Graves’ disease is an auto-immune disorder that may affect the thyroid gland, eye socket, and skin in the shin area of the legs. It may cause inflammation behind the eye resulting in change of appearance, bulging of the eyes (exophthalmos), eyelid retraction, double vision, and rarely loss of vision. The ocular involvement is unrelated to the control of the thyroid gland. Although there is no”cure”, many treatments are available. Surgical correction may include orbital decompression, strabismus surgery, and eyelid retraction repair. Some patients require all three procedures while others may just need one.