What is a CAS score?
Clinical Activity Score (CAS) (amended by EUGOGO after Mourits et al.). One point is given for the presence of each of the parameters assessed. The sum of all points defines clinical activity: active ophthalmopathy if the score is above 3/7 at the first examination or above 4/10 in successive examinations.
What does Ophthalmopathy mean?
Ophthalmopathy: Any eye disease.
What is CAS in thyroid eye disease?
Clinical Activity Score. • Add 1 point for each finding. • Symptoms. – Pain or pressure in a periorbital or retroorbital distribution. – Pain with upward, downward, or lateral eye movement.
What is the clinical activity score?
Clinical Activity Score (CAS) is a 7-point composite score, measuring spontaneous orbital pain, gaze-evoked orbital pain, eyelid swelling, eyelid erythema, conjunctival redness, chemosis, and inflammation of caruncle or plica. A lower score indicates fewer symptoms.
Does Selenium help thyroid eye disease?
Selenium supplements have been recommended by your doctor because they can slow the progression of mild to moderate thyroid-related eye disease and can improve the appearance and visual function of the eyes.
What are the stages of thyroid eye disease?
There are two phases of thyroid eye disease. The first phase is the inflammatory phase, which typically lasts six months to two years. The second phase is the stable phase when active inflammation is quiet.
Who gets thyroid eye?
Approximately one million Americans are diagnosed with Graves’ eye disease each year. Women are five to six times more likely than men to get the disease. Cigarette smokers are at significantly increased risk to develop the disease, and when they do, often have more severe and prolonged activity that threatens vision.
Is Graves an autoimmune disease?
Graves’ disease is a type of autoimmune disease that damages the thyroid gland. This butterfly-shaped gland in the neck produces hormones that regulate how your body uses energy (metabolism). Graves’ disease is the most common cause of hyperthyroidism (overactive thyroid gland).
What are signs of Ted?
The most common symptoms of TED include:
- Bags under the eyes.
- Blurred/double vision.
- Change of the eyes’ appearance (usually staring/bulging)
- Difficulty moving the eyes.
- Dry or watery eyes.
- Gritty feeling in the eyes.
- Low tolerance of bright lights.
- Pain in or behind the eye — especially when looking up, down, or sideways.
What kind of doctor treats thyroid eye disease?
An ophthalmologist completes extensive training in thyroid eye disease and is an expert in thyroid eye disease care. An ophthalmologist is a physician who specializes in treating diseases related to the eyes and vision. Ophthalmologists are medical doctors, unlike their optometrist and optician counterparts.
What vitamins are good for thyroid eye disease?
Vitamin D supplementation may help lessen the risk of developing thyroid eye disease (TED), and thus potential eye damage, in patients with Graves’ disease.
Can thyroid eye disease return?
Eye problems will usually occur and frequently change in type or severity for between six months and two years. Once stabilized, it is unusual for the eyes to start changing again. Some patients are left with permanent changes, and in others the eyes return to normal.