Bulging Eyes

Bulging Eyes/ proptosis/Exophthalmos

• One or both eyes protrude from the eye socket.
• Due to space taking lesion are swelling of muscles, fat and tissue behind the eye.
• This situation eye more exposed the air it may be led to difficult to keep eye moist and lubricated.
• Proptosis and Exophthalmos are medical term for the bulging eyes.
• In this condition bulging or protruding eyeballs out form their normal position.
• It may be affected one or both eyes most often caused by thyroid eye disease.
• Bulging eye can create large amounts of pressure on optic nerve.
• It has small risk for optic nerve and not before treated lead to permanently vision loss.
• Inside eye pressure increase called as Glaucoma.
• It may be developed after born caused by underlining medical condition or born with eye protrude.
• White part of normal eye shouldn’t visible above the iris without lifting the eyelid.
• One sign of bulging eye is white part of the eye show between iris and upper eyelid.

Causes for bulging eye

• Most common cause is overactive thyroid gland called as hyperthyroidism.
• Thyroid gland located front of the neck. It releases several hormones for control metabolism.
• Hyperthyroidism occurs by releases too many hormones.
• Most common cause for hyperthyroidism and bulging is autoimmune disorder called as grave’s disease. This condition, tissues around eye become inflamed.
• In Autoimmune condition caused to body immunity system to produce antibodies
• This antibody led to cell in thyroid gland overproduction of thyroid hormones.
• This same antibody caused thyroid dysfunction and attraction to surrounding muscles of eye.

Other causes are ….

• Cancer can affect to sympathetic nervous system this type of cancer called as neuroblastoma.
• Cancer can affect to white blood cells this type of cancer called as leukemia.
• Cancer can develop in soft tissues this type of cancer called as rhabdomyosarcoma.
• Abnormal collection of blood vessels called as hemangioma.
• An infection can affect tissue around the eye called as orbital cellulitis.

Other causes

• An injury to the eyes
• Bleeding behind the eyes
• Abnormal shaped blood vessels behind the eyes
• An infection of the tissue in the eye socket.
• Cancerous tumors – caused by neuroblastoma and soft tissue sarcomas.

Symptoms of bulging eye

• Appearance of Protrusion eye or bulging
• Swelling of the eyelid
• Excessive dryness of eye
• Visible witnesses are between iris and upper eyelid.

Also, other experience

• Loss of vision/visual changes
• Double vision
• Eye pain and redness
• Headache and fever
• Pulsation on bulging eye
• Sensitive to light
• A hard time moving the eye

Physical exam

• Vision test
• Dilated eye exam
• Slit lamp exam (used low power microscope and high intensity light)
• Imaging lest, such as CT or MRI scans

Treatments of bulging eye

• Eye drops
• Antibiotics
• Corticosteroids to ease inflammation
• Eye surgery
• Surgery, chemotherapy or radiation – treat cancerous tumors