The multidisciplinary team in Mayo Clinic's Thyroid Eye Disease (TED) Clinic has developed a seamless, collaborative approach to the treatment of TED that offers customized and efficient treatment. Patients in the TED Clinic are seen in the morning in individual consultations with physicians in each of the specialties involved. The team of physicians then reviews patients' photographs and laboratory data in a conference. The team assesses disease activity and severity as well as modifiable risk factors. The physicians agree on plans of action, which are then presented to patients in afternoon follow-up visits that same day.
I've got you, Elizabeth Bradley. I'm one of the orbital surgeons in Mayo's Thyroid Eye disease Clinic. Mayo has really been at the forefront of scientific investigation in thyroid eye disease and thyroid disease in general since the time of the Mayo Brothers. Some of the landmark studies in thyroid eye disease, natural history and epidemiology were performed here at Mayo Clinic. Those were followed by early studies looking rigorously at the effect of orbital radiation for thyroid eye disease. And up to the present day, we were involved in looking at some of the newer therapeutic agents during their visit. In the thyroid eye disease clinic, patients are evaluated by an oculoplastic and orbital specialist, a straus surgeon, an endocrinologist and the ent surgeon. The goal of the visit is for patients to gain an excellent understanding of their disease process, to get an idea what their course may be over the next months or even years and to learn about different treatment options that are available to them. Hello, I'm Mario Steerman endocrinologist here at Mayo Clinic. Many of these patients as you might know, have an overactive thyroid, a condition called Graves disease, but that is not always the case, some patients have normal thyroid levels or even low thyroid levels. Normalizing thyroid hormone levels is very important for the overall health. And I'm thinking heart bones and other organs, but it is also important for the eye disease itself. In addition, some of the medications that we use for thyroid, eye disease can affect other endocrine functions like glucose control. And thus, these medications are best managed through this multidisciplinary clinic. If patients develop bulging of the eyes due to swelling of the muscles and fat in the eye socket, they may need orbital decompression surgery. We can achieve removal of the orbital wall immediately and the floor with endoscopic sinus surgery through the nose and sinuses. This minimally invasive approach avoids additional external incisions and bruising and can be done alone or in combination with the decompression of the lateral orbital wall through a small eyelid incision. The use of intraoperative navigation can make this surgery even more effective. My name is Eric Bin. I'm a Strobs surgeon at the Mayo Clinic. Strobs means the eyes are not aligned. Swelling of eye muscles from thyroid eye disease can lead to double vision or depop. In many patients with thyroid eye disease, double vision and loss of depth perception greatly affects visual functioning and activities of daily living such as driving if double vision does not resolve. Once the inflammation of the muscles subsides, patients may be candidates for eye muscle surgery to restore the alignment of the eyes and improve or eliminate double vision. I'm Andrea Tilley, I'm an oculoplastic and orbital surgeon here at Mayo Clinic. Thyroid eye disease has a profound impact on the appearance and your quality of life. It's a very difficult condition to treat for both patients and providers and there's no real one size fits all. It requires a team based approach and customized care for you. That's why at Mayo Clinic, you'll see up to four different providers to provide a clinical plan of care for your specific thyroid eye disease. That plan will be discussed with you in the afternoon of your visit. You'll get a full rounded comprehensive plan so that you feel confident in the treatment of your thyroid eye disease.
