Thyroid eye disease Treatment

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

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.

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.