Thyroid Eye Disease - Understanding the Disease and New Treatments

Thyroid Eye Disease - Understanding the Disease and New Treatments

Stanford Health Care via YouTube Direct link

EYELID RETRACTION 911

10 of 30

10 of 30

EYELID RETRACTION 911

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Thyroid Eye Disease - Understanding the Disease and New Treatments

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  1. 1 Intro
  2. 2 Thyroid Eye Disease: Understanding the Disease & New Treatments Andrea Lora Kossler, MD, FACS
  3. 3 OUTLINE
  4. 4 GRAVES DISEASE THE SYSTEMIC COMPONENTS
  5. 5 THYROID EYE DISEASE (TED)
  6. 6 AUTOIMMUNE DISEASE
  7. 7 KEY PLAYER TED: THE ORBITAL FIBROBLAST
  8. 8 TED PATHOPHYSIOLOGY
  9. 9 TED IS ASSOCIATED WITH SIGNIFICANT VISION-THREATENING IMPAIRMENTS
  10. 10 EYELID RETRACTION 911
  11. 11 DIPLOPIA (DOUBLE VISION) 43-51%
  12. 12 TED HAS BROAD IMPLICATIONS FOR PATIENTS' LIVES
  13. 13 MILD TED
  14. 14 LIMITED WINDOW FOR TREATMENT1-3
  15. 15 TREATMENT: MULTIDISCIPLINARY APPROACH
  16. 16 CASE 1: 67 YEAR OLD FEMALE WITH EYE REDNESS, SWELLING, & PAIN X 2 MONTHS
  17. 17 CURRENT MANAGEMENT OPTIONS FOR TED
  18. 18 STEROIDS WERE THE PREVIOUS GOLD STANDARD TREATMENT
  19. 19 MEDICAL THERAPY: ORBITAL RADIATION
  20. 20 VISION THREATENING TED
  21. 21 TREATMENT-COMPRESSIVE OPTIC NEUROPATHY
  22. 22 CASE 2: 45 YO MALE TED, PROPTOSIS OU, DOUBLE VISION, PAIN, SWELLING AND LOSS OF VISION
  23. 23 BIOLOGIC THERAPY
  24. 24 TEPROTUMUMAB RESPONSE
  25. 25 OPTIC (PHASE 3) PROSPECTIVE RANDOMIZED TRIAL
  26. 26 SURGERY IS CURRENTLY THE MAIN OPTION FOR FIBROTIC TED
  27. 27 27 FEMALE PROPTOSIS AND LAGOPHTHALMOS
  28. 28 EYELID CREASE INCISION
  29. 29 POST OP WEEK 3 SP LATERAL WALL DECOMPRESSION
  30. 30 CONCLUSION- THYROID EYE DISEASE

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