Optimal management of Graves’ orbitopathy in children

Abstract:

The prevalence rate of Graves’ orbitopathy（GO） in children is lower than that in adults，which may be attributed to a low smoking rate. GO in children tends to have mild clinical manifestations，mainly mild soft tissue involvement，eyelid contracture，and exophthalmos. Since the control of GO and supportive treatment can significantly improve GO，the strategy of follow-up observation is mainly used for the treatment of GO in children. In case of poor response，glucocorticoids can be used for treatment，and ophthalmic surgery should be performed as soon as possible when GO threatens eyesight. Ophthalmologists should cooperate with endocrinologists to improve the quality of life and physical and mental development in children with GO.