WSOPRAS and ITEDS Consensus Statement on the Assessment and Management of Thyroid Eye Disease
In brief
Global consensus establishes standardized framework for thyroid eye disease assessment and treatment
An international panel of oculoplastic and orbital surgeons reached agreement on definitions, workup, and tiered medical-surgical strategies for thyroid eye disease across basic, intermediate and advanced levels. The new statement offers globally applicable standards to harmonize care and aim for better patient outcomes, though real-world implementation will need local validation.
- Journal
- Ophthalmic plastic and reconstructive surgery (Q2)
- Published
- 2 September 2026
- Study design
- Practice guideline / consensus
- Evidence level
- Level 1, High (CEBM 1c)
- Authors
- Andrea L Kossler, Ashok K Grover, Antonio A V Cruz, Lelio Baldeschi, Michael Kazim, Timothy J Sullivan
- PMID
- 42684865
- DOI
- 10.1097/IOP.0000000000003277
Why clinicians should know about it
- Picked for Ophthalmology (top studies of the week, 6 September 2026): Consensus guidelines for assessment and management of TED
Abstract
PURPOSE: To develop a globally applicable consensus statement for the assessment and management of thyroid eye disease (TED). METHODS: The World Society of Ophthalmic Plastic Reconstructive and Aesthetic Surgery council selected a 6-member, geographically diverse TED task force to develop a consensus statement on the assessment and management of TED. Consensus was achieved through monthly meetings from January to July 2025, alongside an analysis of the literature in terms of relevance, level of evidence, and global versus local applicability. A draft document was circulated to all World Society of Ophthalmic Plastic Reconstructive and Aesthetic Surgery constituent societies for feedback. Using a modified Delphi approach, the expert panel convened over 6 additional virtual sessions from July 2025 to March 2026 to review the submitted feedback, incorporating comments with agreement from at least 5 of 6 experts. The final statement was approved by both the World Society of Ophthalmic Plastic Reconstructive and Aesthetic Surgery council and the International Thyroid Eye Disease Society board of directors. RESULTS: Consensus was achieved regarding methods, TED definitions, assessment, medical and surgical management, and safety recommendations. The consensus statement delineates acceptable standards, workup, and evaluation time points for basic-, intermediate-, and advanced-level assessment tailored to diverse global contexts, as well as tiered medical and surgical interventions, recommended for the different phases and severities of TED. CONCLUSIONS: The World Society of Ophthalmic Plastic Reconstructive and Aesthetic Surgery-International Thyroid Eye Disease Society consensus statement on TED, developed by oculoplastic and orbital surgeons, provides a global framework for the standardized assessment and management of TED to improve TED care and enhance patient outcomes.
Abstract as published, via PubMed.
For healthcare professionals. The summary is generated by AI from the published abstract, and the evidence level is assigned automatically from the study design on the Oxford CEBM hierarchy. Neither is medical advice. Read the full paper before changing practice.