- Dry eyes
- Puffy eyelids
- Chemosis of the conjunctiva
- Red, angry-looking eyes (especially overlying the insertions of the rectus muscles)
- Bulging eyes
- Visual blurring or loss
- Visual Field loss
- Photopsia on upgaze
- Ocular pain and/or pressure
Graves ophthalmopathy - External and Internal Eye
E05.01 – Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm
276177000 – Thyroid eye disease
Differential Diagnosis & Pitfalls
- Orbital cellulitis – Onset of proptosis is faster; there is other evidence of infection.
- Carotid cavernous fistula – Often cranial bruit present.
- Orbital inflammatory syndrome (orbital pseudotumor) – Ptosis more often than lid retraction, isolated enlargement of lateral rectus muscle.
- Parinaud syndrome – Globes elevate on doll's head maneuver; no proptosis or injection.
Remember also that thickened extraocular muscles can occur with sarcoidosis, metastases, lymphoma, amyloid limited to these muscles and primary amyloidosis, and acromegaly.
Drug Reaction Data