50y male pt complains weight loose, Emciation since last 4 month. No DM NO HT. o/e BP 110/84 p 108/min. no other complaint except wt lose All reports are normal except thyroid frofile indicate primary hyperthyroidism. Low vit d. High vit B12 plz suggest treatment .

today saw this case.....h/o bulging of BE 3 months,loss of vn RE just after bulging,DOV LE since 2 Months o/e ocular movements restrictions in all gazes, severe proptosis BE,retraction of lids BE, severe conjunctival Chemosis and congestion RE>LE, cornea dried out RE, VA PL positive RE, 6/60 LE B Scan showing just thickened walls of BE balls MRI brain WNL your valuable opinions on diagnosis and management.

Hypertensive,nonDM, tremor+, anxious look, eyeball stareing appearance, TSH less than 0.01 ui. with thyroid gland rubbery swelling. Dx, Line of investment,Rx.

Diagnosis and Homoeopathic treatment diacussion please.

Identify this most common eyelid sign associated with Grave's ophthalmopathy