Elements* | Each visit | Comparison with previous visit | Score |
Painful feeling behind the globe over last 4 weeks | X | 1 | |
Pain with eye movement during last 4 weeks | X | 1 | |
Redness of the eyelids | X | 1 | |
Redness of the conjunctiva | X | 1 | |
Swelling of the eyelids | X | 1 | |
Chemosis (edema of the conjunctiva) | X | 1 | |
Swollen caruncle (flesh body at medial angle of eye) | X | 1 | |
Increase in proptosis ≥2 mm | X | 1 | |
Decreased eye movements ≥5° any direction | X | 1 | |
Decreased visual acuity ≥1 line on Snellen chart | X | 1 |
TED: thyroid eye disease; CAS: clinical activity score.
* A 7-point scale (excluding the last 3 elements) is used when no previous assessment is available. TED is considered active in patients with a CAS ≥3.Reproduced with permission from: Ross DS, Burch HB, Cooper DS, et al. 2016 American Thyroid Association guidelines for diagnosis and management of hyperthyroidism and other causes of thyrotoxicosis. Thyroid 2016; 26:1343. Copyright © 2016 Mary Ann Liebert, Inc. publishers.
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