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www.brienholdenvision
BULBARREDNESSLIMBALREDNESSLID REDNESS(area 2)LID ROUGHNESS:WHITE LIGHTREFLEX (areas 1, 2)LID ROUGHNESS:FLUORESCEIN(area 2)CORNEAL STAINING:TYPECORNEAL STAINING:DEPTHCORNEAL STAINING:EXTENT(area 5)CONJUNCTIVALSTAINING1. VERY SLIGHT2. SLIGHT3. MODERATE4. SEVEREGRADING SCALES Copyright Brien Holden Vision Institute Description1 5%2 6-15%3 16-30%4 >30%INFECTED ULCERFull thickness epithelial loss with stromal necrosis and inflammation, typi-cally central or paracentralSigns Intense redness White patch (raised edges) Infiltrates Epithelial and stromal loss Anterior chamber flare Conjunctival and lid edemaSymptoms Pain, photophobia Redness, mucoid discharge VA (if over pupil)APPLICATION OF GRADING SCALES Patient management is based on how much the normal ocular appearance has changed. In general, a rating of slight (grade 2) or less is considered within normal limits (except staining).
Extent Description 1 ≤5% 2 6-15% 3 16-30% 4 >30% INFECTEDULCER Full thickness epithelial loss with stromal necrosis and inflammation, typi-cally central or paracentral
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