Table 6.
Mild | GO has a minor impact on the patient’s everyday life. They usually present one or more of the following signs: 1. Minor lid retraction (<2 mm) 2. Mild soft tissue involvement 3. Exophthalmos < 3 mm (above the normal range for the race and gender) 4. Transient or no diplopia 5. Corneal exposure with a good response to lubricants. |
Moderate to severe | patients without sight-threatening GO whose eye disease has sufficient impact on daily life to justify the risks of immunosuppression (if active) or surgical intervention (if inactive). Patients usually present one or more of the following signs: 1. Lid retraction (>2 mm) 2. Moderate or severe soft tissue involvement 3. Exophthalmos ≥3 mm (above the normal range for the race and gender) 4. Inconstant, or constant diplopia. |
Sight-threatening GO | Patients with dysthyroid optic neuropathy or corneal breakdown due to severe exposure. Other infrequent cases are ocular globe subluxation, severe forms of frozen eye, choroidal folds, and postural visual darkening. This category warrants immediate intervention. |
GO: Graves’ Orbitopathy.