Which sign is associated with thyroid eye disease and describes lid retraction?

Which sign is associated with thyroid eye disease and describes lid retraction?

• A. Stellwag's sign
• B. Kocher's sign
• C. Von Graefe's sign
• D. Dalrymple's sign

Answer: (D)

In thyroid eye disease, the eyelids can pull upward so much that the sclera is visible above the iris—the classic lid retraction you’d expect in Graves’ orbitopathy. The term used for this specific finding is Dalrymple's sign. It captures the constant upper-lid elevation seen with this condition, contributing to the characteristic wide-eyed, staring look. Other signs describe different lid behaviors: Stellwag's sign refers to infrequent or delayed blinking, and Von Graefe's sign describes lid lag on downgaze rather than true lid retraction at rest. So the lid retraction described here aligns best with Dalrymple's sign.

In thyroid eye disease, the eyelids can pull upward so much that the sclera is visible above the iris—the classic lid retraction you’d expect in Graves’ orbitopathy. The term used for this specific finding is Dalrymple's sign. It captures the constant upper-lid elevation seen with this condition, contributing to the characteristic wide-eyed, staring look.

Other signs describe different lid behaviors: Stellwag's sign refers to infrequent or delayed blinking, and Von Graefe's sign describes lid lag on downgaze rather than true lid retraction at rest. So the lid retraction described here aligns best with Dalrymple's sign.