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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., Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Abu Helwa et al.)