1. HEAPHY 1 & 2 CASE RACE 2 – RT Anna RIDLEY Sat 31 st Aug 2013 Session 3 / CR2-1 13:36 – 13:40 WAIKATO / BAY OF PLENTY ABSTRACT An investigation into the treatment of Grave’s Disease using Radiation Therapy

4. Diplopia (Double vision) Proptosis (Bulging eyes) Upper eyelid retraction Swelling Conjunctivitis Redness Limited eye movement

5. Cause

6.  45 year old female  Bilat Proptosis, watery eye, diplopia  Thyroidectomy 8yrs previous, on Thyroxine daily  Ex-smoker  Prednisone

9.  Control of Proptosis  Slightly less tearing  Both eyes moving well  Mild diplopia has persisted

10. Beneficial or not?????