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Efron Grading Scales for Contact Lens Complications 0 - NORMAL
1 - TRACE
2 - MILD
3 - MODERATE
BLEPHARITIS
MEIBOMIAN GLAND DYSFUNCTION
S U P E R I O R L I M B I C K E R AT O C O N J U N C T I V I T I S
C O R N E A L I N F I L T R AT AT E S
CORNEAL ULCER
E N D O T H E L I A L P O LY LY M E G E T H I S M
ENDOTHELIAL BLEBS
CORNEAL DISTORTION
“Used by permission from Nathan Efron and Butterworth-Heinemann/Elsevier“ Supplement to the book Contact Lens Practice, 2nd edition by Nathan Efron, published by Butterworth-Heinemann, 2010, ISBN 978-0978-0-7506-88697506-8869-7 7
4 - SEVERE
Efron Grading Scales for Contact Lens Complications 0 - NORMAL
1 - TRACE
2 - MILD
3 - MODERATE
C O N J U N C T I VA L R E D N E S S
LIMBAL REDNESS
C O R N E A L N E O VA S C U L A R I S A T I O N
EPITHELIAL MICROCYSTS
CORNEAL OEDEMA
C O R N E A L S TA I N I N G
CONJUN CTIVAL STAINING
PA P I L L A R Y C O N J U N C T I V I T I S
IMPORTANT NOTE: This grading scale, along with the instructions for use, were
developed by Professor Professor Nathan Efron. The grading scale is offered as an educational tool that you may choose to use as part of your patient evaluations. evaluations. These materials are not intended as, and do not constitute, medical or optometric advice.