In case of orbitopathy (protrusion of the eyeballs) – use artificial tears and tinted glasses with side shields if necessary and adopt a relatively upright sleeping position if possible; furthermore, the eyelids can be taped shut during sleep (watch glass bandage)
Retrobulbar irradiation (X-ray irradiation of the tissue behind the eyes) in exophthalmos: orbitaapex is irradiated from the temple, leaving out the cornea (lenses), with a total dose of 20 Gy in ten fractions over two weeks (contraindication: diabetes mellitus)Note: The success of the therapy appears with a latency of up to 6 weeks; after approx. 4 to 6 months, the treatment can be assessed conclusively.In severe cases, an orbital decompression (see below Exophthalmos/Operative Therapy (Ultima Ratio Therapy)).
Prism prescription (foils, glasses) – to improve disturbing double images; if necessary, also consider monocular occlusion (covering a single eye).
Regular check-ups
Regular medical checkups
Nutritional medicine
Nutritional counseling based on nutritional analysis
Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
Observance of the following special dietary recommendations:
Since a high iodine intake can be one of the causes of Graves’ disease, the daily intake of iodine should not exceed the intake recommendations (reference value for the recommended iodine intake of the German Nutrition Society (DGE) for a healthy adult: 180-200 µg/day).
Selection of suitable food based on the nutritional analysis
See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
