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Should This Condition Always Be Called Graves’ Orbitopathy?

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The eye disease generally associated with Graves’ disease has been known by many names [1]. The various definitions of the disease are reported in Table 1. The various names reflect: (i) the presence and variability of the thyroid dysfunction associated with the eye disease, as discussed in detail below; (ii) the fact that the pathogenesis of the condition is not fully elucidated; (iii) the fact that the disease has many and varied clinical presentations. We believe that the term Graves’ orbitopathy (GO) is an accurate reflection of the condition in the majority of patients. It does usually occur in the context of Graves’ disease. It does involve parts of the orbit so that it is reasonable to use the term orbitopathy. However, it could be argued that in the mild form of the condition, where the symptoms and signs are predominantly related to periorbital soft tissues, the term orbitopathy may be an alarming misnomer. From a practical point of view, in the Graves’ eye clinic the term GO is appropriate.

Graves' Orbitopathy

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