ỨNG DỤNG THANG ĐIỂM ĐÁNH GIÁ MỨC ĐỘ BỆNH MẮT TUYẾN GIÁP

Abstract

Purpose: Assessing clinical features and applying VISA and EUGOGO classification to evaluate activity and severity of thyroid eye disease (TED) in patients examined at Vietnam National Eye Hospital. Methods: Prospective, descriptive study performed on 40 patients at Vietnam National Eye Hospital from December 2022 to September 2023. Results: Mean age of onset was 47.9 ± 12.4,mainly from 41 to 60 years old with a female predominance, mostlyoccuring in Basedow’s disease and hyperthyroidism with a range of symptoms. In 77.5% of cases, VISA and EUGOGO classification evaluated the same activity. Although VISA had higher activity score, EUGOGO tended to classify more active cases. After 3 months, with VISA classification, 25% of patients had progressed; the greatest progression was observed in motility restriction, while diplopia and appearance/exposure symptoms showed minimal progression. According to EUGOGO classification, the majority of patients have moderate to severe TED (65%), 25% have sight-threatening TED, 10% have mild TED, and most patients do not experience any change in severity after 3 months. The condition is primarily moderate to severe (22.5%) or sight-threatening (22.5%) during the active phase. It tends to be milder in the inactive phase, mostly mild (10%) or moderate to severe (42.5%). Conclusion: Thyroid eye disease is a common orbital disease with a variety of manifestations. Assessing activity and severity plays an important role in thyroid eye disease management