Thyroid-associated Ophthalmopathy Severity Calculator
CAS Scoring
Spontaneous retrobulbar pain:
Yes
No
Pain on eye movement:
Yes
No
Redness of the eyelids:
Yes
No
Redness of the conjunctiva:
Yes
No
Swelling of the eyelids:
Yes
No
Swelling of the conjunctiva (chemosis):
Yes
No
Swelling of the caruncle or plica:
Yes
No
Modified NOSPECS Classification
Soft tissue involvement:
Absent
Mild
Moderate
Severe
Proptosis:
None
Mild
Moderate
Severe
Extraocular muscle involvement:
No limitation
Limitation of motion in extremes of gaze
Evident restriction of motion
Fixation of the globe
Corneal involvement:
Normal
Stippling of cornea
Ulceration
Clouding, necrosis, or perforation
Sight loss:
Normal acuity
Decreased acuity, no visual field loss
Field loss or early defect
Advanced visual loss
Calculate
Calculation Results
CAS Score:
0
Severe Group (CAS >= 3):
No
Modified NOSPECS Classification Score:
0
Severe Group (NOSPECS >= 7):
No