“…Upper eyelid ptosis, typically suggestive of myasthenia gravis, may be seen with Graves’ orbitopathy as a result of levator myopathy,13 apical compression,14,15 and pseudoptosis secondary to upper eyelid retraction in the fellow eye 16. However, if ptosis develops in a patient with Graves’ orbitopathy, simultaneous myasthenia gravis should be considered,17 although ocular myasthenia gravis with orbital pain may imply orbital inflammation 18…”