Thyroid eye disease subtype dictates management

Thyroid eye disease can be broken down in to 2 separate subtypes, said William R. Nunery, MD, FACS, during a presentation at the American Society of Ophthalmic Plastic and Reconstructive Surgery meeting.

Eye motility is largely normal in type 1 disease and extraocular muscles show restrictive myopathy in type 2 disease. Although both types share similar features each has its own natural history, onset age, common gender, smoking prevalence, risk for neuropathy, and outcomes.

Reference

Nunery WR, et al. Observations after forty years of managing thyroid eye disease – the importance of subtypes. Presented at: American Society of Ophthalmic Plastic and Reconstructive Surgery meeting; Oct. 10-11, 2019.