THYROID-ASSOCIATED OPHTHALMOPATHY WITH SUSPECTED SECONDARY GLAUCOMA

Abstract

Introduction: Thyroid-associated ophthalmopathy (TAO) is a thyroid hormone imbalance that manifests in the eye. The most common TAO is in Grave’s Disease. TAO could increase the intraocular pressure and could cause a glaucoma optic neuropathy and therefore secondary glaucoma could happen. We are reporting a 26 years old male came to the West Nusa Tenggara Eye Clinic both eyes bulging since 10 months ago. This patient’s complain happens with red eyes, dirt around the eyelashes, pain around the eye, feeling tired, heart beats faster, and no weight gain. This patient came again after not taking his usual medicine for one month.Based on the eyes examination, this patient had lagophthalmos and proptosis on both eyes, palpebra oedema, hyperaemia on tarsal conjunctiva, conjunctiva injection, corneal infiltrate, limited eyeball movement for both eyes, and increased intraocular pressure. The laboratory result shows hyperthyroid and head CT scan shows medial lateral rectus muscle hypertrophy. This patient was given timolol maleate eye drop 0,5% and levofloxacin eye drop 0,5%.Early identification of the diagnosis and controlled therapy of TAO could prevent the secondary glaucoma.