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Hello fellow Graves patients,
thought I would give some feedback on my experience with Radiation therapy and TED. I elected to have this therapy after consulting with my eye surgeon, the radiation oncologist and my family. We thought I was a good candidate for this treatment for several reasons; I have only had the TED since Oct 2008, so not much scar tissue has developed yet, the TED I have is in the moderate category in terms of severity of symptoms, and level of tissue damage/involvement, and I had no other underlying health problems- I have had normal thyroid tests since Jan 2009. I am still taking methimazole, but gradually dropping the dose with each normal thyroid test- I should be off of it before the end of this year.
The dose of radiation I received was maybe half of the lowest dose a cancer patient might receive- still there are risks involved, but I thought the potential benefits outweighed the risks. Besides the external and internal swelling with my eyes, the double vision was getting to be very scary, and certainly started to hinder my quality of life.The first thing that was done was to fit me for the mask that limits your movement while you are receiving the treatment. That was very freaky, as it is very form fitting including your eye area, so it is even hard to blink as your eye lashes bump into it. The worst part of the experience was the cat scan and other films they had to take to get the proper measurements to do the treatment. In as much as it took about 1/2 hour for 3 different days to do them- a long time to have that mask on- it is tight. But I felt it was more important to get accurate measurements, so I just breathed through it (belive me child birth and labor is much worse) and thought happy thoughts. But the actual treatments took less than 10 minutes- really only 1 minute of radiation per each side- and then you were done. Absolutely painless, but you could smell a funny odor when the beam was activated. I had 10 treatments, over 2 weeks, daily. The second week I started to feel a little wiped out about an hour after treatment. The third week after the final dose, I did feel very tired and not much energy, sort of like a flu was coming on. The eye swelling did become worse-but we had discussed these side effects, and I knew that they would be temporary. Other side effects were increased tearing, and sort of a sunburn like rash where the beam had been aimed at- at the outside corner of my eye. Today it is 10 days since my last treatment, and I feel like those side effects are going away, and my double vision has improved quite a bit. I am getting more rest and don’t feel as tired. The swelling is going down too. One of the reasons I elected to do this was to delay eye surgery, or avoid it if possible. I go back to my eye surgeon in 3 weeks, so we’ll see how things go. I did not take any prednisone while doing radiation, I did take it prior to doing it, though. Some Dr’s prescribe prednisone while doing treament- I’m glad mine didn’t, as the side effects from the prednisone would make the radiation treatments very hard to endure, I think. Well I hope this first hand account will help someone who has to make a decision about treatment options. I will keep you posted as to how this continues to play out. My best wishes for health and happiness, Susan (shadowrider)
Hi and welcome to the board,
I had the orbital radiation almost 8 years ago now I think. I did not have to wear a mask, but other than that your treatment sounds a great deal like mine.
My eyes have not bothered me much since the orbital radiation. I am glad you are appearing to have a good outcome. I too, got tired after the treatment buy like you I felt better as each day went on.
Thanks for sharing your story.
I have this "survey" that I do: What did you do with your mask? At one time, I had three, that people had sent to me.
Hi again,
I haven’t taken my mask home yet. My Dr was not on site on my last treatment day, and the nurses wanted his ok to give it to me. When I go back in a month, I’ll take it home. I intend to have a ‘show & tell’ session with co-workers, friends and family. What did you do with yours?
SusanI had them hanging on the wall in the office. They were quite the conversation piece. It would be great to have several to share with the support groups, or one for the conference for "show and tell". I knew people that paper machied (sp?) theirs, wore them for Hallowe’en, and quite a few that got a great deal of pleasure by smashing them to smithereens.
Hi there.. thanks for the account of your thearpy. It was interesting. I am wondering if you had it done because your optic nerve was jeopardized. I am curious how the decision was made and why. The reason I ask is I am not being treated at all for Graves eye disease since my optic nerve is fine… however my double vision is terrible -and I am wondering if I should be pushing for treatment or just wait it out.
Thanks
LakeviewHi Lakeview-Sorry for the delay in reply. I don’t think you should wait it out. I don’t think it is acceptable to have to just live with terrible double vision. I mean quality of life is what it is about, right? For me driving is a daily part of my life; I commute 50 miles to work and back every day. The double vision became a scary element in my life. Acording to my Dr’s the fact of not having had the TED for long, was a favorable aspect to electing to undergo treatment. So waiting might not work out to your advantage. If you have not already seen a eye specialist-do so now. I mean someone who routinely treats TED and like conditions, not an optometrist. I see an eye plastics surgeon at the Massachussetts eye infirmary. My great passion in life (among a few) is riding my motorcycle. Now it is 3 weeks since my last treatment, and the double vision has improved considerably. I went to my regular eye Dr last week, and she was able to measure a 50% improvement in my eye tracking since the last measure in July. Went for a nice autumn ride on Sunday, and it was great to be able to see clearly again, and ride like the wind! ” title=”Very Happy” /> All the best Susan
I am scheduled to begin Radiation Therapy for TED.
A little history: I had a Thyroidectomy in Jan of 2008, and Orbital decompression two times. First in of 2004 then again in 2010. I see a optholmic surgeon from Johns Hopkins who has recommended me for the Radiation Therapy because I seem to be in that 2-7% that the eye muscles choose not to stop growing.
I am scared to pieces…. I am not sure of the "right questions" to ask the radiologist in choosing the right radiation center…
any suggestions? -
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