Thyroid Eye Disease Infusion Centers

With local infusion centers across the country, Thyroid Eye Disease patients requiring ongoing biologic infusions or injections relax in privacy and comfort during treatment.

Intentionally designed for Thyroid Eye Disease patients.

Private Suites

Guaranteed for all patients, with leather recliners and chairs for guests

On Your Schedule

Local centers offer flexible scheduling, including evenings and weekends

Goodbye Waiting

Greeted by name at check-in, patient suites are always ready when you arrive

Sit Back and Relax

In-room streaming options so you can catch up on your favorite shows

Caring for those with Thyroid Eye Disease.

Simply put, patients with Thyroid Eye Disease who need ongoing infusion or injection treatment deserve better options for when, where and how they receive care.

Located in the communities where people live and work, IVX Health serves those with complex chronic conditions like Thyroid Eye Disease by delivering high-quality, personalized care in a private, comfortable setting so patients can continue to live their best lives.

What is Thyroid Eye Disease (TED)?

Thyroid eye disease, or TED, is a rare condition where the muscles and fatty tissues behind the eye become inflamed. This inflammation causes the eyes to bulge forward and outwards, causing symptoms such as double vision, eye pain, swelling, and redness. 

How is Thyroid Eye Disease Diagnosed and Treated?

To examine vision and tissue around the eye, doctors typically will perform several tests, including vision testing, color vision testing, visual fields, eyelid measurements, eye pressure readings, checking the optic nerves, and sometimes photographs. The treatment options for thyroid eye disease include corticosteroids or other anti-inflammatory medications, radiation, biologic infusion therapies such as Tepezza, and surgery. A combination of these treatments may be needed to protect vision. 

How Does IV Infusion Therapy for Thyroid Eye Disease Work?

A nurse will take you to an infusion chair and place an IV in your arm. The first two infusions will last for an estimated 90 minutes and the remaining six infusions should last around 60 minutes. 

Many thyroid eye disease patients choose to get their IV infusion treatment through a freestanding treatment center, such as IVX Health. TED patients often choose IVX Health as their preferred site of care because of its unique, patient-centered amenities, including private suites, its industry-leading 1:3 nurse-to-patient ratio, flexible appointment scheduling, and lower cost when compared to the hospital.

Thyroid Eye Disease Therapies Administered at IVX Health

The following infusion and injection therapies are administered at IVX Health.

Thyroid Eye Disease Management at IVX Health

Each IVX Health patient receives excellent care from Advanced Registered Nurse Practitioners (ARNPs) and Registered Nurses (RNs).

The benefits of receiving infusion treatments for TED at IVX Health include:

  • Private suites
  • Comfortable, leather recliners
  • Enough room and plenty of seating for guests
  • A friendly clinical staff
  • Personalized service
  • High-speed internet
  • Complimentary beverages and snacks
  • Flat-screen television sets provide a way for patients to stream their favorite movies and watch the shows they love
  • Flexible scheduling options (including evening and weekend appointments)

What to Expect During IV Infusion Treatment for TED

Step One

Using a thin, very small catheter, one of IVX Health’s nurses creates the patient an intravenous line (aka IV line) into the patient’s arm vein.

Step Two

After placing the IV line, the nurse connects it to tubing that leads up to the thyroid eye disease medication.

During treatment, patients are continuously monitored by one of IVX’s nurses. If a patient requires assistance, he or she just needs to press the call button.

There are times when a patient experiences a reaction to the medication he or she is receiving; therefore, patients need to recognize the symptoms associated with an allergic reaction.

Signs of a potential allergic reaction include developing a headache, feeling nauseous, difficulty breathing and developing a rash. Patients experiencing these symptoms need to contact their nurse right away.

How to Get a Referral for Thyroid Eye Disease IV Infusion Treatment

Every referral must be accompanied by an order for treatment.

Patient information should include:

  • Name
  • Current address
  • Home and mobile phone number
  • Insurance information

Information the physician must include on the patient’s order for IV therapy to treat TED include:

  • Patient’s name and DOB
  • Order date
  • Diagnosis
  • Physician’s name and NPI#
  • Office address, phone, and fax numbers
  • Provider’s signature

Supporting clinical documentation from the physician should include:

  • List of current medications and surgical procedures used to treat condition
  • Patient’s current weight and height 
  • Clinical activity score (CAS) for the patient, based on medical policy 
  • Clinicals to support patient has thyroid eye disease (TED) 

Due to the complexity of treatment, prior authorization is often required. Prior authorization is the process of getting approval for treatment from the patient’s healthcare provider before beginning treatment. It’s important to check in with your healthcare provider to see if a prior authorization will be needed for your infusion or injection treatment at IVX Health. 

