Thyroid eye disease Treatment

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Selecting the most suitable treatment for each patient depends on the activity and severity of the disease. The activity can be determined using the Clinical Activity Score. 

All patients with thyroid eye disease, regardless of the degree of activity or severity, should have good thyroid function testing and be recommended to stop smoking. 

Drops or eye drops

Patients with mild forms of this disease can receive conservative treatment through ocular lubrication or oral selenium treatment.

Pill with prescription meds

Patients with a moderate/severe form of the disease should be considered for corticosteroid immunosuppression as the first line of treatment. Other therapeutic options are radiotherapy or other immunosuppression treatments, such as with biological drugs.

Amniotic membrane transplantation

If the patient is in an inactive phase, surgery may be necessary to rehabilitate from sequelae of the disease, depending on the symptoms. Surgical rehabilitation includes all those procedures aimed at offering the patient a balance similar to that present before the thyroid eye disease. Surgery can be performed only in patients whose disease has been inactive for at least 6 months. The surgery timing and order should be planned and be according to the following sequence as indicated: orbital decompression, strabismus surgery and/or palpebral surgery.

Substantiated information by:

Jessica Matas Fassi

Published: 14 June 2022
Updated: 22 June 2022

The donations that can be done through this webpage are exclusively for the benefit of Hospital Clínic of Barcelona through Fundació Clínic per a la Recerca Biomèdica and not for BBVA Foundation, entity that collaborates with the project of PortalClínic.


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