ABSTRACT

Changes of vision occur commonly in patients with Graves’ disease, with a number of vision complaints due to corneal epithelial disruption or tear film changes (1). The most serious complication of Graves’ ophthalmopathy is visual impairment from optic neuropathy. The clinician must be diligent in screening for optic nerve involvement in patients with severe thyroid eye disease, since the most common cause of permanent vision loss is optic neuropathy.