Levator/Superior Rectus Complex in Graves’ Disease

SB is a 43-year-old woman with a history of radioactive iodine treatment of hyperthyroidism 10 years before she presented to her ophthalmologist with the complaint that “my eyes seem bigger.” She stated that her thyroid hormone levels had recently been checked and were normal. Examination revealed vision in both eyes of 20/20 and normal slit-lamp examination. There was 1 mm of scleral show bilaterally and mild lid lag. Hertel exophthalmometry was performed and measured 18 mm OD and 19 mm OS.