Najjar and Awwad proposed a risk score for cataract surgery. The authors are from Philadelphia and Dallas.
Parameters:
(1) age of the patient
(2) type of anesthesia
(3) cataract density
(4) frontal bossing or sunken globes
(5) high hyperopia or myopia (far or near sightedness)
(6) ophthalmic history in eye being operated on
(7) history of complications in other eye
(8) anterior chamber
(9) cloudiness of cornea
(10) red reflex
(11) pseudoexfoliation
(12) papillary dilatation
Parameter |
Finding |
Points |
---|---|---|
age of the patient |
< 50 years |
1 |
|
50 to 65 years |
2 |
|
66 to 80 years |
3 |
|
> 80 years |
4 |
type of anesthesia |
general |
0 |
|
local |
2 |
|
topical |
3 |
frontal bossing or sunken globe |
absent |
0 |
|
present |
1 |
high hyperopia or myopia |
absent |
0 |
|
present |
1 |
history of glaucoma, uveitis or previous intraocular surgery |
absent |
0 |
|
present |
1 |
history of complications in other eye |
absent |
0 |
|
present |
1 |
shallow anterior chamber |
absent |
0 |
|
present |
1 |
cornea |
not cloudy |
0 |
|
cloudy |
1 |
red reflex |
good to fair |
0 |
|
poor |
1 |
pseudoexfoliation |
absent |
0 |
|
present |
3 |
pupillary dilatation |
good to fair |
0 |
|
poor |
3 |
Nuclear Sclerosis |
Anterior and/or Posterior Subcapsular Opacities |
Points |
mild |
mild to moderate |
2 |
mild |
dense |
3 |
moderate |
mild to moderate |
1 |
moderate |
dense |
2 |
dense |
NA |
4 |
total score =
= SUM(points for all 12 parameters)
Interpretation:
• minimum score: 2
• maximum score: 25
• The higher the score the greater the surgical risk.
Purpose: To determine the risk prior to cataract surgery using the score of Najjar and Awwad.
Specialty: Ophthalmology
Objective: risk factors
ICD-10: H26.9,