SOFT TISSUE CHANGES/COSMESIS
| Eyelid edema (Grade) (OD): | Eyelid edema (Grade) (OS): | ||||||||
| ○ 0
(0) |
○ 1
(2) |
○ 2
(4) |
○ 3
(8) |
○4
(15) |
○ 0
(0) |
○ 1
(2) |
○ 2
(4) |
○ 3
(8) |
○ 4
(15) |
| Herniated orbital fat (Grade) (OD): | |||||||||
| ○ 0
(0) |
○ 1
(2) |
○ 2
(4) |
○ 3
(6) |
○4
(8) |
○ between intermuscular septae
(4) |
||||
| Herniated orbital fat (Grade) (OS): | |||||||||
| ○ 0
(0) |
○ 1
(2) |
○ 2
(4) |
○ 3
(6) |
○4
(8) |
○ between intermuscular septae
(4) |
||||
| Lid retraction (upper OD): | |||||||||
| ○ <2 mm
(0) |
○2–3 mm
(3) |
○3.1–5 mm
(6) |
○ >5 mm
(10) |
||||||
| Lid retraction (upper OS): | |||||||||
| ○ <2 mm
(0) |
○2–3 mm
(3) |
○3.1–5 mm
(6) |
○ >5 mm
(10) |
||||||
| Lid retraction (lower OD): | |||||||||
| ○ <1mm
(0) |
○1–2 mm
(1) |
○2.1–3 mm
(3) |
○ >3 mm
(6) |
||||||
| Lid retraction (lower OS): | |||||||||
| ○ <1 mm
(0) |
○1–2 mm
(1) |
○2.1–3 mm
(3) |
○ >3 mm
(6) |
||||||
| Exophthalmometry (OD): | |||||||||
| ○ <20 mm
(0) |
○20–23 mm
(2) |
○ 24–27 mm
(4) |
○ 28–30 mm
(8) |
○ >30 mm
(15) |
|||||
| Exophthalmometry (OS): | |||||||||
| ○ <20 mm
(0) |
○20–23 mm
(2) |
○ 24–27 mm
(4) |
○ 28–30 mm
(8) |
○ >30 mm
(15) |
|||||
| Difference between both eyes: | |||||||||
| ○ None
(0) |
○ 2–3
(3) |
○ 3.1–5
(6) |
○ >5
(10) |
||||||
| Chemosis (Grade) (OD): | Chemosis (Grade) (OS): | ||||||||
| ○ 0
(0) |
○ 1
(2) |
○ 2
(4) |
○ 3
(8) |
○ 4
(15) |
○ 0
(0) |
○ 1
(2) |
○ 2
(4) |
○ 3
(8) |
○ 4
(15) |
| Injection (Grade) (OD): | Injection (Grade) (OS): | ||||||||
| ○ 0
(0) |
○ 1
(2) |
○ 2
(4) |
○ 3
(8) |
○ 4
(15) |
○ 0
(0) |
○ 1
(2) |
○ 2
(4) |
○ 3
(8) |
○ 4
(15) |
| Eyelid erythema (Grade) (OD): | Eyelid erythema (Grade) (OS): | ||||||||
| ○ 0
(0) |
○ 1
(2) |
○ 2
(4) |
○ 3
(8) |
○ 4
(15) |
○ 0
(0) |
○ 1
(2) |
○ 2
(4) |
○ 3
(8) |
○ 4
(15) |
| Strabismus: | |||||||||
| ○ None | (0) | ||||||||
| ○ 25% or less of day | (4) | ||||||||
| ○ Diplopia only in side or vertical gaze | (4) | ||||||||
| ○ 25% to 50% of day | (6) | ||||||||
| ○ Constant | (10) | ||||||||