Bleb Photograph Grading System

NB: Please refer to the Coding Manual before completing this form

Patient I.D. No:

Date Graded:

Left Eye:

Sheet number:

Graded by:

Right Eye:

Image Quality:

1) Bleb Area
(Grade from 1-5)

1a Central demarcated area

1b Maximal area

2) Bleb Height
(Grade from 1-4)

Highest point of the bleb

3) Bleb Vascularity
(Grade from 1-5)

3a central demarcated area

3b maximal area
3c non-bleb conjunctiva
subconjunctival blood

NOTES
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