Why the NOSPECS classification of Graves' eye disease should be abandoned, with suggestions for the characterization of this disease.

The NOSPECS classification of Graves' eye disease is inadequate for a number of reasons: (a) poor characterization of the condition with no indication of disease activity, marked underrepresentation of eyelid position, and overrepresentation of corneal problems, (b) it represents neither a continuous nor stepladder progression of disease as the numbered… CONTINUE READING