Hypothyroidism (underactive thyroid)

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    Todd B. Nippoldt, M.D.

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Question

Hypothyroidism symptoms: Can hypothyroidism cause eye problems?

I know that hyperthyroidism can sometimes affect the eyes — but what about hypothyroidism? Could hypothyroidism symptoms include eye problems?

Answer

from Todd B. Nippoldt, M.D.

Underactive thyroid (hypothyroidism) isn't usually associated with eye disease. In severe cases, however, hypothyroidism may cause swelling around the eyes and a loss of the hairs in the outer part of the eyebrows.

More typical hypothyroidism signs and symptoms include:

  • Fatigue
  • Sluggishness
  • Increased sensitivity to cold
  • Constipation
  • Pale, dry skin
  • Unexplained weight gain
  • Muscle or joint pain and stiffness
  • Heavier than normal menstrual periods
  • Brittle fingernails and hair
  • Depression

In a few cases, an eye problem known as Graves' ophthalmopathy may develop if hypothyroidism develops after treatment for Grave's disease — the most common form of overactive thyroid (hyperthyroidism). Graves' ophthalmopathy can cause eye discomfort, protruding eyeballs and vision changes.

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References
  1. Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 1, 2008.
  2. Surks MI. Clinical manifestations of hypothyroidism. http://www.uptodate.com/home/index.html. Accessed Sept. 25, 2008.

AN01942

Dec. 6, 2008

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