8
Diagnosis
Figure 3. Sjögren's International Collaboration Clinical
Alliance (SICCA) Ocular Staining Score Form
Staining Pattern Score
Grade Dots
0 0-9
1 10-32
2 33-100
3 >100
Grade Dots
0 0
1 1-5
2 6-30
3 >30
Right Eye
Lissamine Green
(conjunctiva only)
Fluorescein
(cornea only)
+1 – patches of confluent staining
+1 – staining in pupillary area
+1 – one or more filaments
Total Ocular Staining Score
Total ocular staining scores of 0–12 per eye assess
the range of severity for keratoconjuctivitis sicca.
Staining Pattern Score
Grade Dots
0 0-9
1 10-32
2 33-100
3 >100
Grade Dots
0 0
1 1-5
2 6-30
3 >30
Left Eye
Lissamine Green
(conjunctiva only)
Fluorescein
(cornea only)
+1 – patches of confluent staining
+1 – staining in pupillary area
+1 – one or more filaments
Total Ocular Staining Score
Total ocular staining scores of 0–12 per eye assess
the range of severity for keratoconjuctivitis sicca.
Modified with permission from Whitcher JP, Shiboski CH, Shiboski SC, et al, for the Sjögren's
International Collaborative Clinical Alliance Research Groups. A simplified quantitative method
for assessing keratoconjunctivitis sicca from the Sjögren's Syndrome International Registry.
Am J Ophthalmol. 2010;149:407.
Extra points-fluorescein only:
(Mark all that apply and add to
flluorescein score)
Extra points-fluorescein only:
(Mark all that apply and add to
flluorescein score)
