Djo Vol 30H. uy September 209
ee
Eponymous Signs of Thyroid Ophthalmopathy
Pallavi Singh
‘De RB Centre for Ophthalmic Sciences, ANAS New Dey, Indo
‘Denis Ophthainel 2019;2987-85; Do ht: //. do arg/t0.7869/d)o.493
Lid signs
+ Dalrymple's Sign: Lid Retraction.
+ Von Graefe's Sign: Lid lag of the upper eyelid on
downward gaze.
+ Vigoroux Sign: Eyelid fullness/swelling, (Figure 1)
+ Grove Sign: Resistance to pulling down the retracted
upper lid.
+ Rosenbach's Sign: Fine tremors of the eyelids when
closed.
Gifford’s Sign: Ditficulty in everting upper li.
Enroth Sign: Edema of lower lid. Figure 1)
+ Boston's Sign: jerky irregular movement of upper lid on,
downward gaze.
+ Kocher’s Sign: Increased lid retraction with visual
fixation (staring look). (Figure 2)
‘+ Abadie Sign: Spasm of the levator palpebrae superioris
muscle with retraction of the upper lid.
+ Riesman’s sign: Bruit heard over the closed eye with a
stethoscope.
Facial Signs
+ Stellwag Sign: Incomplete and infrequent blinking
(staring look).
‘+ Joffroy Sign: Absent creases in the forchead on superior
gaze. (Figure 3)
+ Jellinek’s Sign: Hyperpigmentation of the superior eye
folds.
Hertoge’s Sign: Loss of the lateral third of eyebrows,
‘+ Sainton’s sign: Delayed forehead wrinkling on up gaze.
Extra-Ocular Muscle Signs
‘+ Mobius Sign: Inability to converge. (Figure 4)
+ Ballet Sign: Restriction of one or more extraocular
musees.
+ Jendrassik’s Sign: Limitation of abduction and rotation
of eyeballs,
‘+ Suker’s Sign: Poor fixation on abduction,
Pupillary Si
‘+ Cowen’s Sign: Jerky pupillary constriction to light
+ Lowy’s Sign: Mydriasis with instillation of lower
concentration of adrenaline.
+ Knies’s sign: Unequal dilatation of pupil in dim light.
Others
+ Goldzeiher’s Sign: Deep injection of the bulbar
conjunctiva. (Figure 5)
‘+ Payne Trouseau Sign: Globe luxation,
‘+ Sattler Sign: Increased intra-ocular pressure in upgaze.
Figures
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