SYMPTOMS |
0 |
1 |
2 |
3 |
Itching |
No desire to rub or stretch the eye |
Occasional desire to rub or stretch the eye |
Frequent need to rub or stretch the eye |
Constant need to rub or stretch the eye |
Tearing |
Normal tear production |
Positive sensation of fullness of the conjunctival sac without tears spilling over the lid margin |
Intermittent, infrequent spilling of tears over the lid margin |
Constant, or nearly constant, spilling of tears over the lid margin |
Foreign body sensation |
Absent |
Mild, similar to fine dust sensation |
Moderate, similar to sand sensation, with mild tearing and blinking |
Severe, similar to big foreign body sensation, with constant tearing and blepharospasm
|
Photophobia |
No difficulty experienced |
Mild difficulty with light causing squinting |
Moderate difficulty, necessitating dark glasses |
Extreme photophobia causing the patient to stay indoors; cannot stand natural light even with dark glasses |
Stinging |
Absent
|
Mild |
Moderate |
Severe |
Red eye |
Absent |
Mild, he/she cannot observe his red eye but is told he/she has it |
Moderate, he/she can observe his red eye from 30 cms in a mirror |
Severe, he/she can observe his red eye from more than 30 cms in a mirror |
SIGNS |
0 |
1 |
2 |
3 |
Conjunctival hyperemia |
Absent |
Mild, in an area less than 25% of total conjunctival surface, including tarsal and bulbar |
Moderate |
Severe, with hyperemia in all conjunctival surface |
Conjunctival discharge |
Absent |
Small amount of translucent or whitish discharge in the lower cul-de-sac |
Moderate amount of like yellow or green-yellowish discharge in the lower cul-de-sac and in the marginal tear strip |
Severe, with blood traces in the lower cul-de-sac and in the marginal tear strip
|
Tarsal conjunctival papillary hypertrophy |
No evidence of papillary formation |
Mild papillary hyperemia |
Moderate papillary hypertrophy with edema of the palpebral conjunctiva and hazy view of the deep tarsal vessel |
Severe papillary hypertrophy obscuring the visualization of the deep tarsal vessels |
Chemosis |
Absent |
Mild, in an area less than 25% of total conjunctival surface, including tarsal and bulbar |
Moderate |
Severe, with volume augmentation in all conjunctival surface |
