Management of patients with thyroid ophthalmopathy

Patients with thyroid-associated ophthalmopathy (TAO or thyroid eye disease TED) may present diagnostic and therapeutic challenges. As the disease evolves, a myriad of ophthalmic complications may occur that requires the involvement of multiple ophthalmic disciplines. Orthoptists are valuable members of the eye care team who are often called upon to manage the diplopic complaints of these patients, and to document changes in the motility during the protracted follow-up period before surgical therapy is appropriate. In the following discussion, our participants offer their insights into the care and management of patients with thyroid eye disease.