Table 5.
Treatment of hyperthyroidism due to GD in the presence of GO
| Degree of severity and activity of GO | ATH | RAI | Tx |
|---|---|---|---|
| Mild and inactive | Yes | Yes1 | Yes |
| Mild and active | Yes2 | Yes3 | Yes |
| Moderate-to-severe and inactive | Yes | Yes1 | Yes |
| Moderate-to-severe and active | Yes | No | No |
| Sight threatening | Yes | No | No |
ATD, antithyroid drugs; RAI, radioactive iodine; Tx, total thyroidectomy; GD, Graves' disease; GO, Graves' orbitopathy.
1
Steroid prophylaxis in selected cases.
2
Selenium supplementation for 6 months.
3
Steroid prophylaxis warranted (see text).