AREDS Detailed Lens Grading Form

Fundus Photograph Reading Center

AREDS Detailed Lens Grading Form

¹⁰⁰RED REFLEX Absent⁽⁰⁾ Present⁽²⁾		⁶⁰⁰SLIT LAMP Absent⁽⁰⁾ ®STOP Present⁽²⁾
¹⁰¹Iris Pigmentation	Code	⁶⁰¹Nuclear Color		Code
£ Std. 1	1	< Std. 2		1
£ Std. 2	2	< Std. 4		2
£ Std. 3	3	< Std. 8		3
> Std. 3	4	³ Std. 8		4
CG	8	CG		8

NEITZ ²⁰¹Anterior Absent⁽⁰⁾ Present⁽²⁾		⁷⁰¹Nuclear Sclerosis
⁰²Posterior Absent⁽⁰⁾ Present⁽²⁾		Std. photographs 1-7. Give decimal
Pupil Diameter on Film*		equivalent (e.g. 1.0,1.1,1.2 . . .).
²¹¹Horizontal (9:00-3:00) ___ ___.___ mm		If < Std. 1, mark 0.9; if > Std. 7,
²¹²Vertical (12:00-6:00) ___ ___.___ mm		mark 7.1.
			⁷⁰²Focus ______
³⁰⁰*Opacity present in Reflex* photo not seen in Neitz?**
No	0
Quest.	1	⁸⁰¹Cortical Fleck
Yes - other	2	None		0
Yes - PSC	3	Quest.		1
CG	8	Present		2
		CG		8
⁴⁰⁰Lens opacities present? No⁽⁰⁾ ®Go to Item 600 Yes⁽²⁾ ¯Continue

⁴²⁰Cortical Opacities (%) Absent⁽⁰⁾ Present⁽²⁾	⁴⁴⁰PSC (%) Absent⁽⁰⁾ Present⁽²⁾	⁴⁶⁰Vacuoles (#) Absent⁽⁰⁾Present⁽²⁾	⁴⁷⁰WACOs N⁽⁰⁾ Q⁽¹⁾ Y⁽²⁾ CG⁽⁸⁾

⁵⁰¹Mittendorf dot: Absent⁽⁰⁾ Present⁽²⁾

502Pseudoexfoliation: Absent⁽⁰⁾ Present⁽²⁾

503Other: Absent⁽⁰⁾ Present⁽²⁾ ®Comment

⁹⁰⁰⁰Comments _________________________________________________________________________________________

*Neitz camera magnifies 2X, therefore a 5mm pupil measures 10mm on film.

Entered ____________________ by ____

I:\WP\AREDS\GEN_FORM\AREDS.LNS -4/15/97/vls Verified ____________________ by ____

29Feb2000