RESUMEN
Introduction: Thyroid eye disease (TED), Graves’ ophthalmopathy, or Thyroid associated orbithopathy (TAO) are an immunemediated inflammatory disorder that produces expansion of the extraocular muscles and fat in the orbit. TED is most commonlyassociated with Graves’ hyperthyroidism but can also be noted in hypothyroid and euthyroid states.Aim: The aim of the study is to evaluate the ocular manifestation of thyroid dysfunction (TD).Materials and Methods: A prospective non-randomized observational study was carried out on 106 patients of TD. They wereexamined in detail for demography, systemic, and ocular examination and laboratory investigation. Period of study was 1 year.Results: In this study, average age of presentation of TD was 42.54 years. Female-to-male ratio was 3.1:1. Lid retractionwas the most common (82.4%) lid sign in patients of hyperthyroidism while in patients of hypothyroidism, it was lid edema(28.9%). The second most common lid sign was lid lag which was present 70.6% cases. Proptosis was present in 52.9%hyperthyroid patients. Three patients had unilateral proptosis. Corneal ulcer (due to exposure keratopathy) was present in17.6% of hyperthyroid patients.Conclusion: Females were more commonly affected. However, ocular manifestations were more severe in male. Hence, it isimportant to rule out TD in patient with other ocular symptom.