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  • Title: [A method of evaluating the clinical course of edematous exophthalmos and pseudotumor of the orbit].
    Author: Brovkina AF, Tiutiunnikova AM.
    Journal: Vestn Oftalmol; 1990; 106(2):16-9. PubMed ID: 2368242.
    Abstract:
    Study of the combinations of symptoms and signs contributing to the clinical picture of edematous exophthalmos (EE) and orbital pseudotumor (OP) has helped single out 14 classes, each of them reflecting the subjective or objective status of a patient. An 0 to 4 score rating inside each class permits ruling out this or that symptom (0 score) or assess its severity (1-2; 3-4 scores). These classes comprise patients' complaints, the status of the periorbital tissues, upper lid and bulbar conjunctiva, the degree of the eyeball protrusion, eye mobility and strabismus angle, and changes in the intraocular pressure and fundus oculi. Analysis of the symptoms markedness in scores for each of the 14 classes, carried out with due consideration for the process stage separately for EE and OP, has shown that the total score is under 6 in the initial stage of the disease and 17 in the decompensation stage. The score drastically rises in the far progressed stages of both EE and OP, being 23-29 in EE and 22-27 in OP. The authors emphasize that the suggested rating helps objectively assess the process stage in each case and thus choose the treatment strategy.
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