Although there is no thyroid gland in the eye or the orbit, the eye can be severely affected by thyroid disease. There are several thyroid conditions that can lead to a problem in the orbit, but the most common is entitled Grave's Disease. In this condition, the immune system recognizes the thyroid gland as foreign and initiates an attack on the gland. The antibodies that the immune system produces inadvertently cross react with tissue in the orbit leading to an exuberant inflammatory response. This inflammatory response can produce a sensation of pressure, double vision, loss of vision, tearing, red eyes and prominent eyes. Treating the thyroid gland and controlling the inflammation in the orbit is the first step to treat thyroid eye disease. Thyroid eye disease is a complicated condition that requires a team approach with several specialists. There are many ways to control the thyroid and thyroid eye disease, both medically and surgically.  Dr. Zatezalo will discuss the best options and offer consultation with an endocrinologist to assist in creating an optimal treatment plan.