A Case of Euthyroid Graves' Ophthalmopathy With Negative Thyroid Antibodies

Grave's ophthalmopathy is a prevalent complication of Grave's disease. In this case report, we present a case of an 84-year-old female patient with no symptoms of hyperthyroidism except that of Grave's ophthalmopathy. The patient's thyroid profile was normal, and both thyroid receptor antibodies and thyroid-stimulating immunoglobulins were negative. MRI showed thickening of the medial and inferior recti muscles in both eyes. With the absence of masses on MRI, a diagnosis of Grave's ophthalmopathy was highly suspicious. Regular monitoring was done for a year, and the patient remained euthyroid with negative antibodies throughout. The patient was managed symptomatically with the addition of methylprednisolone. No surgical intervention was done.