Description

Bourges et al reported the BAsic SEverity Score for Common OculaR Emergencies (BaSe SCOrE) to aid in initial triage of an ocular emergency based on the clinical severity. This can be helpful when an ophthalmologist is not readily available. The authors are from Paris Descartes School of Medicine, Universite Sorbonne and INSERM.


The scoring system recognized 4 categories: anterior segment, posterior segment, trauma and following ocular surgery.

 

Conditions affecting the anterior segment weighted in severity from 0 (least) to 6 (most) severe.

 

Category for Anterior Segment

Item

Median Severity Weight

anterior acute uveitis

first episode

2

anterior acute uveitis

iterative

3

conjunctivitis

noninfectious

1

conjunctivitis

viral

2

conjunctivitis

bacterial

2

contact lens

mechanical complication (dislocation, vacuum, etc)

1

contact lens

infectious keratitis without severity factor

3

contact lens

infectious with severity factors

4

corneal ulcer, not infected

unperforated with isolated epithelial defect

2

corneal ulcer, not infected

unperforated with stromal involvement

3

corneal ulcer, not infected

perforating

5

glaucoma

acute angle-closure

4

glaucoma

neovascular

4

keratitis

superficial punctate keratitis

1

keratitis

noninfectious interstitial keratitis

2

keratitis

infectious

3

lacrimal duct/gland

acute dacryocystitis

3

ocular surface burn

less than 9 clock hours of limbus and less than 75% of conjunctiva

3

pterygia

inflamed

1

scleral and episcleral inflammation

episcleritis

2

scleral and episcleral inflammation

scleritis

3

 

Items not represented:

(1) corneal ulcer, infected

(2) other forms of glaucoma

(3) ocular surface burn greater than limits given; this was included and set to grade 4

(4) fungal conjunctivitis


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