Question

Draw a flow diagram on management protocols of thyroid eye disease causing optic nerve compression.

Hint:

Managing optic nerve compression in TED requires a combination of thyroid control, anti-inflammatory therapy, and potentially surgical intervention for severe cases.

Answer 1

A flow diagram for managing optic nerve compression due to Thyroid Eye Disease (TE typically follows these steps:
Management Flow:
- Step 1: Initial Assessment:
- Confirm diagnosis of TED and optic nerve compression via clinical examination and imaging (CT/MRI).
- Step 2: Treat Thyroid Dysfunction:
- Control thyroid function (e.g., anti-thyroid medications, radioactive iodine, or surgical thyroidectomy).
- Step 3: Medical Management:
- Corticosteroids for inflammation and swelling reduction.
- Orbital decompression if necessary.
- Step 4: Surgical Intervention:
- Consider orbital decompression surgery to relieve pressure on the optic nerve if vision is threatened.
- Step 5: Follow-up Care:
- Regular follow-up to monitor vision, optic nerve status, and response to treatment.