Graves’ Ophthalmopathy: VISA versus EUGOGO Classification, Assessment, and Management
Table 3
VISA Inflammatory Index (I) (Dolman and Rootman 2006 [25], ITEDS modified). Patients with moderate inflammatory index (less than 4 of 10) are managed conservatively. Patients with high scores (above 5 of 10) or with evidence of progression in the inflammation are offered a more aggressive therapy.
Sign or symptom
Score
Caruncular edema
0: absent 1: present
Chemosis
0: absent 1: conjunctiva lies behind the grey line of the lid 2: conjunctiva extends anterior to the grey line of the lid
Conjunctival redness
0: absent 1: present
Lid redness
0: absent 1: present
Lid edema
0: absent 1: present but without redundant tissues 2: present and causing bulging in the palpebral skin, including lower lid festoon
