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Clinical Score for Allergic Conjunctivitis

Purpose: To evaluate the upper tarsal conjunctiva of a patient with allergic conjunctivitis using the score of Tanaka et al.

Description

Tanaka et al developed a score for grading the clinical findings in a patient with allergic conjunctivitis. The authors are from Tokyo Dental College in Chiba.


Examination: slit lamp examination of the upper tarsal conjunctiva

 

Parameters:

(1) conjunctival injection

(2) edema

(3) height/thickness of the papillae

(4) mucous discharge

 

Parameter

Finding

Points

conjunctival injection

none

0

 

mild

1

 

moderate

2

 

severe

3

edema

none

0

 

mild

1

 

moderate

2

 

severe

3

height of the papillae

no papillae

0

 

flat

1

 

moderate

2

 

prominent/high

3

mucous discharge

none

0

 

covers < 50% of area

1

 

covers 50-90% of area

2

 

covers entire area

3

 

total score =

= SUM(points for all 4 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 12

• The higher the score the more severe the allergic reaction.


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Specialty

Objective

ICD-10