Can Thyroid Eye Disease Be Treated Without Surgery?

Doctor holds a model of a thyroid against her neck If you’ve been diagnosed with thyroid eye disease (TED), you might assume that surgery is the only way to relieve your symptoms. In reality, many people manage TED effectively without surgery, especially during the early, active phase of the condition.

At the office of Dr. W. John Murrell, a board-certified Ophthalmologist and Oculoplastic Surgeon in Amarillo, TX, treatment is always customized based on your symptoms, the severity of inflammation, and your stage of disease. With over 30 years of experience, Dr. Murrell offers a range of non-surgical and surgical options, ensuring you receive the right level of care at the right time.

The Active Phase of TED

Thyroid eye disease usually begins with an active, inflammatory phase. During this time, the muscles and tissues around your eyes become swollen, causing symptoms such as:

  • Redness or eye irritation

  • Bulging eyes (proptosis)

  • Eyelid retraction or swelling

  • Double vision

  • Sensitivity to light

This phase can last several months to a few years, and treatment focuses on reducing inflammation and preventing tissue damage before any surgical intervention is considered.

Nonsurgical Treatment Options

1. Tepezza® (Teprotumumab):

Tepezza is the first FDA-approved medication specifically for TED. It’s an intravenous therapy that targets the autoimmune activity causing inflammation behind your eyes. Many patients experience reduced eye bulging, improved double vision, and less discomfort after completing the infusion series.

2. Corticosteroids:

Oral or IV steroids may be used in the active phase to reduce inflammation and swelling quickly. While not a long-term solution, they can provide relief during flare-ups or serve as a bridge to other treatments.

3. Lubricating Eye Drops and Cool Compresses:

Over-the-counter artificial tears and cold compresses can help soothe dryness and irritation. These supportive treatments won’t reverse TED, but they can keep your eyes more comfortable daily.

4. Lifestyle Adjustments:

Quitting smoking is one of the most important things you can do to slow TED progression. Managing your thyroid levels and using prism glasses to ease double vision are also helpful steps.

When Surgery Is Considered

Surgical treatment is usually reserved for the inactive phase of TED, once the inflammation has settled. At that point, procedures like orbital decompression, eyelid repositioning, or strabismus surgery may be used to correct long-term structural changes.

But until then, nonsurgical care often plays a central role in managing symptoms and improving quality of life.

Explore Your Options in Amarillo, TX

If you’re struggling with symptoms of thyroid eye disease, you may not need surgery right away — or at all. Contact us at (806) 351-1177 to schedule a consultation and get the care that fits your condition and goals.

Contact Us For All Your Health Related Queries!

Panhandle Eye Group Subspecialists

7411 Wallace Blvd
Amarillo, TX 79106

Amarillo Cataract & Eye Surgery Center

7310 Fleming Ave
Amarillo, TX 79106

Office Hours

We offer earlier morning appointment starting at 7:40am for those who choose to come in at an earlier convince. Our phone hours are as posted.

Monday
8:15 AM - 4:30 PM
Tuesday
8:15 am - 4:30 pm
Wednesday
8:15 am - 4:30 pm
Thursday
8:15am - 12:30pm
Friday
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This is the latest IOL for Dr. Murrell's cataract practice. The LAL is the first IOL that can be adjusted after the surgery. Dr. Murrell can customize your IOL so that you can have the vision that you desire.

The LAL is a premium IOL which will not be covered under your medical insurance hence will have to pay for this IOL.

 

What's coming to Dr. Murrell's practice in the next few months.
Embrace with Accutite and Facetite and Morpheus Prime and Morpheus8

Accutite and Facetite: - These are FDA approved cosmetic devices that can melt fat and mildly tighten skin. It requires only a small opening in the skin. The Accutite is for small areas such as the upper and lower eyelids. The Facetite is for the larger areas of the face such as the jowls, neck, and nasolabial folds.

Morpheus Prime and Morpheus 8 - These are FDA approved cosmetic devices that are applied to the skin to tighten the skin and collagen underneath the skin. The Morpheus Prime is for smaller areas smaller areas such as the upper and lower eyelids. the Morpheus8 is for the larger areas of the face. Both Morpheus Prime and Morpheus 8 takes 3 treatments spaced 4 weeks apart from each other.

The Accutite and Morpheus Prime can both be performed to the eyelids to maximize the cosmetic effect. Likewise, the Facetite and Morpheus8 can both be performed to maximize the cosmetic effect.

The Embrace is the device that rungs the Accutite, Facetite, Morpheus8, and Morpheus Prime. These treatments are not covered by insurance. The patient will have to pay for the procedure.

What's New in Dr. Murrell Practice in 2023

Light adjustable IOl (LAL) for Cataract Patients

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