Hi, patient has vision problems since last 1 month now. She has had problems in the past like breast cancer 7 year back. Only chemo was taken, no radiation. One breast removed. 2 years back she developed *hyperthyroidism* and she also had to put one stent. 2 months back she was hospitalized for back pain and mri was done and she had some *l4l5l6* issue. She wears belt for that and her bones are weak. Since the time she's discharged from hospital, she has this eyes problem. We showed it to two eye specialists too and they suggested an mri for brain and orbits. Mri reports attached for your reference. For to thyroid we had shown to Dr. girish in the past and he had prescribed neomercazole. She used to take 30 mg initially, 3 months months back her t3t4 tsh levels improved so he had reduced it to 10 mg a day. We increased it to 15 mg a day after since last 15 days after showing to a family doc. Our primary complaint now is eyes problem. Her vision has deteriorated and we put this refresh drops in eyes every 3 hours. Below are the thyroid reports that we have taken along with tsh receptor antibody. We have tried 3 injections of methylprednisolone in last 3 days. Still we are seeing no improvement. Tsh receptor antibody 38.68 done last month. T3 4.66 t4 1.46 and tsh 0.006medicine now tab tpo 100, predmet, azoran neomercazole 20 mg, apart from starpr press, metxl and clopitab a.what do you suggest?