Initial Treatment for Dysthyroid Optic Neuropathy

Monitoring and Follow-up

• The American Academy of Ophthalmology recommends careful surveillance for optic neuropathy with attention to acuity, color vision, visual fields, pupillary exam, and fundus exam in patients with dysthyroid optic neuropathy 1

Treatment Algorithm

• The American Academy of Ophthalmology suggests that if orbital decompression is indicated, strabismus repair should be delayed until after decompression as new onset or exacerbated strabismus may result 2