reserves.

Ron:

As a police officer, I periodically would have some blurred vision. Little bit of dizziness. One day I looked in the mirror, my right eye was completely as far as it would go toward my nose and looking upward. I was horrified. I was panicked. I didn’t know what it meant.

Vickie:

So I said we do need to go get this checked out because obviously something is wrong.

Ron:

The bulging and movement of the eyeballs was compressing my optic nerves. There was some question as to whether I would go completely blind. Not a lot of people knew what was happening initially. Then ultimately an endocrinologist said, “Yes, I know what’s wrong with you.”

Text on screen:

After months of increasing symptoms and loss of eye function, Ron was finally diagnosed with both Graves’ disease and thyroid eye disease.

With Ron’s vision rapidly deteriorating, doctors decided they needed to act fast. 

Ron:

To save my vision, and prevent me from going completely blind, they had to perform fairly immediate surgery. And they did the first of six surgeries. Living with Thyroid Eye Disease certainly has its challenges. I had to rely on Vickie either to get me to and from work, or to get me to the bus stop.

Vickie:

My take charge husband having to rely on me and other people when that was not in his personality, which increased his frustration.

Ron:

I was not allowed on a public bus one time because I couldn’t read the destination above the driver’s windshield. And I asked him, “Does this bus go to so-and-so?” And he said, “Read the, the thing!” And I said, “I can’t!” And he says, “Well, then get off the bus!” I said, “I can’t read it because I’m legally blind.” Which I was. There was no bus ride for me that day. My blurred vision and such deteriorated to the extent I knew I could not perform on patrol duty. The Chief and the Captain had me turn over my weapon, and suddenly I can no longer do the things that cops do. 

Text on screen:

Today, more than two decades since Ron’s diagnosis, they push forward with strength and gratitude.

Ron:

There are days when my eyes will start to cross or wander around and I’ll have dizziness and blurred vision, but I absolutely refuse to be a victim. For anyone who is suddenly having an onset of blurred vision, please don’t wait, don’t take chances, contact an endocrinologist and an ophthalmologist. Both of whom are experience with Thyroid Eye Disease and Graves’.

Vickie:

And I would add, that even if you don’t know that those are symptoms of Graves’ or the onset of Thyroid Eye Disease, if you are having symptoms that are significant—and double vision is definitely a significant symptom of something—don’t just pass it off as “I’m tired.”

Ron:

Vickie has meant everything to me. All is not lost, it’s just the beginning of a journey that can still be a pretty good journey.

Vickie:

We just don’t let any of the good days or bad days stop us from doing anything.

“All is not lost, it’s just the beginning of a journey that can still be a pretty good journey.” — Ron, real TED patient

Video preview of TEPEZZA patient, LaQuilla
Read transcript

LaQuilla:

My life started changing in the nineties, ‘cause we noticed that my eyes were always swollen. We didn’t know what it was. In 2000, I started losing an enormous amount of weight. One hundred pounds in less than a month. That’s when they discovered that I had what’s called hyperthyroidism. I was losing my hair, my nerves was out of whack, my skin complexion had changed—it was like the color of cigarette ashes.

Text on screen:

LaQuilla was finally diagnosed with Graves’ disease and Thyroid Eye Disease.

Thyroid eye Disease is often seen in patients with Graves’ disease, but is a distinct disease.

LaQuilla:

Thyroid Eye Disease is like your eyes are full of sand, sand from the beach. That’s how dry they are. They get dry, they get teary and they begin to protrude—they bulge out, like you’ve been shocked by a ghost. Because everything was going on for so long undetected, I had lost the sight in my left eye. I began to rapidly lose sight in my right eye. I never went out; I wouldn’t let nobody see me. I covered all the mirrors in the house because I didn’t want to see myself. When I walked to the mailbox, the kids used to tease me and say, “Oh my God, look at the monster!” It was a mental experience that I will never forget because all I could do was cry.

Text on screen:

LaQuilla eventually lost her vision in both eyes.

LaQuilla:

I was told I was never going to be seeing again. I was gainfully employed. I was in property management. But there was no way I could do the job that I loved to do without vision. Thyroid Eye Disease took a lot from me. I couldn’t see my children for seven years. I could hear their voice, feel their touch, but not see them. That was unacceptable. There is someone who can help me. I became an advocate for myself because I wasn’t getting the help that I needed. This was the biggest cloud I ever had, but I still found a rainbow. And it was called Graves’ Disease and Thyroid Foundation.

Text on screen:

After seven years without sight, LaQuilla reached out to The Graves’ Disease and Thyroid Foundation for help.

They quickly connected her with surgeons who put her on a journey back to seeing again.

LaQuilla:

I had a total of eight eye surgeries. Thanks to all eight of those surgeries, I now have vision. I still don’t have the true vision that I need today, but I am grateful for where I am. To see my godson grow up, my goddaughter grow up. My advice to anyone suffering from Graves’ Disease and Thyroid Eye Disease: you have to be strong and learn to be an advocate for yourself. And that’s what I started doing. Because I wasn’t getting the help that I needed. The first doctor that I’d seen was not for me, because when I was telling him my experiences, everything that I was going through, my symptoms, he just sat in the chair. He didn’t write anything down. And I was like, OK, this is not the right doctor for me. But finally I found

another doctor. This particular doctor, as I was telling him my symptoms, you know what he was doing? He was typing it. He was key punching every symptom in. And when he didn’t understand a symptom that I had, he would go back and he’d say, “OK, now explain this symptom right here.” Not only that, but he had me come back every two weeks. He said, “Because of these symptoms, we need to monitor.” That’s the doctor you want. That’s the doctor who’s paying attention to you. What your needs are versus what he think you need. Never give up. Don’t quit. Find out who you are, pull that strength from inside of you and say, “I can beat this.”

“Never give up. Don’t quit. Find out who you are, pull that strength from inside of you and say, ‘I can beat this’.” — LaQuilla, real TED patient