Proposed ocular Behcet therapeutic scoring & activity/chronicity ratio.


Abstract: Behcet’s Unite, Shariati Hospital the aim to propose a scoring system for the treatment of the ocular inflammation one vasculitis by our medications and to evaluate the state of the activity of the eye. Eleven activity and five chronicity (constant) parameters are scored from zero to four to consider the condition of each eye. The activity variables are: episcleritis &/or scleritis, anterior uveitis, hyalites, IMU, central periphlebitis &/or thrombosis, central periartertis, peripheral vasculitis, retinitis, neovascularization, macular edema, optic neuritis. The chronicity paramenters are: central retinal vein necrosis, peripheral vascular necrosis, macular scar, optic atrophy complications such as cataract, glaucoma, retinal detachment, which are surgically reparable are not considered. The maximum scoring for the activity parameters of both eyes is 88, and for chronicity is 40. The ratio of activity/chronicity determines the state of the eye. Both variables and constants are considered in our therapeutic scoring, but the constants replace variables (macular scare).