(a).
| Inflammatory signs and symptoms∗ | |||
|---|---|---|---|
| 0 | 1 | 2 | |
| Diurnal variation (0)-(1) |
Absent | (i) Inflammation worse with the head dependent after sleep or (ii) worsening of diplopia at morning |
|
|
| |||
| Retrobulbar ache at rest (0)-(1) |
Absent | Present | |
|
| |||
| Retrobulbar ache with gaze (0)-(1) |
Absent | Present | |
|
| |||
| Lid edema (score worst eyelid) (0)-(1)-(2) |
(i) Absent or (ii) mild or (iii) not thought to be due to active GO |
Present but without redundant tissues | Present and causing bulging in the palpebral skin (tense subcutaneous fluid): (i) upper lid fold remains rounded on downgaze or (ii) lower lid festoon |
|
| |||
| Lid redness (score worst eyelid) (0)-(1) |
(i) Absent or (ii) not thought to be due to active GO |
Present | |
|
| |||
| Conjunctival redness (0)-(1) |
(i) Absent or (ii) equivocal or (iii) mild or (iv) not thought to be due to active GO |
Diffuse redness, covering at least one quadrant assessed without slit-lamp at 1 meter from the patient | |
|
| |||
| Chemosis (0)-(1)-(2) |
(i) Absent or (ii) conjunctivochalasis |
Separation of conjunctiva from sclera present in >1/3 of the total height of the palpebral aperture Conjunctiva behind posterior to the grey line | Conjunctiva anterior to the grey line |
|
| |||
| Inflammation of caruncle OR plica (0)-(1) |
Absent | (i) Plica is prolapsed through closed eyelids or (ii) caruncle and/or plica are inflamed |
|
|
| |||
| Total inflammatory score: /10 | |||
∗Score worst eye.