Managing Thyroid Eye Disease

By Duke Health I Catherine Lewis

This case study was published in Clinical Practice Today

A 30-year-old woman was referred to the Duke Eye Center to manage her thyroid eye disease. She had severe exophthalmos in both eyes, and, upon waking each morning, she had near-complete loss of vision in her right eye for 30 to 60 minutes.

At Duke, she consulted with ophthalmologist Jason Liss, MD, who specializes in oculoplastics and reconstructive surgery. After examining her, he suspected she might have compressive optic neuropathy in the right eye, worsened by positional orbital swelling that developed overnight (Figure 1).

Question: How was the patient treated?

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