Local Ocular Treatment of Graves' Orbitopathy: Corneal Exposure and Diplopia
Graves' orbitopathy (TED) can cause ocular surface symptoms, corneal exposure, and diplopia. This first-line protocol addresses the local ocular and lifestyle measures recommended for all patients presenting with TED, with the aim of protecting the cornea and relieving double vision.
Clinical Goals
- Prevention or relief of corneal exposure
- Relief of diplopia
Treatment Approach
The structured protocol specifies a set of local ocular interventions — including lubricants, protective strategies for the ocular surface, and specific lifestyle modifications — recommended for all patients with TED.
References
doi: 10.1089/thy.2022.0251
- Local ocular measures and lifestyle intervention should be offered to all patients with TED.
- Lubricants and nocturnal eye masks may be used to prevent or treat corneal exposure.
- Ocular occlusion and prisms may be offered to relieve diplopia.