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Abstract GD is a common autoimmune endocrinal disease, which characterized by thyroid hyperplasia and increased thyroid hormone. TED is the most common extra thyroidal manifestation of GD. TED is an extremely unpleasant, painful, cosmetically distressing and occasionally sight threating disease. Symptoms of TED depend on the degree of activity and severity of the disease. The ocular manifestations include pain, conjuctival chemosis, eyelid retraction corneal exposure, diplopia, exophthalmos and optic nerve compression. |