Signs and symptoms of Graves ophthalmopathy
Symptoms |
Eye irritation |
Gritty sensation in the eye |
Dryness |
Epiphora (excessive lacrimation) |
Visual blurring |
Diplopia |
Discomfort behind the eye |
Pain on eye movement |
Photophobia |
Vision loss |
Signs |
Periorbital and eyelid edema |
Conjunctival erythema |
Chemosis (conjunctival edema) |
Punctate epithelial erosions |
Superior limbic keratoconjunctivitis |
Upper eyelid retraction |
Lower lid retraction exaggerated by exophthalmos leads to scleral show |
Lagophthalmos (failure of the eyelids to protect the eye) |
Proptosis |
Ophthalmoplegia (paralysis of the eye muscles) |
Restrictive hypotropia and esotropia |
Loss of colour vision and perception (optic neuropathy) |
Papilledema (optic neuropathy) |