Cornea |
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A. Opacity – degree of density (most dense area taken for reading) |
|
No ulceration or opacity |
0 |
Scattered or diffuse area; details of iris clearly visible |
1 |
Easily discernible translucent areas; details of iris slightly obscured |
2 |
Opalescent areas; no details of iris visible, size of pupil barely discernible |
3 |
Opaque; iris invisible |
4 |
B. Area of cornea involved |
|
None |
0 |
One-quarter (or less) but not zero |
1 |
Greater than one-quarter, less than one-half |
2 |
Greater than one-half, less than three-quarters |
3 |
Greater than three-quarters, up to whole area |
4 |
|
Score = A × B ×5 (range, 0 to 80) |
Iris |
|
A. Values |
|
Normal |
0 |
Folds above normal, congestion, swelling and/or circumcorneal injection; iris still reacting to light (sluggish reaction is positive) |
1 |
No reaction to light, hemorrhage and/or gross destruction |
2 |
|
Score = A ×5 (range, 0 to 10) |
Conjunctivae |
|
A. Redness of palpebral conjunctivae |
|
Normal |
0 |
Vessels definitely injected above normal |
1 |
More diffuse, deeper crimson red; individual vessels not easily discernible |
2 |
Diffuse beefy red |
3 |
B. Chemosis |
|
Normal |
0 |
Any swelling above normal (includes nictitating membrane) |
1 |
Obvious swelling with partial eversion of the lid |
2 |
Swelling with lids about half closed |
3 |
Swelling with lids about half closed to completely closed |
4 |
C. Discharge |
|
Normal |
0 |
Any amount different from normal |
1 |
Discharge with moistening of the lids and hair just adjacent to the lids |
2 |
Discharge with moistening of the lids and considerable area around the eye |
3 |
|
Score = (A + B + C) ×2 (range, 0 to 20) |
Total score=Sum of all scores obtained for the cornea, iris and conjunctivae |
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