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OCR: disease In most patients with eye signs of Grave than (Fig. 17.55) no treatment is required oth rendering reassurance and adequate control o the hyperthyroidism, being careful to avoid estive urgently the patient hypothyroid. For severe con ophthalmopathy, expert super vision is ologist, required in a specialist endocrine unit to co-ordinate the expertise of the endocrir rgeon, and ophthalmologist, radiotherapist neuros ear, nose and throat surgeon.