12
Table 6. Assessment of GO: Clinical Activity Score Elements
Elements
a
Each visit
Comparison
with previous
visit Score
Painful feeling behind the globe
over last 4 weeks
×
1
Pain with eye movement during
last 4 weeks
×
1
Redness of the eyelids
×
1
Redness of the conjunctiva
×
1
Swelling of the eyelids
×
1
Chemosis (edema of the
conjunctiva)
×
1
Swollen caruncle (flesh body at
medial angle of eye)
×
1
Increase in proptosis ≥2 mm
×
1
Decreased eye movements ≥5°
any direction
×
1
Decreased visual acuity ≥1 line on
Snellen chart
×
1
a
A 7-point scale (excluding the last three elements) is used when no previous assessment is available.
GO is considered active in patients with a CAS ≥3.
Sources: Adapted from Mourits et al. Br J Ophthalmol. 1989;73:639-644. and Mourits et al. Clin
Endocrinol. (Oxf ) 1997;47:9-14.
Graves' Disease
Graves' Orbitopathy (GO)
