Thyroid eye disease may occur at any time during a thyroid patient’s clinical course. Common symptoms include swollen eyelids, a bulging appearance to the eye, red and dry eyes, inability to close the eye and pain in the eye. It is important to work closely with the patient’s endocrinologist to ensure appropriate medical management of the thyroid condition. The health of the eye must be monitored to ensure that the vision is not affected. Treatment options include supportive eye care, IV infusion therapy to address the thyroid eye disease, and in some cases orbital decompression surgery. In orbital decompression, the delicate bones around the eye are removed in small pieces to create space for the eye. The incision is placed inside the lower eyelid and in the outer corner (hidden in a laugh line). This surgery is done to alleviate bulging of the eye that is vision threatening. It is performed on an outpatient basis and Dr. Jennifer Hui will follow you closely to ensure proper healing. Orbital decompression may be followed by eyelid surgery in some cases to further improve appearance and eyelid function.