Thyroid Hyperactivity: Impact on Myopia and Strabismus Surgery - Ophthalmology

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Hyperthyroidism leads to myopia and strabismus?


I had hyperthyroidism as a child (now cured, with normal T3 and T4 levels) and I am considering undergoing strabismus and myopia correction surgery for both eyes, but I do not want to correct the eye that is slightly protruding (one eye is normal, and the other is slightly protruded).
Is it true that the younger the patient, the better the recovery outcomes? What is the typical recovery time after the surgery? What is the general cost associated with these procedures? What are the potential risks, complications, and side effects?

A-Ping, 10~19 year old female. Ask Date: 2016/04/30

Dr. Gao Pilin reply Ophthalmology


Hello, Aping: Strabismus requires evaluation to determine whether surgery is appropriate, as sometimes postoperative complications can lead to double vision.
Strabismus surgery is covered by health insurance, while laser surgery for myopia is out-of-pocket, with varying fees among different ophthalmology clinics.
Regarding risks, sequelae, and side effects, it is best to discuss these with the surgeon.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek care at a medical facility when necessary.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2016/04/30

More Info


Thyroid hyperactivity, or hyperthyroidism, can have various effects on the body, including the eyes. In your case, since you mentioned that your thyroid function has normalized (with T3 and T4 levels within the normal range), the immediate concerns related to hyperthyroidism are less relevant. However, it is essential to consider how past hyperthyroid conditions might have influenced your ocular health and any potential implications for upcoming surgeries, such as strabismus (eye muscle surgery) and myopia correction.

When it comes to strabismus surgery, the timing of the procedure can indeed influence recovery outcomes. Generally, younger patients tend to heal faster and may experience better surgical outcomes due to more adaptable tissues and a more robust healing response. However, the specific age at which surgery is performed should also consider the stability of the eye condition and the overall health of the patient.
The recovery time after strabismus surgery can vary significantly based on the complexity of the procedure and the individual’s healing response. Typically, patients may experience some swelling and bruising around the eyes for a few days post-surgery, with most initial recovery occurring within one to two weeks. However, complete healing and the final results may take several weeks to months to fully manifest.
Regarding costs, the expenses associated with strabismus and myopia correction surgeries can vary widely based on geographic location, the surgeon's experience, and the specific techniques used. In the United States, the cost for strabismus surgery can range from $2,000 to $5,000 per eye, while myopia correction procedures like LASIK can range from $2,000 to $3,000 per eye. It is advisable to consult with your healthcare provider or the surgical center for a detailed estimate that includes all associated costs.

As with any surgical procedure, there are inherent risks and potential complications. Common risks associated with strabismus surgery include infection, bleeding, and scarring. There may also be a risk of overcorrection or undercorrection of the eye alignment, which could necessitate additional surgeries. Other potential side effects include double vision, dry eyes, or changes in vision. It is crucial to discuss these risks with your ophthalmologist, who can provide personalized information based on your medical history and current health status.

In summary, while your history of hyperthyroidism may have implications for your eye health, the normalization of your thyroid function is a positive factor as you consider strabismus and myopia correction surgeries. Younger patients generally experience better recovery outcomes, and while costs can vary, it is essential to weigh the potential benefits against the risks involved. Always consult with your healthcare provider to ensure that you are making informed decisions tailored to your specific health needs.

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