Thyroid Eye Disease in Nepal: Graves’ Ophthalmopathy, Bulging Eyes, Double Vision & 2026 Treatment Guide

Thyroid eye disease (TED), also called Graves’ ophthalmopathy or Graves’ orbitopathy, is an autoimmune disease of the tissues around the eyes. It can cause dryness, pain, puffy lids, eyelid retraction, bulging eyes and double vision. Most cases are mild, but severe corneal exposure or optic-nerve compression can threaten sight.

Urgent TED Warning Signs

New vision loss, reduced color vision, missing areas of visual field, severe corneal exposure or inability to close the eyelids needs urgent ophthalmic assessment.

Major 2026 Treatment Update

The U.S. FDA approved LUMVOA (veligrotug-vvze) on 26 June 2026 for TED regardless of disease activity or duration. It joins TEPEZZA (teprotumumab) as an FDA-approved IGF-1 receptor inhibitor. This guide does not assume either drug is currently available in Nepal.

Thyroid Eye Disease in 60 Seconds

TED Is Not Just High Thyroid Hormone

Graves Eye Symptoms

Bulging Eyes / Proptosis

Double Vision in TED

Eyelid Retraction

Lagophthalmos

Exposure Keratopathy

Dysthyroid Optic Neuropathy

Color Vision & Visual Field Loss

Smoking Risk

Thyroid Control

Radioactive Iodine

Active vs Inactive TED

Clinical Activity Score

Mild TED Care

Selenium

Moderate-to-Severe Active TED

IV Methylprednisolone

Mycophenolate

TEPEZZA 2025

LUMVOA 2026

LUMVOA Safety

TEPEZZA vs LUMVOA

TED & Diabetes

TED & Hearing

TED & IBD

Orbital Radiotherapy

Orbital Decompression

Strabismus Surgery

Eyelid Surgery

Prism Glasses

Lubricants

Sunglasses

CT Orbit

MRI Orbit

Exophthalmometry

TED & Pregnancy

Quality of Life

One-Sided TED

Normal Thyroid Tests

TED After Thyroid Treatment

TED vs Dry Eye

TED vs Allergy

TED vs Orbital Tumor

Tourist With TED

Expat With TED

Near Thamel

Vision Concern Scope

TED Monitoring Checklist

Specialist Team

TED Myths

What to Bring

Why Vision Concern for Initial Assessment

Current Vision Concern Services — Live Verified

Related Vision Concern Guides

Authoritative TED References

Follow Vision Concern

Frequently Asked Questions — Thyroid Eye Disease & Graves’ Ophthalmopathy

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Vision Concern can provide an initial comprehensive eye assessment and referral. Moderate, severe or sight-threatening TED needs specialist ophthalmic/endocrine care.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

TED can cause restrictive double vision. Prism may help selected patients, while surgery is generally planned after alignment stabilizes.

TED can cause restrictive double vision. Prism may help selected patients, while surgery is generally planned after alignment stabilizes.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

New loss of acuity, color vision or visual field can signal sight-threatening TED and needs urgent ophthalmic assessment.

New loss of acuity, color vision or visual field can signal sight-threatening TED and needs urgent ophthalmic assessment.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

New loss of acuity, color vision or visual field can signal sight-threatening TED and needs urgent ophthalmic assessment.

New loss of acuity, color vision or visual field can signal sight-threatening TED and needs urgent ophthalmic assessment.

New loss of acuity, color vision or visual field can signal sight-threatening TED and needs urgent ophthalmic assessment.

Smoking and secondhand smoke exposure are recognized modifiable risk factors for TED development or worsening.

Smoking and secondhand smoke exposure are recognized modifiable risk factors for TED development or worsening.

Smoking and secondhand smoke exposure are recognized modifiable risk factors for TED development or worsening.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Radioactive iodine can worsen TED in susceptible people, particularly smokers or those with existing eye disease; endocrinology should guide treatment choice.

Radioactive iodine can worsen TED in susceptible people, particularly smokers or those with existing eye disease; endocrinology should guide treatment choice.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

New loss of acuity, color vision or visual field can signal sight-threatening TED and needs urgent ophthalmic assessment.

Selenium has evidence in selected mild active Graves orbitopathy, but it should not be universally self-prescribed.

Systemic immunosuppressive treatment requires specialist selection, screening and monitoring; Vision Concern does not claim to provide it on-site.

Systemic immunosuppressive treatment requires specialist selection, screening and monitoring; Vision Concern does not claim to provide it on-site.

Systemic immunosuppressive treatment requires specialist selection, screening and monitoring; Vision Concern does not claim to provide it on-site.

