Graves’ disease
is an autoimmune disorder associated with goitre, hyperthyroidism
and in about 30% of patients clinically evident orbitopathy
which in most patients is mild and transient. A few patients
develop visual disturbances with significant disfigurement.
Severe Graves’ Orbitopathy is relatively rare (5% of patients
with Graves’ disease), but may require aggressive and
prolonged treatment. Patients with milder forms of the disease
have impaired quality of life. The management of Graves’
orbitopathy is often difficult and the results of treatment
disappointing.
Many centres in Europe and elsewhere, have conducted clinical
studies on Graves’ orbitopathy. However, difficulties in
recruiting large numbers of patients have frustrated attempts
to determine the role of several available treatments reported
anecdotally to be of benefit.
To overcome these limitations, nine European Centres joined
forces in 1999 and founded EUGOGO (European Group On Graves’
Orbitopathy).
These Centres share a commitment to improve the management of
Graves’ orbitopathy, have a good track record in clinical
research in this field, are regional or national referral
Centres for the treatment of this disease and manage patients
in a multidisciplinary setting with input from
endocrinologists and ophthalmologists.