Functional Systems Scores (FSS)

Kurtzke JF. Rating neurological impairment in multiple sclerosis: an expanded disability status scale. Neurology 1983; 33: 1444-1452

 

Visual Functions

Score Criteria
0 Normal
1 Scotoma with visual acuity (corrected) better than 20/30
2 Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59
3 Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20-60 to 20-99
4 Worse eye with marked decrease in fields and maximal visual acuity (corrected) of 20/100-20/200; grade 3 plus maximal acuity of better eye 20/60 or less
5 Worse eye with maximal visual acuity (corrected) less than 20/200; grade 4 plus maximal acuity of better eye of 20/60 or less
6 Grade 5 plus maximal acuity of better eye of 20/60 or less
X Added to grades 0 to 6 for presence of temporal pallor