Clinical Study

The Influence of Prior Hyperthyroidism on Euthyroid Graves’ Ophthalmopathy

Table 4

Therapy for Graves’ hyperthyroidism and Graves’ ophthalmopathy.

TherapyGroup A
( )
Group B
( )
Value

Smoking cessation3/16 (19%)4/18 (22%)NS
Antithyroid drugs22 (54%)
Thyroidectomy2 (5%)
Radioiodine33 (80%)
Orbital irradiation3 (8%)0 (0%)NS
Corticosteroids2 (5%)2 (5%)NS
Orbital decompression1 (3%)5 (12%)NS
Strabismus surgery7 (19%)12 (29%)NS
Upper eyelid blepharoplasty2 (5%)4 (10%)NS
Upper eyelid lengthening surgery6 (16%)4 (10%)NS

Values are expressed as numbers, except as if indicated.
NS = not significant.
For moderate-to-severe GO: methylprednisolon 64 mg/d orally, with taper over 2-3 months and for 1 patient in group B with dysthyroid optic neuropathy: methylprednisolon intravenously  mg/d over 2 weeks, with taper orally.