TEPEZZA is a U.S. FDA-approved IGF-1R inhibitor for TED regardless of activity or duration, with important warnings including hyperglycemia, inflammatory bowel disease and hearing impairment.

TEPEZZA is a U.S. FDA-approved IGF-1R inhibitor for TED regardless of activity or duration, with important warnings including hyperglycemia, inflammatory bowel disease and hearing impairment.

TEPEZZA is a U.S. FDA-approved IGF-1R inhibitor for TED regardless of activity or duration, with important warnings including hyperglycemia, inflammatory bowel disease and hearing impairment.

LUMVOA (veligrotug-vvze) received U.S. FDA approval in June 2026 for TED regardless of activity or duration. This guide does not claim current Nepal availability.

LUMVOA (veligrotug-vvze) received U.S. FDA approval in June 2026 for TED regardless of activity or duration. This guide does not claim current Nepal availability.

LUMVOA (veligrotug-vvze) received U.S. FDA approval in June 2026 for TED regardless of activity or duration. This guide does not claim current Nepal availability.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Orbital, strabismus and eyelid surgery are specialist procedures used for specific TED problems, usually after stability except in sight-threatening emergencies.

Orbital, strabismus and eyelid surgery are specialist procedures used for specific TED problems, usually after stability except in sight-threatening emergencies.

Orbital, strabismus and eyelid surgery are specialist procedures used for specific TED problems, usually after stability except in sight-threatening emergencies.

Orbital, strabismus and eyelid surgery are specialist procedures used for specific TED problems, usually after stability except in sight-threatening emergencies.

TED can cause restrictive double vision. Prism may help selected patients, while surgery is generally planned after alignment stabilizes.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Current IGF-1R inhibitor labels warn about hyperglycemia, so glucose assessment and control matter before and during treatment.

Current FDA labels for TEPEZZA and LUMVOA include hearing-impairment warnings.

Current FDA labels for IGF-1R inhibitors include inflammatory-bowel-disease warnings; specialist risk assessment is required.

Current IGF-1R inhibitor labels warn about hyperglycemia, so glucose assessment and control matter before and during treatment.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Vision Concern can provide an initial comprehensive eye assessment and referral. Moderate, severe or sight-threatening TED needs specialist ophthalmic/endocrine care.

Vision Concern can provide an initial comprehensive eye assessment and referral. Moderate, severe or sight-threatening TED needs specialist ophthalmic/endocrine care.

Vision Concern can provide an initial comprehensive eye assessment and referral. Moderate, severe or sight-threatening TED needs specialist ophthalmic/endocrine care.

Ask the relevant provider for today's exact fee. This article does not invent current TED examination, imaging, drug or surgery prices.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Vision Concern can provide an initial comprehensive eye assessment and referral. Moderate, severe or sight-threatening TED needs specialist ophthalmic/endocrine care.

Orbital, strabismus and eyelid surgery are specialist procedures used for specific TED problems, usually after stability except in sight-threatening emergencies.

Vision Concern can provide an initial comprehensive eye assessment and referral. Moderate, severe or sight-threatening TED needs specialist ophthalmic/endocrine care.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Vision Concern can provide an initial comprehensive eye assessment and referral. Moderate, severe or sight-threatening TED needs specialist ophthalmic/endocrine care.

Vision Concern has no Thamel branch; Lazimpat is a nearby option for initial eye assessment.

Vision Concern has no Thamel branch; Lazimpat is a nearby option for initial eye assessment.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Thyroid eye disease is an autoimmune orbital disease, most often associated with Graves disease, that can cause dryness, swelling, proptosis, pain and double vision.

Yes. Eye symptoms can start before, around the same time as, or after thyroid disease is diagnosed.

No. TED can rarely occur with normal or low thyroid hormone levels.

Rarely, severe corneal exposure or dysthyroid optic neuropathy can cause permanent vision loss.

No. Glasses correct refractive error but do not reverse bulging.

It is usually bilateral but can be markedly asymmetric or appear unilateral.

No. Thyroid control is important, but TED has its own course.

No such on-site service is claimed.

No such on-site surgical service is claimed.

New loss of vision, reduced color vision, missing visual field, severe corneal exposure or rapidly worsening orbital symptoms.

WhatsApp +977 9841466716 with your thyroid diagnosis, recent tests, symptoms, medications and preferred branch.

Medical disclaimer: TED treatment is individualized. Steroids, mycophenolate, biologic infusions, radiotherapy and surgery require specialist care. New vision loss, color desaturation, visual-field loss or severe corneal exposure is urgent.