{'fraction_non_alphanumeric': 0.011121408711770158, 'fraction_numerical': 0.0018535681186283596, 'mean_word_length': 5.708074534161491, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Managing the Esthetic Patient With Thyroid Eye Disease

Thyroid eye disease (TED), although functional in nature can manifest with devastating esthetic changes. Caring for the esthetic patient with TED is challenging and adds an additional level of complexity than managing the typical esthetic patient. Managing expectations after esthetic surgery is essential in light of the many coexistent functional changes with TED. The psychological impact of TED in patients with moderate-to-severe symptoms was primarily linked to the disfiguring changes and the associated depression rivaled that of the diagnosis of cancer.1 The esthetic sequalae that coincides in TEDusually present inmidlife often coincides with an initial consultation to the oculoplastic surgeon.2 The oculoplastic surgeon must approach the patient holistically with primary goals to restore function first and then secondarily address esthetics. Performing esthetic surgery in the TED patient is accompanied by many potential pitfalls and several considerations should be taken to avoid functional complications.