The Manchester Clinical Severity Score can be used to evaluate a patient with keratitis secondary to wearing contact lenses. The score was developed at the University of Manchester in England for use in the Manchester Keratitis Study.
Parameters:
(1) ocular symptoms
(2) swelling of the eyelid
(3) redness of the conjunctiva
(4) shape of the corneal infiltrate
(5) size of the corneal infiltrate
(6) fluorescein staining
(7) surrounding cornea
(8) endothelial debris
(9) hypopyon
(10) outcome to lens discontinuation
|
Parameter |
Finding |
Points |
|---|---|---|
|
ocular symptoms |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
swelling of the eyelid |
absent |
0 |
|
|
present |
2 |
|
redness of the conjunctiva |
absent |
0 |
|
|
localized |
1 |
|
|
generalized |
2 |
|
shape of the corneal infiltrate |
round |
1 |
|
|
irregular |
3 |
|
size of the corneal infiltrate |
< 1 mm |
1 |
|
|
1 to 2 mm |
2 |
|
|
> 2 mm |
3 |
|
flureoscein staining |
absent |
0 |
|
|
present |
1 |
|
surrounding cornea |
clear |
0 |
|
|
slight haze |
1 |
|
|
marked haze |
2 |
|
endothelial debris |
absent |
0 |
|
|
present |
1 |
|
hypopyon |
absent |
0 |
|
|
present |
2 |
|
lens discontinuation outcome |
resolves |
0 |
|
|
no change |
1 |
|
|
slightly worse |
2 |
|
|
much worse |
3 |
total score =
= SUM(points for all 10 parameter)
Interpretation:
• minimum score: 2
• maximum score: 22
• The higher the score the more severe the keratitis
Purpose: To evaluate a patient with keratitis secondary to wearing contact lenses using the Manchester clinical severity score.
Specialty: Ophthalmology
Objective: clinical diagnosis, including family history for genetics, severity, prognosis, stage
ICD-10: H16,
