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Archived from the original on 2021-12-03

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Am J Prev Med 2000: 19 (3): 188192

Key Points Management of Graves' ophthalmopathy should be tailored to the individual patient's needs, but requires assessments of smoking behavior, thyroid function, and the severity and activity of the eye changes Cessation of smoking is useful in the primary, secondary and tertiary prevention of Graves' ophthalmopathy Treatment of Graves' hyperthyroidism with antithyroid drugs or subtotal or near-total thyroidectomy has no risk or benefit with respect to Graves' ophthalmopathy, but 131 I therapy carries a small risk of development or worsening of eye changes Mild Graves' ophthalmopathy is best managed by a 'wait-and-see' policy or retrobulbar irradiation, whereas dysthyroid optic neuropathy should be treated urgently with intravenous pulsed methylprednisolone Active, moderately severe Graves' ophthalmopathy qualifies for immunosuppression

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