Teifi et al reported the Behcet’s Oculopathy Index to describe ocular changes in a patient with Behcet’s disease. This can be used to assess the patient initially and to monitor change over time. The authors are from The General Infirmary at Leeds in England.
Each eye is examined and recorded separately.
Findings in the anterior chamber:
(1) cells
(2) flare
(3) synechiae
Findings in the posterior chamber:
(1) vitreous
(2) retinal infiltrates
(3) sheathing of retinal vessels
(4) branch vein occlusion
(5) central vein occlusion
(6) new retinal vessels
(7) retinal hemorrhage
(8) retinal detachment
Neuro-ophthalmic findings
(1) pupil defect
(2) optic disc swelling
(3) optic atrophy
Each of these findings is graded separately for activity and damage.
|
Activity |
Points for Activity |
|
none |
0 |
|
mild |
1 |
|
moderate |
2 |
|
severe |
3 |
|
Damage |
Points for Damage |
|
none |
0 |
|
mild |
1 |
|
moderate |
2 |
|
severe |
3 |
where:
• Some conditions multiply activity and damage rather than add them separately.
• Uveitis is key finding in Behcet’s disease. How is it being measured and recorded?
subscore for activity in the anterior chamber =
= SUM(points for the 3 findings)
subscore for damage in the anterior chamber =
= SUM(points for the 3 findings)
subscore for activity in the posterior chamber =
= SUM(points for the 3 findings)
subscore for damage in the posterior chamber =
= SUM(points for the 3 findings)
subscore for neuro-ophthalmic activity =
= SUM(points for the 3 findings)
subscore for neuro-ophthalmic damage =
= SUM(points for the 3 findings)
total score for activity =
= SUM(points for the 3 activity subscores)
total for damage =
= SUM(points for the 3 damage subscores)
Additional findings recorded:
(1) lens opacity (aphakia or pseudoaphakia)
(2) visual acuity
(3) intra-ocular pressure
Interpretation:
• minimum activity and damage subscores for the anterior chamber: 0
• maximum activity and damage subscores for the anterior chamber: 9
• minimum activity and damage subscores for the posterior chamber: 0
• maximum activity and damage subscores for the posterior chamber: 24
• minimum activity and damage subscores for neuro-ophthalmic changes: 0
• maximum activity and damage subscores for neuro-ophthalmic changes: 9
• minimum activity and damage scores for eye: 0
• maximum activity and damage scores for eye: 42
Specialty: Ophthalmology, Immunology/Rheumatology
