I was diagnosed with hypothyroidism when I was 17 and have been on synthroid for 15 years. 2 years ago I noticed that one of my eyes started to bulge out while my lid drooped on my other eye. I went to a specialist who referred me to an Opthamologist/Facial plastic surgeon, who diagnosed me with GD. I had tissue removed from behind my right eye and several surgeries to tighten and stretch the muscle in my eyelid. All my lid surgeries were done with numbing drops, and in his office. This is a great solution for ETD. I definitely reccomend finding an opthomologist who is familiar with GD. My doctor also found that Botox injections in the eyelid will bring the lid down for a while, quick and painless. Hope this helps!