Do you have a preference between RAI therapy and antithyroid medication for patients with Graves' hyperthyroidism and moderate-to-severe Graves' orbitopathy who are on glucocorticoid treatment?  

I caution using RAI in Graves' disease with moderate to severe orbitopathy if I can. Surgery, if you have access to a high-volume thyroid surgeon, may be better vs long-term antithyroidal therapy. Obviously, a lot of individual patient factors can play into this decision. I would also avoid RAI for ...