 There is some evidence that a total or sub-total thyroidectomy may assist in reducing levels of TSH receptor antibodies (TRAbs) and as a consequence reduce the eye symptoms, perhaps after a 12-month lag.However, a 2015 meta review found no such benefits, and there is some evidence that suggests that surgery is no better than medication.Surgery may be done to decompress the orbit, to improve the proptosis, and to address the strabismus causing diplopia.