
Treatment may consist of the following:
- Topical medications: These include eye drops that help reduce eye discomfort and dryness. The doctor may prescribe...
- Eye care: This may consist of wearing sunglasses and using eye patches or covers if the eyelids cannot shut completely.
- Quit smoking: Smoking can worsen the progression of Graves’ ophthalmopathy. If you smoke, you...
Is there a cure for Graves' disease?
However, the underlying cause of Graves’ disease will still remain, so only remission is possible right now. "Radioactive iodine and surgery also can 'cure' the hyperthyroidism by removing the thyroid. However, the thyroid stimulating antibodies often are unaffected by these treatments, so the underlying cause of Graves’ disease persists.
What is the best medicine for Graves disease?
These include:
- wheat and wheat products
- rye
- barley
- malt
- triticale
- brewer’s yeast
- grains of all kinds such as spelt, kamut, farro, and durum
What are treatment options for Graves disease?
If your symptoms are more severe, your doctor may recommend:
- Corticosteroids. Treatment with corticosteroids, such as prednisone, may lessen swelling behind your eyeballs. ...
- Teprotumumab (Tepezza). This medication may be used to treat Graves' ophthalmopathy. ...
- Prisms. ...
- Orbital decompression surgery. ...
- Orbital radiotherapy. ...
What medications treat Graves disease?
Treatment
- Radioactive iodine therapy. With this therapy, you take radioactive iodine (radioiodine) by mouth. ...
- Anti-thyroid medications. Anti-thyroid medications interfere with the thyroid's use of iodine to produce hormones. ...
- Beta blockers. ...
- Surgery. ...
- Treating Graves' ophthalmopathy. ...

How do you manage Graves ophthalmopathy?
Management of Graves′ Orbitopathy (GO) is based on three pillars: 1/discontinuation of smoking, 2/restoration and maintenance of euthyroidism, 3/specific eye treatment according to disease severity and activity.
How do you treat Graves ophthalmopathy naturally?
10 Natural Ways to Combat Graves' DiseaseManage stress. ... Exercise regularly. ... Eat an anti-inflammatory diet. ... Eliminate toxins. ... Cut endocrine disrupting chemicals from your life. ... Use visualization exercises. ... Protect sensitive eyes and skin. ... Stay hydrated.More items...
What worsens Graves ophthalmopathy?
Background. Ophthalmopathy caused by Graves' disease may first appear or worsen during or after treatment for hyperthyroidism. It is not known, however, whether choosing to treat hyperthyroidism with antithyroid drugs, iodine-131, or surgery affects the development or aggravation of Graves' ophthalmopathy.
Can graves Ophthalmopathy be reversed?
Many patients with mild to moderate Graves' ophthalmopathy will experience spontaneous improvement over the course of two to three years or will adapt to the abnormality. Severe ophthalmopathy will affect 10% of patients.
What helps swollen eyes from thyroid?
Keeping the head elevated in bed at night can help reduce swelling from the thyroid eye to a certain extent. Selenium supplements can help if eye swelling is mild. Medications such as steroids and immunosuppressants that treat inflammation also bring down the swelling.
How can I reduce my bulging eyes?
Treatment for bulging eyeseye drops.antibiotics.corticosteroids to ease inflammation.eye surgery.surgery, chemotherapy, or radiation to treat cancerous tumors.
Is Graves ophthalmopathy curable?
Graves' ophthalmopathy doesn't always improve with treatment of Graves' disease. Symptoms of Graves' ophthalmopathy may even get worse for three to six months. After that, the signs and symptoms of Graves' ophthalmopathy usually become stable for a year or so and then begin to get better, often on their own.
How long does Tepezza stay in your system?
Be sure to tell your doctor if you are pregnant or plan to become pregnant. If you can become pregnant, you should use an effective form of birth control (contraception) before you start TEPEZZA, during treatment, and for at least 6 months after your last TEPEZZA treatment.
How common is Graves ophthalmopathy?
Graves' ophthalmopathy occurs in about 30% of people with Graves' disease of the thyroid. 3 In most cases, your immune system attacks the muscles and other tissues of the eye.
How much does the drug Tepezza cost?
The cost for Tepezza intravenous powder for injection trbw 500 mg is around $15,997 for a supply of 1 powder for injection, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.
Can bulging eyes return to normal?
Eye protrusion Although less variable than eyelid retraction, the protrusion of the eye can return to normal on its own. After being stable for several months or more, it is sometimes desirable to surgically move the eye into a more normal position.
Why does thyroid shrink?
Because the thyroid needs iodine to produce hormones, the thyroid takes the radioiodine into the thyroid cells and the radiation destroys the overactive thyroid cells over time. This causes your thyroid gland to shrink, and symptoms lessen gradually, usually over several weeks to several months.
How to treat Graves' ophthalmopathy?
