What criteria do you use when deciding whether to offer radiation for thyroid associated ophthalmopathy?

I can say that over the years, I have treated less than a hand full of these kind of cases. All have had excellent responses to the RT too. (I have not had to re-irradiate any....)

In any event, the rule for me is, or, has been, is that if the patients were referred from the Opthalmologist (typically, in the first place) then this alone was sufficient evidence to irradiate these patients. The Opthalmologists, have been following said patients all along with visual tests, ocular movement exams, a...