Basic Severity Score for Common Ocular Emergencies (Base Score): Ocular Surgery

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 Postoperative Complications	Item	Median Severity Weight
acute pain	with normal postoperative course	2
high intraocular pressure (excluding AACG)	IOP > 25 and < 35 mm Hg	2
high intraocular pressure (excluding AACG)	IOP >= 35 mm Hg	3
infection following surgery	blebitis	5
infection following surgery	panophthalmitis	5
intraocular hemorrhage	within 3 days of surgery	4
keratoplasty	suture-related	3
keratoplasty	acute rejection	4
keratoplasty	graft dislocation	5
LASIK	flap-related complication	3
mechanical complication after surgery	reopening of the surgical wound	4
mechanical complication after surgery	collapsed eyeball (athalamia)	4
suture-related complication	noninfectious	2
suture-related complication	infectious	4

where:

• AACG = acute angle closure glaucoma

• LASIK = laser keratomileusis in situ

• Keratoplasty is a corneal grafting procedure

Items not covered:

(1) acute pain with abnormal postoperative course

(2) intraocular hemorrhage beyond 3 days

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Basic Severity Score for Common Ocular Emergencies (Base Score): Ocular Surgery

Description

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