Opthalmology

Unit 10: Systemic Disease

2: Thyroid Eye Disease

NOSPECS

NOSPECS classifies the severity as:


    No symptoms or signs

    Only lid retraction +/- lid lag [see image]

    Soft tissue involvement

    Proptosis

    Extraocular muscle involvement (diplopia)

    Corneal disease

    Sight threatening optic neuropathy

Lid lag: reduced depression of left upper lid during downgaze, compared to right

Lid lag: delayed depression of left upper lid during downgaze, compared to right

Source: