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HYPERTHYROIDISM & related EYE DISEASE and the challenges with COSMETIC TATTOOING By Tarnya Makarenko & Katherine McCann AWARD WINNING cosmetic tattooists Tarnya Makarenko and Katherine McCann are renowned for their amazing techniques and highly detailed work, which is as natural and close to perfection as you can get. These artists are not only highely skilled practitioners, but also beautiful individuals with a passion for quality education and love sharing their experiences and knowledge with others, while continually striving to add value and give back to the industry and others around them. In this article they discuss the impact of hyperthyroidism on eye health and the challenges that need to be considered when performing eyebrow or eyeliner cosmetic tattooing. Alarmingly, more and more clients are presenting themselves with thyroid conditions. In this article we discuss the manifestations of an overactive thyroid known as hyperthyroidism, or Graves’ disease and look at how to address the challenges when performing eyebrow or eyeliner tattooing. As we know, one of the major visual factors and side effects in this condition is the loss of eyebrow hair, however, there is much more to consider when presented with a client who has this condition.

because the autoimmune attack often targets the eye muscles and connective tissue within the eye socket. This likely occurs because these tissues contain proteins that appear similar to the immune system as those of the thyroid gland. Ocular symptoms can range from mild to severe; but only 10-20% of patients have sight-threatening disease.

THYROID GLANDS RELATING TO THE EYE Although Graves' disease and Graves' eye disease both stem from the immune system’s attack on healthy tissue, one disease does not directly cause the other. That’s why treatment of the thyroid gland, while important, does not improve the eye disease. The two diseases run their separate courses and do not necessarily occur at the same time.

SIGNS AND SYMPTOMS OF GRAVES’ EYE DISEASE In Graves’ eye disease the tissue around the eye is attacked, and the result is inflammation and swelling, causing: •

Redness and pain

Puffiness around the eyes


Bulging of the eyes

Graves' eye disease, also known as thyroid eye disease, is an autoimmune condition in which immune cells attack the thyroid gland, which responds by secreting an excess amount of thyroid hormone. As a result, the thyroid gland enlarges and excess hormones increase metabolism.

Dry eye and irritation occurring when the eyelids cannot close completely over bulging eyes

Increased pressure inside the eye socket

Pressure-pain or deep headache, which worsens with eye movements

Decreased vision, when swollen tissues push on the optic nerve

The hypermetabolic state is characterised by fast pulse heartbeat, palpitations, profuse sweating, high blood pressure, irritability, fatigue, weight loss, heat intolerance, loss of hair and alterations in hair quality. When the immune system attacks the tissues around the eyes, it causes the eye muscles, or fat to expand – thus presenting in many cases as a bulging eye, although the degree of this varies considerably. The eyes are particularly vulnerable in Graves' eye disease,

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CAUSES When the immune system attacks the muscles and other ocular tissues in the eye socket, the swelling and scarring

Profile for APAN - Aesthetics Practitioners Advisory Network

APJ Vol 38 2018  

Aesthetics Practitioners Journal Volume 38 Spring 2018 - The official publication of the Aesthetics Practitioners Advisory Network (APAN)

APJ Vol 38 2018  

Aesthetics Practitioners Journal Volume 38 Spring 2018 - The official publication of the Aesthetics Practitioners Advisory Network (APAN)