Activity Score of Kahaly for Graves' Ophthalmopathy

Subjective Symptoms

photosensitivity

1

lacrimation

1

headache

1

feeling of pressure behind the eyes

1

feeling of foreign body

1

Objective Symptoms

palpebral edema

1

eyelid closure

1

sicca syndrome

1

chemosis

1

conjunctivitis

1

corneal ulceration

1

weak convergence

2

blurred vision

2

double vision

2

visual acuity

2

restriction of visual field

2

proptosis according to Hertel (20/23/26/more), see below

2/4/6/8

Imaging Techniques

abnormal muscle thickness on orbit sonography

2

abnormal muscle thickness on orbit computed tomography

4

exophthalmos <= 20 mm

0

2

exophthalmos > 21-23 mm

A

4

exophthalmos > 23-26 mm

B

6

exophthalmos > 26 mm

C

8