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Management plan and delivery of care in Graves' ophthalmopathy patients

Lookup NU author(s): Dr Petros Perros

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Abstract

Most patients with Graves' orbitopathy have mild disease that requires no or minimal intervention. For the minority of patients with moderate or severe disease, multiple medical and surgical treatments may be required at different stages. It is crucial that such patients are monitored closely and treatments applied with care in the right sequence. Medical treatments should be used as early as possible and only during the active phase of the disease. Rehabilitative surgery is indicated in the inactive phase of the disease and should follow the sequence: surgical decompression followed by eye muscle surgery, followed by lid surgery. Delivery of care in a coordinated fashion that makes use of best available expertise is important and best implemented through a Combined Thyroid Eye clinic. (C) 2012 Elsevier Ltd. All rights reserved.


Publication metadata

Author(s): Yang MG, Perros P

Publication type: Article

Publication status: Published

Journal: Best Practice & Research Clinical Endocrinology & Metabolism

Year: 2012

Volume: 26

Issue: 3

Pages: 303-311

Print publication date: 30/04/2012

ISSN (print): 1521-690X

ISSN (electronic): 1878-1594

Publisher: Elsevier

URL: http://dx.doi.org/10.1016/j.beem.2012.03.011

DOI: 10.1016/j.beem.2012.03.011


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