12/20/2025
As many as 40% of individuals with Graves disease will develop TED. The condition can also arise when thyroid hormone levels are normal (euthyroid) or even low (hypothyroid). TED may occur in patients already diagnosed with thyroid disease, or it can be the initial indication of Graves disease. Because TED is a distinct disorder, managing hyperthyroidism alone may not fully improve the eye-related symptoms or signs.
TED remains frequently misdiagnosed or misunderstood, and Lisa M. Nijm, MD, JD, is dedicated to improving clinical awareness and understanding.
“TED is a serious progressive and potentially vision-threatening, rare autoimmune disorder,” Nijm noted. “TED is often confused with hyperthyroidism and Graves disease, and many people incorrectly assume that TED occurs only in the presence of Graves disease.
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