Purpose: We evaluate presenting features and treatment options of pediatric thyroid eye disease, and discuss the morbidity of this condition in the pediatric population. Methods: A retrospective chart review of 11 patients referred for evaluation of thyroid eye disease at a pediatric tertiary care facility in Miami, Florida. Results: The average age at presentation was 12.7 years. The most common ocular complaint was mild irritation. The average displacement on Hertel exophthalmometry was 21 mm for the right eye, and 21.45 mm for the left eye. Lower scleral show was the most common eyelid finding. Patients tended to be positive for thyroid stimulating immunoglobulin and thyroid peroxidase antibody. Conclusion: In contrast to thyroid eye disease in adults, the condition tends to present with mild ocular findings in children. Pediatric patients presenting with thyroid eye disease respond very well to medical therapy aimed at enhancing the altered ocular surface.