Management of a patient with thyroid eye disease typically involves several health care providers working together. A primary care provider and/or endocrinologist, may help adjust medications depending on a patient's thyroid levels. An eye care provider assists in ensuring a patient's eye concerns are addressed. An oculoplastic surgeon may be consulted for a thyroid eye patient whose eye(s) do not close due to bulging, or if vision loss is due to bulging/protrusion or if vision loss is due to compression of the optic nerve. A strabismus surgeon may be consulted for a thyroid eye patient whose eyes do not align properly.
Quitting smoking is the most important step a patient can do for themselves.
Oral or intravenous steroids can help reduce swelling of the tissues around a thyroid patient's eye(s).
Radiation treatment to the eye sockets can also reduce inflammation around the eyes and help with double vision.
Lubricating eye drops and ointments can help with dry eyes. Patching eye(s) that do not close completely at night is sometimes necessary.
If a patient's symptoms are not controlled with medications, surgery may be needed.