Thyroid eye disease (TED) is a condition in which the immune system attacks both the thyroid gland and tissues around the eyes.
It can cause problems such as:
Most cases are mild, and people recover after treating their overactive thyroid. But 5% of those with Graves' disease form moderate to severe Graves' eye disease.
TED hugely reduces the quality of life.
To make an appointment with one of our TED experts, call 412-647-2200.
When people who have TED get care at a multidisciplinary thyroid eye clinic, they have better outcomes than those who go elsewhere.
At UPMC's clinic, you'll see both an ophthalmologist and endocrinologist skilled in assessing and treating TED.
Endocrine surgery, ENT, and other specialists are also part of the team and provide consults when needed.
When you come to UPMC's Multidisciplinary Thyroid Eye Disease Clinic, you'll first have a complete medical exam of the eyes.
This thorough eye exam:
We refer smokers to tobacco cessation centers as smoking increases the risk of double vision and bulging eyes by 8-fold.
In mild TED cases, we suggest an overall eye assessment and prescribe selenium to improve quality of life.
For people with active TED, our complete treatment approach involves:
Overactive thyroid and TED often occur within one year of each other. But they can also form within decades of each other.
In 10% of people with TED, either their thyroid levels stay normal, or they get autoimmune hypothyroidism.
Our treatment goal is to get your thyroid function back to normal.
We don't advise radioactive iodine to treat moderate-to-severe TED, as it can worsen eye disease.
Treatments for people with moderate-to-severe or sight-threatening eye disease are antithyroid drugs or thyroid surgery.
We suggest surgery to remove part or all of the thyroid gland in people who have: