Please ensure JavaScript is enabled for purposes of website accessibility Thyroid Eye Disease (TED) Symptoms | TEPEZZA® (teprotumumab-trbw)
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Thyroid Eye Disease Symptoms

Thyroid Eye Disease (TED) can cause different symptoms. You may notice that some symptoms develop slowly, and others appear quickly.

In time, TED can leave you with ongoing symptoms like eye bulging, double vision, and pressure behind the eyes. So, it is important to recognize symptoms early and start a treatment plan with your doctor. The sooner you spot changes to your eyes, the sooner your doctor can help. Find a TED Specialist today!

Other potential symptoms of Thyroid Eye Disease to look for

TED affects everyone differently. You may experience all or some of the symptoms listed below. After reading about the symptoms of TED, you can use the interactive tool Talking to Your Doctor about TED to help you prepare for your next appointment with your doctor.

Thyroid Eye Disease Symptoms

  • dry-gritty-eyes-icon

    Dry, gritty eyes

    • Eyes feel dry and gritty
    • This may make it feel like there’s something in your eye, like sand
  • watery-teary-eyes-icon watery-teary-eyes-icon

    Watery, teary
    eyes

    • Eyes are constantly watery, when not crying
    • This can make it hard to see clearly because of extra fluid
    See photo
  • light-sensitivity

    Light sensitivity

    • Eyes may become sensitive to light
  • misaligned-eyes

    Misaligned eyes

    • Eyes look crossed or misaligned
    • This can lead to double vision
    • Your doctor may call this strabismus (struh-biz-muhs)
  • eyelid-retraction-icon

    Pulled-back eyelids, also called eyelid retraction

    • Eyelids are pulled back (retracted)
    • This may cause a constant stare or wide-eyed appearance
    • It may also make it hard to close your eyes
    • To sleep, your eyes may need to be taped shut
    • This can expose more of the eye than normal, which can lead to other symptoms like dry eyes
    See photo
  • bouble-vision

    Double vision

    • One image will look like two
    • Your doctor may call this diplopia (dih-ploh-pee-uh)
    • Double vision can be:
      • Temporary (for example, upon waking up in the morning)
      • Situational (for example, when looking to the left or right, or toward the corners of the eyes)
      • Constant (always present)
  • swollen-puffy-eyelids-icon

    Swollen, puffy eyelids

    • Eyelids look red and swollen
    • Your doctor may call this eyelid edema (ih-dee-muh)
    See photo
  • red-swollen-eyes

    Red, swollen
    eyes

    • Eyes appear red, bloodshot, and swollen
    • Your doctor may call this erythema (er-uh-thee-muh) or chemosis (key-moe-sis)
    • This is sometimes confused with allergies or an infection
    See photo
  • eye-pain-pressure-icon

    Eye pain or eye pressure

    • Pain may be felt in, around, and behind the eyes, and when moving the eyes
    • Pressure may be felt behind or around the eyes
  • blurry-vision

    Blurry vision

    • Vision becomes out of focus or blurry
  • color-vision-loss

    Color vision loss

    • Colors look dull or washed out
    • In rare, extreme cases, all color vision may be lost
  • vision-loss

    Vision loss

    • In rare, extreme cases, blindness may occur

    If you notice any vision loss, talk to your doctor right away.

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See how TEPEZZA was designed to work

TEPEZZA is the only medicine to treat Thyroid Eye Disease (TED) at a source, not just the symptoms. Watch a video to see TEPEZZA in action.

Bulging eyes

Although there are many symptoms of TED to look for, the most noticeable is bulging of the eye, which your doctor may call proptosis (prop-toe-sis) or exophthalmos (ek-sof-thal-muhs).

Pictures of real patients with bulging eyes from TED

See how TEPEZZA reduced eye bulging in patients from the clinical studies

What causes bulging eyes?

With TED, over time muscle and fat tissue behind the eye become swollen. This swelling can push against the back of the eye, causing it to bulge forward.

How are bulging eyes measured?

During an eye exam, your TED Specialist will use a special ruler called an exophthalmometer (ek-sof-thuhl-mom-i-ter) to measure how far the eyes have bulged.

Generally, your TED Specialist will measure eye bulging before, during, and after treatment. This helps them keep track of how much your eyes have improved.

TED Eye Specialist finder icon

Find a TED Specialist

Not all doctors are familiar with diagnosing and treating TED. Look for a TED Specialist in your area who has experience treating TED.

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IMPORTANT SAFETY INFORMATION

What is the most important information I should know about TEPEZZA?

Infusion reactions can happen during or within 24 hours after your infusion of TEPEZZA. If you have a reaction while receiving TEPEZZA, your doctor or nurse will slow or stop your infusion and treat your reaction. If you have a severe infusion reaction, your doctor may stop your treatment completely.

Tell your doctor or nurse right away if you have any of these symptoms during or after your treatment with TEPEZZA:
  • High blood pressure
  • Fast heartbeat
  • Redness of the face/Feeling hot
  • Difficulty breathing
  • Headache
  • Muscle pain

TEPEZZA may worsen inflammatory bowel disease (IBD), such as Crohn’s disease or ulcerative colitis, even if you don’t have a diagnosis of IBD before starting TEPEZZA treatment. Tell your doctor right away if you have worsening IBD symptoms, which may include diarrhea with stomach pain or cramps, blood in your stools, sudden urgency to have a bowel movement, or feeling like you need to have a bowel movement even when there’s little or no stool to pass.

TEPEZZA may cause an increase in your blood sugar. Before starting treatment with TEPEZZA, tell your doctor if you are currently being treated for diabetes, know your blood sugar is high, or have been diagnosed with diabetes. It is important for you to take your treatments and follow an appropriate diet for glucose control as prescribed by your doctor.

TEPEZZA may cause severe hearing problems including hearing loss, which in some cases may be permanent. Tell your doctor if you have any signs or symptoms of hearing problems or changes in hearing.

Before receiving TEPEZZA, tell your doctor if you:
  • Have inflammatory bowel disease (Crohn's disease or ulcerative colitis).
  • Are currently being treated for diabetes, have been diagnosed with diabetes, or know your blood sugar is high.
  • Are pregnant or plan to become pregnant. TEPEZZA may harm your unborn baby. Tell your doctor if you become pregnant or suspect you are pregnant during treatment with TEPEZZA.
    • Women who are able to become pregnant should use an effective form of birth control (contraception) prior to starting treatment, during treatment and for at least 6 months after the final dose of TEPEZZA.
  • Are breastfeeding or plan to breastfeed. It is not known if TEPEZZA passes into your breast milk. Talk to your doctor about the best ways to feed your baby during treatment with TEPEZZA.
  • Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, dietary and herbal supplements. Know the medicines you take. Keep a list of them to show your doctor and pharmacist when you get a new medicine.
What are the possible side effects of TEPEZZA?

The most common side effects of TEPEZZA include muscle cramps or spasms, nausea, hair loss, diarrhea, feeling tired, high blood sugar, hearing problems, taste changes, headache, dry skin, ear discomfort, weight loss, nail problems, and changes in menstruation.

This is not a complete list of all possible side effects. Tell your doctor or treatment team about any side effect you may have.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/safety/medwatch, or call 1-800-FDA-1088.
Please see Full Prescribing Information or visit TEPEZZA.com for more information.

USE

TEPEZZA is a prescription medicine used to treat Thyroid Eye Disease (TED), no matter if you’ve had TED for months or years.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about TEPEZZA?

Infusion reactions can happen during or within 24 hours after your infusion of TEPEZZA. If you have a reaction while receiving TEPEZZA, your doctor or nurse will slow or stop your infusion and treat your reaction. If you have a severe infusion reaction, your doctor may stop your treatment completely.