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OCR: in Ophthalmoplegia is a more severe eye s Fig. 17.34) Graves' disease and first affects upward vard gaze, and outward gaze. Later, upward and in are affected and lateral, medial and downward gaze, e vision, hey find in that order. Patients complain of doub particularly on looking upwards, which It in the more unpleasant than normal. The defe upward gaze is largely due to tethering o brosis of muscles below the globe, particularly to lobe to be the inferior rectus which may cause the deviated downwards.