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Table 5 Clinical grading and severity scoring

From: Transplantation of autologous cultivated oral mucosal epithelial sheets for limbal stem cell deficiency at Siriraj Hospital: a case series

Clinical outcomes

Clinical grading and severity scoring

0

1

2

3

Corneal opacity

Iris detail clearly visualized

Partial obscured

Poorly seen

Completely obscured

Neovascularization

No

Periphery

Extend to pupil

Beyond pupil

Keratinization

No

< 1/4

1/4–1/2

> 1/2 Cornea

Conjunctival hyperemia

No

Sectoral engorgement

diffuse

Severe

Symblepharon

No

Conjunctival surface

< 1/2 Cornea

> 1/2 Cornea

Superficial punctate keratitis

A1 D1

A1 D2, A2 D1

A1 D3, A2 D2, A3 D1

A2 D3, A3 D2, A3 D3

Corneal epithelial defect

No

< 1/4

1/4–1/2

> 1/2 Cornea

Conjunctivalization

No

< 1/4

1/4–1/2

> 1/2 Cornea

Subjective symptom

No

Mild

Moderate

Severe

Corneal infection

No

Require eye drop

Require systemic

Require surgery

Endophthalmitis

No

Present

–

–

  1. Superficial punctate keratitis grading scale is based on the sum of the area (A) and density (D) grades measured using an anterior fluorophotometer