If you have thyroid eye disease, and you would like to learn more about the IV infusion therapy for TED available at IVX Health centers, contact us today.

What is Thyroid Eye Disease?

At our core, we are dedicated to providing exceptional care for patients with Thyroid Eye Disease, also known as Graves’ orbitopathy or ophthalmopathy. This autoimmune disorder primarily affects the muscles and tissues around the eyes, but with our compassionate and expert team, there’s hope and management options available. Our immune system can sometimes mistakenly target these tissues, causing inflammation and swelling, leading to symptoms like bulging eyes (proptosis), double vision (diplopia), and eye irritation.

In more severe cases, patients may face pain, redness, and even vision loss due to optic nerve compression. But early diagnosis and proactive management are key to preventing long-term complications and ensuring a high quality of life for those affected.

We take pride in our patient-centric approach, celebrating every step towards better health and brighter futures. Our skilled staff is dedicated to providing a warm and inviting environment, where every patient feels known and cared for. We’re here to make a difference, one step at a time. 

What causes Thyroid Eye Disease?

Several factors contribute to the development of TED, including genetic, environmental, and lifestyle factors. At our core, we believe understanding these factors is crucial to providing the best care possible. 

Genetic Factors

  • Genetics play a significant role in determining who is at risk for TED. Certain genes, such as CTLA-4, HLA-DRB-1, and TNF-a, are commonly associated with the disease. Individuals with a family history of autoimmune disorders are also at higher risk. We are dedicated to staying at the forefront of genetic research to help our patients thrive.

Environmental Factors

Various environmental triggers can exacerbate or initiate TED. We are committed to educating our patients about these factors to improve their quality of life.

Smoking

  • Smoking is strongly linked to the onset and severity of TED. It increases the risk of developing the disease and worsens its symptoms. Our compassionate team is here to support you in making healthier choices. 

Radioactive Iodine Therapy (RAIT) 

  • RAIT, often used to treat hyperthyroidism, can cause a flare-up of TED in about 24% of cases. Patients undergoing this treatment should be monitored closely. Our vigilant care ensures you receive the best possible outcomes. 

Psychological Stress

  • Chronic stress can aggravate TED by triggering immune hyperactivity. This is particularly common after prolonged corticosteroid use. We foster a comforting environment to help alleviate stress and promote well-being. 

TED often coexists with other autoimmune disorders, such as:

  • Pernicious anemia
  • Systemic lupus erythematosus
  • Addison’s disease
  • Vitiligo
  • Coeliac disease
  • Rheumatoid arthritis

These associations highlight the complex interplay between the immune system and various tissues in the body.

Symptoms of Thyroid Eye Disease

Recognizing the signs of TED (Thyroid Eye Disease) is key to early intervention and effective management. Here are some common symptoms to watch out for:

  • Eye Irritation: Ever had dry, gritty eyes or excessive tearing that makes daily tasks uncomfortable? That could be a sign. 
  • Swelling and Redness: Inflamed, red eyes with a tender feeling when touched are another red flag.
  • Protruding Eyes: Notice your eyes bulging outward? This noticeable symptom, called proptosis, can impact your appearance and self-esteem.
  • Double Vision: Struggling to focus on objects and seeing double? Diplopia can interfere with activities like reading and driving.
  • Light Sensitivity: Finding yourself increasingly sensitive to light, even needing sunglasses indoors? Photophobia might be the culprit.

Early detection and treatment are essential to manage these symptoms effectively and prevent further complications. Stay vigilant and proactive about your eye health!

