Thyroid associated orbitopathy--medication, radioiodine or operation?

Przegl Lek. 2012;69(10):1140-3.

Abstract

This paper presents the current state of knowledge on the treatment of ophthalmopathy in the process of the Grave's disease. The question of prevention occupies a special place in the process of treatment as it has been clearly shown that exophthalmos is strongly associated with cigarette smoking. Therefore, before proceeding with any treatment, the patient should be advised to quit smoking as soon as possible. Further on in the publication, various forms of therapy are presented. Because of the unknown etiology, only symptomatic treatment can be applied, which includes steroids, radiotherapy and surgery. Patient care of patients with ophthalmopathy is a challenge even for an experienced clinician. Each case requires an individual approach that would take into account the severity of eye changes.

Publication types

  • Review

MeSH terms

  • Glucocorticoids / adverse effects
  • Glucocorticoids / therapeutic use
  • Graves Disease / drug therapy
  • Graves Disease / radiotherapy
  • Graves Disease / surgery
  • Graves Ophthalmopathy / etiology*
  • Graves Ophthalmopathy / prevention & control*
  • Humans
  • Iodine Radioisotopes / adverse effects
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Radiotherapy / adverse effects
  • Smoking / adverse effects*
  • Smoking Prevention

Substances

  • Glucocorticoids
  • Iodine Radioisotopes