Table I.
Classification | Recommendation | Level of evidence |
---|---|---|
Sight-threatening GO: DON and/or corneal breakdown | Immediate intervention | IV, C |
Moderate-to-severe GO: eye disease with sufficient impact on daily life (lid retraction ≥ 2 mm, exophthalmos ≥ 3 mm, moderate or severe soft tissue involvement) | Active: immunosuppression Inactive: surgical intervention |
IV, C |
Mild GO: minor impact on daily life (minor lid retraction< 2 mm, exophthalmos < 3 mm, mild soft tissue involvement, transient or no diplopia, corneal exposure responsive to lubricants) | Local measures to alleviate symptoms | IV, C |
DON: Dysthyroid Optic Neuropathy; GO: Graves’ Orbitopathy.