17 doctors weighed in:
Follow-up" I have graves ophthalmology. Is it possible for my eyes to return to normal(no bulging) without surgery? Mine is not that severe.
17 doctors weighed in

Dr. Mike Bowman
ENT - Head & Neck Surgery
11 doctors agree
In brief: Observe for now
If your appearance is not severe and you don't have many symptoms as a result, surgery is probably not indicated.
It may or may not get better with conservative treatment, but if you don't have symptoms which bother you greatly, you probably don't need surgery. That is, "if it ain't broke, don't fix it." :) best wishes.

In brief: Observe for now
If your appearance is not severe and you don't have many symptoms as a result, surgery is probably not indicated.
It may or may not get better with conservative treatment, but if you don't have symptoms which bother you greatly, you probably don't need surgery. That is, "if it ain't broke, don't fix it." :) best wishes.
Dr. Mike Bowman
Dr. Mike Bowman
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Emily Lu
Family Medicine
4 doctors agree
In brief: Depends on patient
The natural course of graves orbitopathy varies widely: some patients have it for their whole life, for others it may worsen or disappear with time.
In general, eye drops, raising the head of the bed at night and glucocorticoid treatments are recommended before surgery. However, regular monitoring of eye function is required, and see your doctor if you notice any loss of color vision.

In brief: Depends on patient
The natural course of graves orbitopathy varies widely: some patients have it for their whole life, for others it may worsen or disappear with time.
In general, eye drops, raising the head of the bed at night and glucocorticoid treatments are recommended before surgery. However, regular monitoring of eye function is required, and see your doctor if you notice any loss of color vision.
Emily Lu
Emily Lu
Answer assisted by Emily Lu, Medical Student
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Dr. Matheson Harris
Ophthalmology
1 doctor agrees
In brief: It depends
During the inflammatory phase of graves ophthalmopathy, the eye muscles and orbital fat are inflamed and become enlarged.
Once this passes (generally after 18-24 months in non-smokers) there may be some reduction in bulging of the eyes, but much of it is permanent due to chronic fibrosis (scarring) in these tissues. Don't consider surgery until all inflammation is stable for 6+ months or more.

In brief: It depends
During the inflammatory phase of graves ophthalmopathy, the eye muscles and orbital fat are inflamed and become enlarged.
Once this passes (generally after 18-24 months in non-smokers) there may be some reduction in bulging of the eyes, but much of it is permanent due to chronic fibrosis (scarring) in these tissues. Don't consider surgery until all inflammation is stable for 6+ months or more.
Dr. Matheson Harris
Dr. Matheson Harris
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Dr. Richard Bensinger
Ophthalmology
1 doctor agrees
In brief: Occasionally
In graves ophthalmopathy, the orbit accumulates material which causes the eye to bulge forward.
This has usually a 3-5 year course when untreated. You can expect some recovery after 2-4 years and if yours is not severe, you might end up almost normal. You might need eyedrops and ointments in the meanwhile to protect your eyes. Your oculoplastic surgeon can advise you.

In brief: Occasionally
In graves ophthalmopathy, the orbit accumulates material which causes the eye to bulge forward.
This has usually a 3-5 year course when untreated. You can expect some recovery after 2-4 years and if yours is not severe, you might end up almost normal. You might need eyedrops and ointments in the meanwhile to protect your eyes. Your oculoplastic surgeon can advise you.
Dr. Richard Bensinger
Dr. Richard Bensinger
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Dr. Richard Bensinger
Ophthalmology
1 doctor agrees
In brief: Sometimes
In graves ophthalmopathy, the orbit accumulates material which causes the eye to bulge forward.
This has usually a 3-5 year course when untreated. You can expect some recovery after 2-4 years and if yours is not severe, you might end up almost normal. You might need eyedrops and ointments in the meanwhile to protect your eyes. Your oculoplastic surgeon can advise you.

In brief: Sometimes
In graves ophthalmopathy, the orbit accumulates material which causes the eye to bulge forward.
This has usually a 3-5 year course when untreated. You can expect some recovery after 2-4 years and if yours is not severe, you might end up almost normal. You might need eyedrops and ointments in the meanwhile to protect your eyes. Your oculoplastic surgeon can advise you.
Dr. Richard Bensinger
Dr. Richard Bensinger
Thank
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