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

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 Trauma	Item	Median Severity Weight
blunt injuries with impaired vision	hyphema (isolated)	3
blunt injuries with impaired vision	iridodialysis (avulsion of the iris root)	3
blunt injuries with impaired vision	choroidal rupture	4
blunt injuries with impaired vision	lens dislocation	4
blunt injuries with impaired vision	scleral rupture	5
commotio retinae	peripheral posttraumatic retinopathy	2
commotio retinae	posttraumatic maculopathy	3
conjunctiva	subconjunctival hemorrhage	1
conjunctiva	conjunctival wound without scleral exposure	1
conjunctiva	conjunctival wound with scleral exposure	2
corneal injury	corneal foreign body away from axis	2
corneal injury	nonperforating laceration away from the axis	2
corneal injury	nonperforating laceration in the visual axis	3
corneal injury	corneal foreign body in the visual axis	3
corneal injury	perforating but self-sealing laceration	4
corneal injury	perforating and leaking laceration	5
other injuries	tear duct injury	3
other injuries	optic nerve injury	5
other injuries, eyelid	eyelid skin injury	2
other injuries, eyelid	eyelid margin injury	3
other injuries, eyelid	eyelid levator injury	3
penetrating eye injury	without intraocular foreign body, eye not collapsed	4
penetrating eye injury	with intraocular foreign body, eye not collapsed	5
penetrating eye injury	without intraocular foreign body, eye collapsed	5
penetrating eye injury	with intraocular foreign body, eye collapsed	5

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

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