How to Diagnose Thyroid Eye Disease

A thorough clinical exam and diagnostic procedures are essential for evaluating Thyroid Eye Disease (TED):

  • Visual Acuity Test: Ensures clarity of vision at all distances, from close-up reading to faraway objects, helping to spot any blurriness or vision issues.
  • Eye Movement Test: Checks for restrictions in eye movement and double vision, indicating potential issues with eye muscles or nerves.
  • Eyelid and Eye Position: Measures if the eyelids are retracted or the eyes are bulging, signaling various eye conditions or diseases.
  • Photographic Documentation: Captures detailed images of the eyes and surrounding areas to track changes over time, providing a visual record for comparison.
  • Computed Tomography (CT) Scan: Offers detailed cross-sectional images of eye muscles and tissues, aiding in diagnosing and monitoring conditions affecting the eye structure.
  • Magnetic Resonance Imaging (MRI): Provides high-resolution views of the soft tissues and muscles around the eyes, crucial for detecting abnormalities not visible with other imaging techniques.
  • Thyroid Function Tests: Measures key hormone levels to assess thyroid gland function, as thyroid issues can often be linked to eye problems.
  • Autoantibody Tests: Detects specific autoantibodies in the blood linked to TED and other autoimmune conditions, helping confirm a diagnosis.
  • Dilated Fundus Examination: By dilating the pupils, provides a detailed view of the retina and optic nerve, checking for signs of damage or disease.
  • Visual Field Test: Assesses peripheral vision to detect changes or blind spots, vital for diagnosing conditions affecting the visual field.

Expert ophthalmologists conduct these assessments to precisely diagnose and track the progression of TED, ensuring you receive the best care possible.

Standard Treatment Options for Thyroid Eye Disease

In addition to Tepezza, there are several other treatment options available for managing Thyroid Eye Disease (TED) that aim to alleviate symptoms and improve patient outcomes. These treatments can vary depending on the severity of the condition and individual patient needs. From corticosteroids to surgery, understanding these options is essential for patients to make informed decisions about their treatment pathways.

  • Thyroid Regulation: Maintaining stable thyroid hormone levels is crucial for overall health. Antithyroid medications, such as methimazole or propylthiouracil, can help inhibit excessive hormone production. In more severe cases, a thyroidectomy may be necessary to remove part or all of the thyroid gland, allowing for better hormonal balance.
  • Steroids: Oral or intravenous corticosteroids, like prednisone or dexamethasone, are potent anti-inflammatory agents that can significantly reduce inflammation in various conditions, helping to alleviate symptoms and improve quality of life.
  • Immunosuppressants: Medications such as rituximab or mycophenolate mofetil can effectively modulate the immune response. Rituximab targets specific immune cells, while mycophenolate works by inhibiting the proliferation of lymphocytes, both of which can be beneficial in managing autoimmune conditions.
  • Orbital Radiotherapy: This treatment is typically employed in moderate to severe cases of thyroid eye disease. By delivering targeted radiation to the orbits, it can help to reduce inflammation, improve symptoms, and prevent further progression of the disease.

Surgical Interventions:

  • Orbital Decompression Surgery: This procedure involves removing bone or fat from the orbital cavity, creating more space for the eye muscles. This can significantly relieve pressure on the optic nerve and improve vision while also addressing proptosis (bulging eyes).
  • Strabismus Surgery: This surgery aims to realign the eye muscles and correct double vision, enhancing visual function and overall appearance. By adjusting the position of the muscles, it can help achieve better alignment and coordination of eye movements.
  • Eyelid Surgery: Often referred to as blepharoplasty, this procedure addresses eyelid retraction, which can occur in conditions like thyroid eye disease. It not only improves functionality—allowing for better eyelid closure—but also enhances cosmetic appearance, restoring a more natural look.

Biologic Options for Thyroid Eye Disease at IVX

At IVX Health, we’re thrilled to offer cutting-edge treatments to manage TED. One of our most effective solutions is Tepezza, a monoclonal antibody specifically designed for TED. Tepezza works wonders by targeting the insulin-like growth factor-1 receptor, reducing inflammation and tissue expansion.

  • Tepezza® (Teprotumumab-trbw): Highly effective in reducing inflammation and tissue expansion, Tepezza® offers incredible relief and enhances the quality of life for patients with TED. Our dedication to patient care ensures every step we take is focused on your well-being.

Final Thoughts

Thyroid Eye Disease is a complex condition that requires comprehensive management. Early diagnosis, effective treatment, and continuous monitoring are essential in managing TED and improving your quality of life. At IVX Health, we are passionate about providing top-notch care and support to those dealing with TED. Our skilled staff offers advanced treatments like Tepezza and financial assistance to help you every step of the way.

Ready to take the next step? Reach out to one of our dedicated Patient Access Liaisons here today to learn more about how we can support you on your journey with TED. Together, we can make a difference—one patient at a time. 

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