First of all, hyperthyroidism exophthalmos is actually an immune response. The thyroid gland produces protein antibodies to attack the extraocular muscles of the eyeball, leading to an immune response. These immune reactions lead to cell infiltration, edema and thickening of extraocular muscles, tissues between extraocular muscles and orbit in the eyeball, which leads to these changes.

Secondly, the inflammation and immune reaction between these eye frames make the overall volume of the orbit increase, and the volume of things between the orbits increases. After enlargement, the eyeball is pushed forward, which is actually the reason for hyperthyroidism exophthalmos. There are also some people with non-invasive hyperthyroidism exophthalmos, which actually only affect the muscles outside the eyes, such as levator palpebrae superioris. The levator palpebrae superioris muscle is in the excited state of staring at the eyes, while other parts have little effect, so the treatment effect and prognosis are better and easier to deal with. Therefore, hyperthyroid exophthalmos is caused by different reasons, and of course there are other complicated changes, that is, endocrine changes, which make the symptoms of exophthalmos appear.

Finally, before the treatment, we should do various tests, do magnetic resonance examination, and do analysis and identification.