2nd May 2024

A 45-year-old woman with a history of Graves’ disease, currently treated with carbimazole, presents with recent onset of eye symptoms.

A 45-year-old woman with a history of Graves’ disease, currently treated with carbimazole, presents with recent onset of eye symptoms. She reports feeling a gritty sensation in her eyes, increased tearing, and sensitivity to light. On examination, she has mild proptosis, upper eyelid retraction, and conjunctival redness. Her vision is unaffected, and there is no diplopia.

Which is the most appropriate initial management for her eye symptoms?