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Thyroid Eye Disease (TED), also known as Thyroid orbitopathy, Graves ophthalmopathy, Graves’ orbitopathy (GO) and Thyroid-associated orbitopathy (TAO) has a symptom which frequently results in the glance for Graves’ disease. TED is rarely found for severe symptoms. TED is an autoimmune disease. It occurs when the body’s immune system attacks the tissues around the eye. It causes the extraocular muscles and orbital fat become inflamed, eyelid retraction, proptosis, chemosis and periorbital edema. This finding can cause double vision and blurred vision in some patients some of TED patients may be associate with hyperthyroidism disease. Some might also result with hypothyroidism. However, the severity of eye symptoms would not directly relate to severity of hyperthyroidism. For patient in serious and unresponsive condition, TED can be a challenging therapeutic. European Thyroid Association, also known as the European Group on Graves’ Orbitopathy (EUGOGO) had actualized guideline for TED in 2016 and further in 2018. According to the recent guideline, it’s included the guideline, stopper of disease and therapeutic at each stage of disease.
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