Thyroid Eye Disease

At Texas Eye Aesthetics, Dr. David Gay provides comprehensive care for patients with Thyroid Eye Disease. Treatment plans are tailored to each patient’s unique condition and may include:


• Tepezza (teprotumumab-trbw): The first FDA-approved treatment for TED.
• Surgical options: To address severe cases or restore eye function and appearance.
• Supportive care: To manage symptoms such as dryness or irritation.

Dr. Gay works closely with each patient to develop a personalized treatment plan that addresses their specific needs and concerns.

Tepezza is a groundbreaking treatment for Thyroid Eye Disease, offering relief from many of the condition’s most troubling symptoms. It works by targeting and inhibiting the insulin-like growth factor-1 receptor (IGF-1R), which plays a key role in the progression of TED.

Tepezza is administered through a series of IV infusions over a six-month period (eight infusions total). Clinical studies have shown that Tepezza can:


• Significantly reduce eye bulging (proptosis).
• Improve double vision and overall eye function.
• Decrease redness, swelling, and pain around the eyes.

Learn more about Tepezza and its benefits here.

Not all patients with Thyroid Eye Disease are candidates for Tepezza. Dr. Gay will evaluate your condition during a thorough consultation to determine if this treatment is suitable for you. Factors considered include:

• The severity and activity of your TED.
• Your overall health and medical history.

If Tepezza is not the right fit, Dr. Gay can recommend alternative treatments to manage your symptoms effectively.

For patients with advanced TED or significant complications, surgical options may be necessary to restore eye function and appearance. Procedures Dr. Gay offers include:


• Orbital Decompression Surgery: Relieves pressure on the eye by removing or reshaping bone around the orbit.
• Eyelid Surgery: Addresses retraction, sagging, or other eyelid abnormalities caused by TED.
• Strabismus Surgery: Corrects misalignment of the eyes to improve double vision.

Dr. David Gay is a fellowship-trained oculoplastic surgeon with extensive experience in treating complex conditions like Thyroid Eye Disease. His comprehensive approach combines medical and surgical options to ensure the best outcomes for both function and aesthetics. Patients trust Dr. Gay for his expertise, compassionate care, and commitment to personalized treatment.