Thyroid-associated ophthalmopathy: a neuro-ophthalmologist’s perspective


  • Andy CO Cheng Department of Ophthalmology, Hong Kong Eye Hospital, Hospital Authority


Thyroid-associated ophthalmopathy is an autoimmune process representing the commonest and most important extra-thyroidal manifestation of Graves’ disease. Ophthal- mologists are often the first doctors to see these patients. Due to a wide range of ocular features, patients with thyroid-associated ophthalmopathy may be seen by more than one ophthalmic sub-specialist. Neuro-ophthalmol- ogists are often involved in the management of patients with thyroid-associated ophthalmopathy since diplopia is one of its common and debilitating symptoms. Moreover, visual loss due to dysthyroid optic neuropathy is a poten- tially irreversible sight-threatening complication if treat- ment is delayed. This article focuses on the management of patients with thyroid-associated ophthalmopathy with diplopia or dysthyroid optic neuropathy, from a neuro- ophthalmologist’s perspective. Practical issues and pitfalls in the management of these patients are elucidated.




How to Cite

Cheng AC. Thyroid-associated ophthalmopathy: a neuro-ophthalmologist’s perspective. Hong Kong J Ophthalmol [Internet]. 2016Jan.2 [cited 2024Apr.13];15(1):30-4. Available from:



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