The Eyes, Hands, Feet (EHF) score can be used to monitor disability in a patient with leprosy.
Parameters:
(1) status of left hand
(2) status of right hand
(3) status of left foot
(4) status of right foot
(5) status of left eye
(6) status of right eye
Grading the Each Hand or Foot (H or F)
Anesthesia
Visible Damage or Deformity
Points
none
none
0
present
none
1
NA
present
2
Grading of Eyes (E)
Eye Problem Due to Leprosy
Visual Loss
Points
none
none
0
present
not severely affected
1
NA
present
2
where:
• "Not severely" affected vision = able to count fingers at 6 meters and vision 6/60 or better.
• Severely affected vision = vision worse than 6/60 or unable to count fingers at 6 meters; presence of lagophthalmos, iridocyclitis/uveitis, and corneal opacities.
total EHF score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 12
• The higher the score the greater the disability.
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