No, thyroid eye disease that is mild to moderate in severity can be treated with medical measures first. These measures may include topical agents such as artificial tears or ointments. Other medications such as oral or IV steroids may be beneficial for active thyroid eye disease. A medication called Tepezza (Teprotumumab) may also be used to stabilize active thyroid eye disease. If the thyroid eye disease does not respond to medications and is causing vision loss or harm to the eye, surgery is recommended.