Medical
Our doctors and staff have extensive experience working with patients and providing compassionate care. We understand the importance of a committed and comprehensive approach to the treatment of Graves Disease. Medical treatments for Thyroid Eye Disease that we offer include:
- Evaluation of signs and symptoms of thyroid eye disease: vision changes, pain/pressure around the eyes and orbit, bulging eyes, eyelid retraction, tearing, dry eyes, periocular edema, conjunctival injection. Creating a clinical activity score. Testing often includes visual acuity, visual fields, intraocular pressure, stereopsis, color vision, eyelid and proptosis measurements, slit lamp examination and fundus exam.
- Assessing endocrine and auto-immunity status and providing guidance on medical management. Partnership with PCP and endocrinologist team.
- Detailed discussion of what thyroid eye disease is, risk factors, treatments and prognosis.
- Smoking cessation counseling.
- Conservative management options: ocular lubrication, treatment of vitamin D deficiency, punctal plugs or cautery, and orbital injection of corticosteroids.
- Prescribing medications, including oral and intravenous corticosteroids, CellCept (mycophenolate mofetil) and inravenous infusions of Tepezza (teprotumumab). Assessing response to therapy.
- Management of double vision (diplopia) using prisms
- Imaging: CT and MRI scans as needed to diagnose and treat the orbital disease
Surgical
The Michigan Center for Thyroid Eye Disease consists of doctors and staff who have been uniquely trained in the surgical management of Graves’ Disease and oculoplastic surgery. Surgical treatments we provide include:
- Referral for surgical thyroidectomy to the most experienced and skilled surgeons
- Staged orbital decompressions using the latest technologies to optimize outcomes
- Referral for strabismus surgery
- Eyelid retraction repair to improve ocular surface protection and lubrication
- Cosmetic procedures to improve appearance