Earliest symptom of thyroid ophthalmopathy -
Retraction of the upper lids producing the characteristic staring and frightened appearance (Dalrymple's sign ) in 90% of cases Ref. Ak khurana 6th edition pg no 414 ref img
Proptosis
Lid retraction
Ophthalmoplegia
Diplopia
Diseases of orbit, Lids and lacrimal apparatus