Typically, moistening the cornea with artificial tear drops and ointments is effective. Moisture shields that can be attached to the temples of spectacles help to preserve tears and retard tear evaporation. Punctal occlusion may be effective. Cases that involve moderate to severe keratopathy may require prophylactic topical antibiotics. Visual fields should be performed on patients with advanced stage disease, monitoring for the first sign of sight or field loss.
Evaluation is usually every three to six months and is based upon severity.
If myasthenia gravis is suspected, a Tensilon test should be ordered. Beware of glaucoma in patients with Graves' ophthalmopathy. The infiltrated muscles can cause globe compression with secondary IOP elevation as well as compressive optic neuropathy. Refer all patients with SLK for thyroid testing.