Surgical removal of the eye may be a requisite to stop the spread of cancer or when it is painful and completely blind. Sometimes the only choice in treating intraocular melanoma would be to remove the eye. At times, brachytherapy may be used to place a radioactive disc for internal radiation therapy. In cryosurgery the targeted tissue is frozen with liquid nitrogen and later removed. Small tumors may be destroyed using laser surgery or cryosurgery. The ophthalmologist would have to remove affected parts of the eye, or even the entire eye during the surgery depending on the severity of the ocular cancer. Surgery for cancer: The surgery for cancer treatment is most common in intraocular melanoma. Surgical Correction of Bulging Eye and Eye Tumours For people with severe bulging of the eyes, surgery is sometimes the best solution, which either removes the fatty tissue or reduces decompression. Mild corneal exposure may be treated with eye drop lubricants (tear supplements) and pressure dressings to cover the eye may be used. In the case of graves eye disease, bulging of the eye can be reduced by medication only. To keep the eyes moist, patches may also be worn at night. Artificial tears or gels can be applied several times in a day to ease the discomfort and prevent the cornea from severely drying out. The non-surgical way to treat prominent eyes is by injecting facial filler like restylane around the eye socket to build up a bony socket or orbital rim. There are two ways of treating bulging eyes Surgical and non-surgical. The challenge of the ophthalmologist is to figure out the underlying cause of this symptom. The eye disease treatment needs to be done by a health care professional. Treatment: No self treatment can be done to correct this problem. Bulging of a single eye, especially in a child, is a very serious condition and should be assessed without delay. The presence of white in this area is an indication of abnormal eye bulging. In a normal eye there would not be any visible white between the top of the iris and the upper eyelid. In severe cases of proptosis, even the movement of the eye may be affected, causing double vision. This dryness can cause scarring along with a nagging discomfort which could eventually lead to permanent vision loss. The eyelids fail to close completely during normal blinking or sleeping, causing the cornea to dry out. The pressure inside the eye may increase with the eyes bulging and the high intraocular pressure increases the risk for developing glaucoma. Unilateral protrusion of the eyeballs can results from trauma, inflammation, malformations in blood supply to the orbit, orbital tumors and cancer. Unilateral proptosis/exophthalmos may be an outcome of a sinus infection which causes abscess by spreading into the orbit. In graves thyroid eye disease, eye muscles show swelling, fibrosis and scarring surrounding the eye. In thyroid eye disease, the eyes fail to blink and seem to be staring. Symptoms usually appear in hyper thyroid patients but can occur when these levels are normal or below normal. The thyroid dysfunction along with abnormal changes in the eye causes Graves’ disease or thyroid eye disease. One of the most common causes of bilateral eye bulging is a thyroid condition referred to as graves condition. Sudden development of a bulging eye needs immediate medical attention. Some people naturally have bulging eyes owing to variations in the anatomy, while others can develop this condition due to various other reasons. What is a Bulging EyeĪ condition of the eye named as proptosis or exophthalmos is characterized by the bulging of the eyes. A multi-specialty effort is needed for the treatment of ocular tumors, which requires coordination between the ophthalmologist, medical oncologist, radiation specialist, head & neck surgeon / ENT surgeon and paediatrician/internal medicine/hospitalist. The primary requirement in ocular oncology is preservation of life of the patient by removing the tumor, along with effective methods directed at conserving normal vision, followed by cosmetic appearance. Ocular oncology deals with tumors relating to eye. So the treatment for bulging eye due to thyroid condition should target thyroid hormones and their effects. The most common form the grave’s disease is an autoimmune disease. This will determine the overall course of treatment. The challenging part in bulging eye treatment is to find out the underlying cause.
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