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?

What is your preferred treatment for patients with Graves' hyperthyroidism and moderate-to-severe Graves' orbitopathy who are on glucocorticoid treatment?

• I prefer using antithyroid medication long-term
• I prefer recommending RAI therapy, with caution depending on individual patient factors
• I prefer thyroid surgery, especially if access to a high-volume thyroid surgeon is available
• My preference depends heavily on individual patient factors
• Other