... Is it better now... I have prisims in my glasses, have had them changed several times, I have double vision and use artificial tears several times a day for dry eye. nothing seems to help. can anyone give me some input?
18 May 2011
Hey, I found this on the Home page here today May 18, 2011. I have the same thing, so GOOD LUCK!!
Selenium Might Help Treat Symptoms in Graves' Eye Disease
WEDNESDAY, May 18 -- The trace mineral selenium improves quality of life and slows the progression of eye problems in people with the autoimmune disorder known as Graves' disease, a new study says.
Italian researchers report that they compared daily selenium use to both a medication called pentoxifylline and a placebo, and found that selenium could benefit people with Graves' disease with eye involvement, without causing side effects.
"Our study demonstrates that patients with mild Graves' orbitopathy, [who are] usually not given any specific treatment, can benefit from a six-month course of selenium selenite [100 micrograms twice daily], both in terms of amelioration of eye manifestations and improvement in quality of life," said study author Dr. Claudio Marcocci, a professor of endocrinology at the University of Pisa, Italy.
Graves' disease is an autoimmune disease that usually affects the thyroid gland, causing hyperthyroidism, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Common symptoms of the disease include nervousness, irritability, weight loss, fatigue, muscle weakness, hand tremors and trouble sleeping, according to the NIDDK.
The disease can also cause the immune system to attack the area around the eyes, causing inflammation in the tissue behind the eye socket. This can cause the eyes to protrude, a common sign of Graves' disease. When the eyes are affected by Graves' disease it's often referred to as Graves' ophthalmopathy or Graves' orbitopathy.
Symptoms of Graves' ophthalmopathy include dry eyes, puffy eyelids, double vision, sensitivity to light, a feeling of eye pain or pressure and difficulty moving the eyes, according to NIDDK. Approximately one out of four people with Graves' disease will develop mild to moderate eye symptoms that usually last for a year or two and then resolve on their own, reports NIDDK. Fewer than 5 percent of people with Graves' develop severe eye symptoms.
There aren't any known effective treatments for Graves' ophthalmopathy, said Dr. Jacob Warman, chief of endocrinology at the Brooklyn Hospital Center in New York City. Lubricant eye drops can help relieve some symptoms, but they don't alter the course of the disease.
Pentoxifylline is an anti-inflammatory medication and selenium acts as an antioxidant. The researchers suspected that both substances had properties that could help prevent some of the damage caused by Graves' eye disease.
The study authors recruited 159 people with mild Graves' orbitopathy, and randomly assigned them to receive two daily doses of either 100 micrograms of selenium, 600 milligrams of pentoxifylline or a placebo.
After six months, the researchers found that selenium treatment, but not pentoxifylline or the placebo, was associated with an improved quality of life. Selenium was also found to slow the progression of Graves' orbitopathy and reduce eye symptoms compared to the placebo and pentoxifylline.
Additionally, the researchers found that the benefits of selenium lasted for at least another six months after the study ended.
There were no adverse effects reported with selenium or placebo use. Several people on pentoxifylline reported nausea, bloating and abdominal discomfort.
Results of the study are published in the May 19 issue of the New England Journal of Medicine.
One caveat noted by Marcocci is that the population in the area where this study was conducted tends to be selenium-deficient. So, in an area where people get sufficient selenium, it's not clear if additional amounts of this trace element would still provide benefit. Selenium is found in plant sources, such as corn, wheat and soybean, according to the U.S. Office of Dietary Supplements. It's also found in some meats, such as chicken, beef and turkey.
Warman pointed out that another limitation of this study is that it's quite small, with only about 50 people in each treatment group.
"There doesn't appear to be a downside to selenium, so it might be worthwhile to try this relatively simple treatment to prevent eye symptoms. But, a larger study should be done," he noted.
Marcocci said he would recommend that people with Graves' orbitopathy try selenium for six months to see if their symptoms improve
10 Feb 2012
Just read the New England Journal of Medicines article on the Italian study that points to selenium as help with the effects of Graves Opthalmalogy. This is awesome news, at last, something to try!!! I only have it in my left eye at this point. At first I thought, good, it's only one eye, I'll still have a good one. Then as my left started bulging I realized how bad it looks when it's only 1 eye. Everyone else I've seen with this it's both eye, at least you match. When 1 eye comes out so far you can't close your lid over it , especially when asleep, you really tend to stand out in a crowd!! Will be going to the vitamin store and trying the selenium. Can't hurt to try since the medical world has no answer except surgical removal of tissue behind the eye so you can close it. Not up for that if I can find a way to avoid it.
23 Oct 2012
I was diagnosed with TED this past September although I think its gone undiagnosed for a long time. I also have a pseudotumor in the lacriminal gland in both eyes. They are like fatty tissues and are benign and inoperable.
I am having eye surgery 11-26 &12-3. My doctor is decompressing my eyeballs so I can close my lids all the way. He did talk about doing radiation but one of the side effects are blindness and I'm not willing to risk it.
I asked my doctor if it were him, what would he do? He said he'd have the surgery, so there was no question what to do.
This may be something you may want to discuss with your opthamologist. I am seeing an ocufacial ophthalmologist who is also a plastic surgeon, he did my first eye surgery years ago. I am not sure where you live but my doctor is in Indianapolis/Carmel In, which is 3 hours south from me.
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