Thyroid Orbitopathy and Thyroid Eye Disease Surgical Treatment

Thyroid Orbitopathy, also known as Thyroid Eye Disease (TED), is an autoimmune condition that causes inflammation and swelling in the tissues surrounding the eyes. Symptoms such as bulging eyes, double vision, and eyelid retraction can significantly impact both appearance and comfort. While surgical treatments have traditionally been the standard for advanced cases, the introduction of Tepezza offers a revolutionary non-surgical alternative for many patients.

Dr. Robert Schwarcz, with offices on the Upper East Side of Manhattan in NYC and Rye, NY, specializes in both surgical and non-surgical treatments for TED, ensuring a personalized approach tailored to each patient’s needs.

What Is Thyroid Eye Disease?

TED occurs when the immune system mistakenly attacks the muscles and tissues around the eyes, leading to:

• Bulging Eyes (Proptosis): Tissue expansion behind the eyes pushes them forward.

• Double Vision (Diplopia): Misalignment of eye muscles leads to visual disturbances.

• Eyelid Retraction: Pulling back of the eyelids, exposing more of the eye.

• Dry Eyes or Irritation: Increased exposure causes discomfort and potential damage.

• Optic Nerve Compression: Severe cases can threaten vision.

Tepezza: A Non-Surgical Alternative

Tepezza (teprotumumab) is the first FDA-approved medication specifically designed for TED. This monoclonal antibody treatment targets and inhibits the IGF-1 receptor, which plays a key role in the inflammation and tissue changes associated with TED.

How Tepezza Works:

• Reduces inflammation and swelling in the eye tissues.

• Decreases proptosis (eye bulging).

• Improves double vision by addressing tissue expansion and muscle involvement.

The Treatment Process:

• Administration: Tepezza is given through an IV infusion over eight sessions, typically spaced three weeks apart.

• Duration: Each infusion lasts 60–90 minutes.

• Results: Many patients see improvements in eye appearance, comfort, and vision within the first few treatments.

Who Is a Candidate for Tepezza?

• Patients in the active phase of TED with moderate to severe symptoms.

• Those seeking a non-surgical option to address proptosis and double vision.

Surgical Treatments for TED

For patients who do not respond to Tepezza or are in the inactive phase of TED, surgery remains an effective option to address lingering issues.

1. Orbital Decompression Surgery

• Purpose: Reduces eye bulging by creating more space in the orbit for swollen tissues.

• Ideal For: Severe proptosis or optic nerve compression.

2. Strabismus Surgery

• Purpose: Corrects double vision by realigning the eye muscles.

• Ideal For: Persistent double vision due to scarring or muscle misalignment.

3. Eyelid Surgery

• Purpose: Addresses eyelid retraction and improves function and appearance.

• Ideal For: Chronic irritation, exposure-related issues, or cosmetic concerns.

Comparing Tepezza and Surgery

Tepezza:

• Pros: Non-invasive, addresses the root cause of inflammation, and improves multiple symptoms simultaneously.

• Cons: Best for patients in the active phase of TED; results may vary.

Surgery:

• Pros: Provides permanent solutions for specific concerns such as proptosis, double vision, or eyelid retraction.

• Cons: Requires downtime and is best performed during the inactive phase of TED.

Recovery and Aftercare

Tepezza:

• Most patients experience minimal side effects, such as fatigue or mild nausea, which subside after the infusion.

Surgery:

• Recovery involves swelling and bruising for 1–2 weeks, with full results developing over several months.

Dr. Schwarcz provides detailed aftercare plans and regular follow-ups to monitor your progress, regardless of the chosen treatment.

Why Choose Dr. Robert Schwarcz for TED Treatment?

Dr. Robert Schwarcz is a trusted expert in both non-surgical and surgical treatments for Thyroid Eye Disease, offering comprehensive care tailored to your specific needs. His expertise ensures that patients receive the most effective and appropriate treatment, whether it’s Tepezza or a surgical procedure.

With offices on the Upper East Side of Manhattan in NYC and Rye, NY, Dr. Schwarcz provides compassionate, state-of-the-art care to help patients achieve relief and improved quality of life.

Take the Next Step Toward Relief

If you’re experiencing symptoms of Thyroid Eye Disease, explore your treatment options with Dr. Robert Schwarcz. Whether you’re a candidate for Tepezza or require surgical intervention, Dr. Schwarcz can help you achieve lasting comfort and confidence. Request an appointment by clicking the button below to take the first step toward healthier, more comfortable eyes.