Prolonged ophthalmic problems can sometimes be caused by hormonal disorders, so it is worth visiting an endocrinologist, as complaints remain if the underlying problem is not treated. What hormonal diseases can cause ophthalmic problems dr. Annamária Polyák, the endocrinologist of the Buda Endocrine Center spoke.
Dry eyes, blurred vision, bulging eyes
There can be countless complaints about eyes and vision, but in most cases it is just a transient problem, as the unpleasant symptoms – such as. dry eyes, blurred vision, tearing can be caused by eye strain, fatigue, allergies, or even the weather. If the complaint persists for a long time, and ophthalmic therapy does not lead to lasting results, it is advisable to suspect hormonal disorders, as several endocrine problems can cause disturbing eye symptoms. The most common are visual impairment, loss of vision, dry eyes, double vision, fundus abnormalities, and bulging of the eyes (exophthalmus).
What hormonal disorders can eye problems indicate?
- Graves-Basedow kór
- Cushing’s syndrome
Graves- Basedow kór
Graves-Basedow disease is often the cause of hyperthyroidism. During autoimmune disorder, T3 and T4 levels rise, which is highlighted by low TSH. The condition it is often associated with inflammation and enlargement of the thyroid gland (goiter) and may cause ocular problems in addition to the symptoms of typical hyperthyroidism (nervousness, rapid heartbeat, sweating, decreased heat tolerance, weight loss, menstrual irregularities). Because during the disease, connective tissue swelling develops behind the eyeball, so that the eyeball protrudes to a greater or lesser extentwhich can also lead to dry eyes and eye closure disorders.
Due to the characteristic external symptoms, the endocrinologist may often suspect the condition at first glance, so ldirects the patient to abor and ultrasound examination. If Graves-Basedow’s disease is confirmed, medication / isotope treatment may be required and, if appropriate, surgery may be warranted.
During Cushing’s syndrome, which involves overactive adrenal cortex, the amount of a hormone called cortisol jumps. If the problem is caused by a tumor of the pituitary gland, so we talked about Cushing’s disease, while in other cases we talked about Cushing’s syndrome. Ophthalmic symptoms most commonly include loss of vision, impaired vision, and increased intraocular pressure. In addition, the disorder is associated with obesity, stretch marks, a moonlit face, a lump of fat, fragile, thin skin, and fatigue. The condition can usually be treated with surgery, less often with drug therapy.
The condition is associated with an increase in the amount of aldosterone produced in the adrenal gland, which results in fluid retention, high blood pressure and weakness. Because aldosterone has a serious effect on sodium and potassium levels, therefore, the disorder results in the accumulation of the former and a decrease in potassium. The trigger can be more than anything, e.g. adrenal tumor (Conn’s syndrome), kidney disease, gland hyperactivity, heart disease, hypertension, but it can also act as a side effect of certain medications. Because hyperaldosteronism is associated with high blood pressure, it can also cause eye symptoms such as blurred vision and fundus lesions. In addition, tinnitus, fatigue, muscle cramps, increased urination and thirst may occur.
Treatment depends on the cause: if there is a tumor in the background, surgery is needed, but if a disorder causes the disorder, its appropriate therapy will bring improvement – says dr. Annamária Polyák, endocrinologist of the Buda Endocrine Center.
One of the dangerous complications of diabetes, be it type 1 or 2, is diabetic retinopathy. Then the so-called angiogenesispuddle bleeding may occur, and the blood supply to the retina may be impaired and the nerves in the eye may be damaged. In the worst case, the problem can cause complete blindness, which is why regular ophthalmic check-ups for diabetics are important. where the condition may shine at an early stage, but the same, if not more important, appropriate treatment of diabetes (medication / insulin, diet, exercise) to avoid retinopathy.
Source: Buda Endocrine Center
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