Protruding Eye Symptoms and Treatment Options - Ophthalmology

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Protrusion of the right eye?


I consulted a doctor because my right eye suddenly protruded last August, causing my left eyelid to droop.
A CT scan at the hospital showed normal results, and my thyroid levels were also normal, so no cause could be identified.
Later, due to the severe drooping of my left eye, I underwent eyelid surgery.
The surgeon recommended performing ptosis repair on both eyes to achieve balance, and I also had a lower eyelid blepharoplasty.
Post-surgery, the condition of my protruding right eye has not improved; two months after the surgery, my left eye has nearly returned to normal, but the protruding right eye still experiences a sensation of pressure and pain when I touch the eyeball.
The plastic surgeon advised me to see an ophthalmologist, but the eye specialists I consulted only mentioned inflammation and prescribed steroid eye drops.
While the drops provided some relief, the pain returns when I stop using them.
Currently, I am only using artificial tears, but my right eye still hurts, which has made me very anxious.
I am unsure which specialist I should see for proper treatment.

Cindy, 40~49 year old female. Ask Date: 2022/04/05

Dr. Gao Pilin reply Ophthalmology


Hello Cindy: In this situation, you can visit the ophthalmic plastic surgery department, the ocular alignment department, or the neuro-ophthalmology department at a medical center for an examination.

Reply Date: 2022/04/05

More Info


Protruding eye symptoms, also known as exophthalmos or proptosis, can be quite distressing and may indicate underlying health issues. Given your situation, where your right eye suddenly protruded and led to complications such as left eyelid drooping, it’s understandable that you are feeling anxious about your condition.
Firstly, it’s essential to understand that the protrusion of the eye can be caused by various factors, including thyroid eye disease (Graves' disease), orbital tumors, inflammation, or even trauma. Since your thyroid levels were normal and CT scans did not reveal any significant abnormalities, it may be challenging to pinpoint the exact cause of your symptoms. However, the persistent pain and discomfort in your right eye following surgery suggest that there may be residual inflammation or other complications that need to be addressed.

The treatment options for protruding eyes largely depend on the underlying cause. Since your condition has not improved significantly after surgery and you are experiencing pain, it is crucial to seek a comprehensive evaluation from an ophthalmologist who specializes in orbital diseases. This specialist can perform a thorough examination, including imaging studies if necessary, to assess the current state of your eye and surrounding structures.

In terms of managing your symptoms, the use of artificial tears is a good step to alleviate dryness, especially if you are experiencing discomfort. However, the fact that you are relying on steroid eye drops indicates that there may be inflammation that needs to be controlled. Steroids can help reduce inflammation but should be used cautiously and under the guidance of a healthcare professional due to potential side effects with long-term use.

If your current ophthalmologist is not providing the relief you need, consider seeking a second opinion from a specialist in ocular inflammation or an orbital surgeon. They may offer additional treatment options, such as more targeted anti-inflammatory medications or even surgical interventions if necessary.
Additionally, it’s essential to monitor your symptoms closely. If you experience any sudden changes in vision, increased pain, or other concerning symptoms, do not hesitate to seek immediate medical attention.
In summary, while the journey to finding the right treatment for your protruding eye symptoms may be challenging, it is crucial to remain proactive in seeking specialized care. A multidisciplinary approach involving both ophthalmologists and possibly endocrinologists (if thyroid issues are suspected) may provide a more comprehensive understanding of your condition and lead to better management strategies. Your health and comfort are paramount, and finding the right healthcare provider who can address your specific needs is essential for your recovery.

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