Disc Damage Likelyhood Scale (DDLS)

DDLS Stage NW for Small Disc (<1.50 mm) NW for Average Size Disc (1.50-2.00 mm) NW for Large Disc (>2.00 mm) Functional damage
1 0.5 or more 0.4 or more 0.3 or more Not definitely damaged
2 0.4 to 0.49 0.3 to 0.39 0.2 to 0.29 Not definitely damaged
3 0.3 to 0.39 0.2 to 0.29 0.1 to 0.19 Not definitely damaged
4 0.2 to 0.29 0.1 to 0.19 Less than 0.1 Not definitely damaged
5 0.1 to 0.19 Less than 0.1 0 for less than 45° Asymptomatic glaucoma damage, minimal visual field defect or none
6 Less than 0.1 0 for less than 45° 0 for 46° to 90° Asymptomatic glaucoma damage, visual field defect always present
7 0 for less than 45° 0 for 46° to 90° 0 for 91° to 180° Asymptomatic glaucoma damage, moderate or more advanced visual field defect
8 0 for 46° to 90° 0 for 91° to 180° 0 for 181° to 270° Glaucomatous disease/disability
9 0 for 91° to 180° 0 for 181° to 270° 0 for more than 270° Glaucomatous disease/disability
10 0 for more than 180° 0 for more than 270° Glaucomatous disease/disability
*NW = Narrowest width of rim (rim/disc ratio) The location of rim narrowing is not considered but, especially in the early stages, it is important in differentiating a clear glaucomatous defect from a physiological aspect.
   

- compiled & published by Dr Dhaval Patel MD AIIMS