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Sharing and Caring? Perspectives of Multidisciplinary Working Between Endocrinologists and Ophthalmologists in Thyroid Eye Disease
Thyroid eye disease (TED) is an autoimmune condition affecting the orbits and is responsible for significant morbidity including, in rare cases, blindness. Affecting up to 25% of patients with Graves’ (autoimmune thyroid disease with thyrotoxicosis), TED is the most striking extrathyroidal manifestation and can be extremely difficult to treat. Yet, TED can often be undiagnosed for several months, or misdiagnosed, leading to significant delays in patient management.
In 2009, the European Group on Graves’ Orbitopathy (EUGOGO) spearheaded an international drive to improve the care of patients with TED, with the Amsterdam Declaration signed by 84 national and international professional and patient-led organisations, including the British Thyroid Foundation. In the UK, TEAMeD (Thyroid Eye Disease Amsterdam Declaration Implementation Group) was formed to implement these objectives.
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