Graves disease is an autoimmune condition where antibodies made from the patient’s body inappropriately stimulate receptors on the thyroid gland, leading to hyperthyroidism, and in the tissue behind the eye, causing the eyes to look rather prominent and stick out (“Graves ophthalmopathy” or “thyroid eye disease”). While medications can be used to control certain aspects of hyperthyroidism, Graves disease that is uncontrolled may require thyroidectomy. Patients with noticeable eye disease, dry eyes, or vision loss are good candidates for orbital decompression. Together with an oculoplastic surgeon, Mount Sinai sinus doctors are able to remove the medial wall of the orbit (eye socket) so that the eye can relax back into its proper place. This minimally invasive approach is performed largely through the nose, and there are no external incisions. It is very effective for solving a Graves disease patient’s eye-related issues when performed early enough.
Satish Govindaraj, MD Chief of Rhinology; Vice Chair of Clinical Affairs, Department of Otolaryngology – Head and Neck Surgery Mount Sinai Health System Associate Professor, Otolaryngology, and Neurosurgery Icahn School of Medicine at Mount Sinai
Daniel Alicea Delgado, MD Assistant Professor, Department of Otolaryngology-Head and Neck Surgery Mount Sinai Health System
Anthony Del Signore, MD, PharmD Assistant Professor, Otolaryngology Mount Sinai Health System Director of Rhinology and Endoscopic Skull Base Surgery Mount Sinai Union Square
Alfred M.C. Iloreta, Jr., MD Assistant Professor, Otolaryngology, Neurosurgery The Mount Sinai Hospital New York Eye and Ear Infirmary of Mount Sinai Mount Sinai Morningside and Mount Sinai West
Madeleine R. Schaberg, MD Assistant Professor, Otolaryngology Mount Sinai Health System Director, Rhinology and Skull Base Surgery New York Eye and Ear Infirmary of Mount Sinai
Calvin Wei, MD Assistant Professor, Department of Otolaryngology-Head and Neck Surgery Mount Sinai Health System
Zachary G. Schwam, MD Assistant Professor, Department of Otolaryngology-Head and Neck Surgery Division of Otology-Neurotology, Lateral Skull Base Surgery Mount Sinai Health System