thyroid eye disease is a manifestation of Graves' disease but can occure in patient who may be hyper/hypo or euthyroid.
ask the patient about;
1-smoking (risk factor)
3-impaired perception of colour
Look at the eye when it is closed/from side,back
-Exophthalmoses:(protrusion of the eye ball)
-Look for cornea, conjunctiva
2- 2nd cranial nerve:
-relative afferent pupilary defect
3- 3rd/ 4th/ 6th cranial nerves:
Examine eye movements looking for
Opthalmoplegia (limitation of eye movement)
4- comment od led lag/retraction (thyrotoxicosis from any cause)
what featurs are specific to Grave's disease?