Thyroid Eye Signs : Mnemonics

Epomedicine, Aug 31, 2024Aug 31, 2024

Classification

Mnemonic: NO SPECS

Class	Signs	Comment
0	No eye signs or symptoms
1	Only signs of hyperthyroidism	Lid lag, Lid retraction
2	Soft tissue swelling	Periorbital edema; red, itchy eye
3	Proptosis
4	Extraocular muscle involvement	Often results in diplopia; pain especially on upgaze
5	Corneal involvement	Generally a consequence of severe proptosis with failure to protect the cornea
6	Sight loss due to compressive optic neuropathy	Refer urgently to an ophthalmologist skilled in Grave’s disease

Eye signs in Grave’s disease

daLRymple’s sign: Lid Retraction

STelwagg’s sign: Staring (infrequent blinking)

von GRaefe sign: Lid lag on looking towards GRound (down gaze)

jofFROy sign: absent FROwning on superior gaze

MObius sign: Unable to MOve eyes inward (converge eyes)

PGMEE, MRCS, USMLE, MBBS, MD/MS

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Dr. Pooja says:

Aug 31, 2024 at 3:00 pm

Thanks you are saviour..

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Classification

Eye signs in Grave’s disease

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