NOSPECS

NOSPECS-Scheme is a method for grading endocrine ophthalmopathy.

It has first been suggested in 1969 by S.C. Werner and delivers the following classification:

• Class 0: No signs or symptoms
• Class 1: Only signs, no symptoms (e. g. lid retraction)
• Class 2: Soft tissue involvement
• Class 3: Proptosis
• Class 4: Extraocular muscle involvement
• Class 5: Corneal involvement
• Class 6: Sight loss.

Within classes 1 to 6 the investigator has to differentiate the severeity grades 0, A, B, C.

The NOSPECS-Scheme is widely used but suffers from numerous ambiguities. A more modern and unambiguous graduation is LEMO Classification.

Weblinks

Complete NOSPECS Scheme