As a top neuro-ophthalmologist serving patients in Beverly Hills, CA, and throughout the Greater Los Angeles area, Dr. Bose is skilled in the diagnosis and management of eye diseases and vision problems associated with thyroid disease.
Also called Graves' disease, thyroid eye disease is a condition that occurs when the immune system malfunctions, causing it to attack healthy tissues including the thyroid gland. In response, the gland produces excess amounts of hormones, causing a condition called hyperthyroidism or overactive thyroid. Because the connective tissues of the eyes are similar to those in the thyroid, the immune system also often attacks these tissues, causing a wide array of symptoms. Although they're caused by the same autoimmune disorder, Graves' disease and associated eye problems must be treated separately. Women and smokers both have an increased risk of developing thyroid eye disease.
Signs and symptoms of eye disease related to thyroid malfunction include:
swelling around the eyes and eyelids
dry eyes or a “gritty” feeling in the eyes
optic nerve damage
sensitivity to light
sores or ulcers in the cornea
red, watery eyes
pressure sensation in the eyes
Loss of vision can also occur in about 10 percent to 20 percent of patients. Many symptoms occur as a result of inflammation and scarring caused by the immune system's repeated attacks on the eye muscles and connective tissues.
Treatment begins by addressing the active symptoms to prevent vision loss and heal damage to the eye structures. Treatment can include artificial tears, eye ointments, oral medications and prescription eye drops. In a few cases, radiation may be used to address some symptoms. In some cases, it may take months or even two to three years for active symptoms to resolve. During that time, regular monitoring by an ophthalmologist is essential. Once active symptoms have been addressed, surgery may be required to address permanent damage, and ongoing management is essential.
More information on Thyroid Eye Disease here.
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"Dr. B is the FIRST physician to CARE and LISTEN to my journey & symptoms. I almost cried; someone finally cared enough to listen & explain what I've been experiencing."
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"The office is modern, clean and stocked with state of the art equipment. Dr. Bose you gave me all the time I needed to properly exam and diagnose."
"It's unfortunately rare these days to find a doctor with a good bedside manner [...] so it was very appreciated to find exactly that in Dr. Bose."
"He was extremely friendly, attentive, with an incredible sense of humor, and it was quite evident he cared and approached things in a positive way."
"He gives the best advice and you don't leave until you have the answers you need. He and all of his staff are extremely helpful and friendly."
""I walked in there thinking I was doomed by a diagnosis from a previous Doctor and after Dr. Bose's logical explanations, I was happily convinced that I was ok."
"He takes the time to explain the issues, the options, and the solutions that are best for each patient. He spends the time needed to make sure you understand everything"
"Dr. Bose and his staff are thorough, professional and approachable. State of the art equipment gave me even more confidence in Dr Bose's ability to safeguard my eyes."
"Dr. Bose was incredibly thorough and sensitive. His staff was amazing and kind."