If the condition is mild and the main symptoms are dry eyes, then copious and frequent lubricants will be prescribed. Should the condition be active and severe, the patient may require suppression of the immune system either with oral or intravenous steroids or other forms of immune suppression. Usually surgery is reserved for the more serious conditions, where there could be compression of the optic nerve and compromise of the vision, or severe exposure of the eyes from extreme protrusion of the eyes. Other forms of surgery may be needed if the double vision from tight muscles is persistent, or if eyelid surgery is required to lower the eyelid and reduce exposure of the eyes.