甲状腺相关性眼病.PPT

GO 严重程度评估 （2008） 轻度GO具备以下一项或多项表现： 1、轻度眼睑挛缩（＜2mm）； 2、轻度软组织受累； 3、眼球突出度在正常上限的3mm以内（同种族同性别） 4、没有或只有间歇性复视 5、润滑剂治疗有效的角膜暴露 GO 严重程度评估 中重度GO具备以下一项或多项表现： 1、眼睑挛缩＞2mm； 2、中重度软组织受累； 3、眼球突出度正常上限＞3mm（同种族同性别） 4、间歇或持续性性复视 GO 严重程度评估 极重度GO（威胁视力）： 合并视神经病变或角膜暴露 临床活动度评分CAS（1989） 1、自发性球后疼痛 8、与上一次就诊相比视力下降一行 2、眼球运动时疼痛 9、突眼度增加2mm 3、眼睑发红 10、眼球在任意方向活动减少5° 4、结膜发红 5、眼睑水肿 6、结膜水肿 7、泪阜肿胀 GO-QOL 特异性生活质量问卷 指南推荐使用GO-QoL来评价眼病对于患者生活质量以及心理健康的影响 SUBSCALE: VISUAL FUNCTIONING (VF) During the past week, to what extend were you limited in carrying out the following activities, because of your thyroid eye disease?在过去的一周中，由于甲状腺眼病的存在，你在做以下活动的时候收到何种程度的限制？ Yes, Yes, No, not seriously a little at all (1 point) (2 points) (3 points) 1) Bicycling 骑自行车 ? ? ? (never learned to ride a bike ) 2) Driving 驾驶 ? ? ? (no driver′s licence ) 3) Moving around the house 在房间里走动 ? ? ? 4) Walking outdoors 户外行走 ? ? ? GO-QOL 5) Reading 阅读 ? ? ? 6) Watching TV 看电视 ? ? ? 7) Hobby or pastime, e.g...................... 业余爱好 ? ? ? 8) During the past week, did you feel hindered from something that you wanted to do because of your thyroid eye disease? 在过去的一周里，因为眼病，你是否感觉到一些事情做起来有阻碍？ SUBSCALE: APPEARANCE (AP) The following questions deal with your thyroid eye disease in general: Yes, very Yes, No, not much a little at all (1 point) (2 points) (3 points) 9) Do you feel that your appearance has changed because of your thyroid eye disease? 你是否感觉到你的外表发生改变？ ? ? 10) Do you feel that you are stared at in the streets because of your thyroid eye disease? 你是否感觉到在大街上被盯着看？ ? ? ? 11) Do you feel that people react unpleasently because of your thyroid eye disease? 你是否感觉到人们表现得不够友好？ ? ? ? ? ? 12) Do you feel that your thyroid eye disease has an influence on your self