A Complicated Case of Thyroid Eye Disease

  • Bernard Y. P. Chang
  • Ramzi AjjanEmail author


Clinical thyroid eye disease (TED) is found in up to 50 % of patients with Graves’ disease. Fortunately, the majority of cases are mild requiring topical treatment or no intervention at all. However, some cases can be severe and in extreme cases may threaten vision.

The current chapter addresses the management of a patient with type 1 diabetes who develops Graves’ disease complicated by severe TED. This case illustrates the difficulties encountered in the management of patients with complicated TED.


Thyroid eye disease Clinical activity score Proptosis Optic nerve compression Pulsed iv methylprednisolone Orbital decompression 


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Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  1. 1.Department of OphthalmologyLeeds Teaching Hospitals NHS TrustLeedsUK
  2. 2.Cardiovascular and Diabetes ResearchUniversity of LeedsLeedsUK

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