Treating Graves' ophthalmopathy. Mild symptoms of Graves' ophthalmopathy may be managed by using over-the-counter artificial tears during the day and lubricating gels at night. If your symptoms are more severe, your doctor may recommend: Corticosteroids.
What is the procedure to remove the thyroid gland?
Surgery to remove all or part of your thyroid (thyroidectomy or subtotal thyroidectomy) also is an option for the treatment of Graves' disease. After the surgery, you'll likely need treatment to supply your body with normal amounts of thyroid hormones.
What is the blood test for Graves disease?
People with Graves' disease usually have lower than normal levels of TSH and higher levels of thyroid hormones.
How to get rid of dry eyes?
Eyedrops may relieve the dry, scratchy sensation on the surface of your eyes. A paraffin-based gel can be applied at night. Elevate the head of your bed. Keeping your head higher than the rest of your body lessens fluid accumulation in the head and may relieve the pressure on your eyes. Don't smoke.
What tests are needed for Graves disease?
Imaging tests. If the diagnosis of Graves' disease isn't clear from a clinical assessment, your doctor may order special imaging tests, such as a CT scan or MRI.
What to do for redness on legs?
In addition, using compression wraps on your legs may help.
Why does my eye swell?
Eye problems result from the swelling of tissues, muscles and fat in the socket behind the eye. This swelling causes exophthalmos, an abnormal protrusion of the eye, commonly associated with Graves' disease. The eyelids and membranes may retract as they swell. This can lead to exposure and infection of the cornea.
What is Graves' eye disease?
What Is It? Graves' eye disease, also called Graves' ophthalmopathy, is a problem that develops in people with an overactive thyroid caused by Graves' disease. Up to one-half of people with Graves' disease develop eye symptoms. Usually the eye symptoms are mild and easily treated. Eye problems result from the swelling of tissues, ...
What happens when the eyelids retract?
The eyelids and membranes may retract as they swell. This can lead to exposure and infection of the cornea. The cornea is the transparent, dome-shaped "window" that lies directly over the eye's pupil and iris. To continue reading this article, you must log in.
How to treat double vision in eyes?
They may also help with double vision. Corticosteroids dampen your immune system, so you don’t have as much inflammation in your body. You can take them by mouth, or your doctor can inject them into your eye. You can only take them for a few weeks. If you take them for longer than that, you’re likely to have more side effects, which include:
How long does the active phase last?
You may have trouble closing your eyelids. You could even have problems with your vision. This phase can last from several months to up to 2 years.
What is orbital decompression surgery?
Orbital decompression surgery: If you’re in danger of losing your eyesight because of pressure on your optic nerve, your doctor may suggest this surgery. During the procedure, your doctor removes the bone between your eye socket (orbit) and your sinuses (air spaces beside your eye socket). The swollen tissues can fill this area.
What is the goal of the active phase?
The goal of treatment during the active phase is to relieve the symptoms. Your doctor will aim to preserve your sight and protect the surface of your eye (called the cornea) from damage. They can also work on correcting any double vision you might have from the disease or as a side effect of surgery. The inactive phase is when your disease has ...
Do prisms work for everyone?
Your doctor may suggest prisms, a type of lens, in your glasses to help correct it. Prisms don’t work for everyone, but they can help people ease eye strain and train eye muscles back to single vision. More severe symptoms might need medication, radiation, or surgery.
Can orbital radiotherapy cause nausea?
It can cause side effects such as nausea, diarrhea, muscle spasms, and higher blood sugar levels. Radiation. Orbital radiotherapy: Doctors aren’t clear how well this treatment works. They may try it if your symptoms are getting worse and corticosteroids aren’t a good option for you.

Diagnosis
Treatment
- The treatment goals for Graves' disease are to stop the production of thyroid hormones and to block the effect of the hormones on the body. Some treatments include:
Clinical Trials
- Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
Lifestyle and Home Remedies
- If you have Graves' disease, make your mental and physical well-being a priority: 1. Eating well and exercisingcan enhance the improvement in some symptoms during treatment and help you feel better in general. For example, because your thyroid controls your metabolism, you may have a tendency to gain weight when the hyperthyroidism is corrected. Br...
Preparing For Your Appointment
- You'll probably see your primary care doctor first. You may be referred to a specialist in disorders of hormone function and the endocrine system (endocrinologist). If you have Graves' ophthalmopathy, your doctor may also recommend that you see a doctor who has trained in eye disorders (ophthalmologist). Here's some information to help you get ready for your appointmen…
What Is It?
Symptoms
Diagnosis
Expected Duration
Prevention
Treatment
- In mild cases, cool compresses, sunglasses and artificial tears provide relief. People with Graves' eye disease often are advised to sleep with their heads elevated to reduce eyelid swelling. If double vision is a continuing problem, glasses containing prisms may be prescribed or surgery on the muscles may be advised. If the thyroid gland is overac...
When to Call A Professional