According to the “Manual of Ocular Diagnosis and Therapy”-I will give this my best shot. I am home sick today so I have been posting alot. LID LAG is as follows under the thyroid section-
Key clinical signs and their eponyms:
1.Lid retraction
2.Upper lid “lag” on downward gaze
3.Upper lid resistance to downward retraction
4.Tremor of closed lids
5 Infrequent blink
6.Increased lid pigmentation
7.Poor convergence
8.Extraocular muscle palsies
In addition I will share what is very important also for the eye disease. It is called the Werner Classification of ocular signs of graves disease.
1.Class O- No abnormalities
2. Class 1-No symptoms. Signs are lid retraction, stare and proptosis
3. Class 2-Soft tissues involved. Symptoms are lacrimation, foreign body sensation., extrusion of orbital fat.
4. Class 3-Proptosis(classes2-6) minimum, 21-33 mm; moderate 24-27 mm; marked 28 mm, or more
5. Class 4- Extraocular muscle palsy ranges from mild retraction to total fixation of the globe.
6. Class 5- Corneal involvment is minimum, moderate ulceration, narkedcorneal scarring or perforation.
7. Class6- There is visual loss secondary to optic nerve involvment, with disk pallo, and visual field defects. Mild loss 20/20-20/60; moderate loss 20/70-20/200; severe loss, 20/200 or less
I hope this helps everyone. If you haven’t had your eyes checked recently please do!
Health and happiness,
Dee
Anonymous
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