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Thyroid eye disease

Graves ophthalmopathy

C. Robert Bernardino, MD, FACS, Associate Professor of Ophthalmology, Residency Program Director, Director of Ophthalmic Plastics and Reconstructive Surgery Service, Yale University, discusses thyroid eye disease, which is always related to thyroid disease, whether it be hyperthyroidism, euthyroidism or hypothyroidism.

Summary:
Thyroid eye disease or thyroid ophthalmopathy is always related to thyroid disease and although there is no medical treatment to prevent the sequelae early intervention such as decompressive surgery to the optic nerve can be performed.

References and Resources:
Sánchez-Ortiga R, Moreno-Pérez O, González Sánchez V, Arias Mendoza N, Mauri Dot M, Alfayate Guerra R, López Macia A, Picó Alfonso A. Treatment of Graves’ ophthalmopathy with high-dose intravenous methylprednisolone: a comparison of two dosing regimens. Endocrinol Nutr. 2009 Mar;56(3):118-22. Epub 2009 May 18.
Harrison AR, Lee MS, McLoon LK. Effects of Elevated Thyroid Hormone on Adult Rabbit Extraocular Muscles. Invest Ophthalmol Vis Sci. 2009 Jul 23.

Related videos on The Doctor’s Channel:
Thyroid eye disease referral
Orbital decompression for thyroid eye disease
Eye surgery transitioning from OR to the office

Dr. Bernardino has disclosed the following:
Fees for non-CME Services Received Directly from a Commercial Interest or their Agents: Porex Surgical