Avoiding surgery for thyroid eye disease

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Rituximab for thyroid eye disease.

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Most patients receive conservative treatment — lubrication of the eye to reduce symptoms related to disturbance of the tear film. About 5% of patients will need more aggressive therapy (e.g., systemic corticosteroids, orbital radiation, surgical removal of orbital walls) to prevent vision loss caused by either compression of the optic nerve by enlarging extraocular muscles or corneal ulceration...

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Thyroid Eye Disease

Treatment ........................................................... 16  Introduction to treatment ................................ 16  Management of systemic hyperthyroidism...... 17  Overview of treatment options ....................... 20 o Corticosteroids .......................................... 20 o Orbital radiotherapy .................................. 20 o Selenium ..................

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Management is challenging and requires a team approach. Medical management is only available in the active, early phase. When the disease becomes inactive (no acute inflammation), surgery is the only option. TED is sight-threatening in up to 5% of patients, although most cases are mild and self-limiting. [1]See also separate articles Thyroid Function Tests, Hyperthyroidism, Hyperthyroidism in P...

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ژورنال

عنوان ژورنال: Eye

سال: 2006

ISSN: 0950-222X,1476-5454

DOI: 10.1038/sj.eye.6702393