Contact Lenses Grading Scales. Etiology. Normal grade. Comment. Bulbar redness. Dilation of bulbar vessels, e.g. due to mechanical stimulation. CCLRU O GRADING SCALES. CCLRU. SCCLRU. BULBAR REDNESS. SLIGHT. 2. SLIGHT. 3. MODERATE. SEVERE. OCCLRU. LIMBAL. Eye care professionals: See the Efron Grading Scales for a standard clinical reference for describing the severity of 16 contact lens complications.

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Curr Eye Res ; Optom Vis Sci ; Image analysis discrimination was described by the standard deviation of repeated measures divided by the scale range. Lies, statistics, and clinical significance. The occasional apparent reversal in severity in several of vrading scales could arise from deficiencies in the scale images, such as the lack of an appropriate photographic image taken with similar perspective and illumination or from scale designers considering a range of feature characteristics to assess the grade of an image.

However, image analysis would have merit in monitoring changes in individual patients with time and scaoes computer could also count the number of segments identified to identify between punctate and confluent type stainingprovide a ratio of the longest to the shortest axis to give an indication of shape in addition to the measures of edges detected a stable indicator of area and green colouration stain intensity.

Finer scales have the advantage of being capable of recording clinical change more sensitively. An area of approximately 90 pixels about 6.


Edge detection filled symbols and relative red colouration open symbols with grading scale images of palpebral hyperaemia.

The repeatability of discrete and continuous anterior segment grading scales. Evaluation of the range of areas of the fluorescein staining patterns of the tarsal conjunctiva in man.

Palpebral hyperaemia and staining grading is complicated by the variable presentations possible. Although the difference is again within the variability of clinical grading 7 and relative change will govern clinical decision making, individual grading strategies will increase the variance between individuals, and hence decrease the statistical power of clinical research studies or the ability of clinicians to monitor small changes over time.

EFRON-CCLRU GRADING SCALES for (Android) Free Download on MoboMarket

Handbook of Contact Lens Management. Arch Ophthalmol ; Another interesting finding was that grading scales are more likely to be used by optometrists who have recently graduated, have a postgraduate certificate in ocular therapeutics, see more contact lens patients or use other forms of grading scales.

Communication at the heart of it all. Both techniques were strongly correlated with increasing bulbar hyperaemia scale grades, although for higher grades the Annunziato and Vistakon-Synoptik scales rely on an increase in red colouration in isolation, rather than in combination with an increased number of blood vessels.

Although computers and slit lamp biomicroscope cameras are becoming more common in hospitals and eye care practices, printed grading scales have the advantage of being inexpensive and portable. Table 1 summarises the benefits.

Incremental nature of anterior eye grading scales determined by objective image analysis

A general increase in edges detected with increasing scale grade was seen in the all the scales analysed, although the change in green colouration was more variable.


There has been much discussion and debate in the literature concerning the merits and relative difficulties of constructing photographic versus pictorial grading scales, with the suggestion that painted grading scales, although not as realistic as photographs, allow more control in depicting incremental increases in severity that are clear and unambiguous to the clinician.

Quantitative slit lamp observations in contact lens practice. The variability of grading scores between practitioners can be wide and they generally tend to form clusters around whole numbers.

C42682: Clinical grading scales

Edge detection filled symbols and relative green colouration closed symbols with grading scale images of corneal staining. J Am Optom Assoc ; Wolffsohn JSPurslow C. Clinical monitoring of ocular scalew using digital image analysis. Sign up for our free e-newsletters Get all the latest jobs and product news emailed to you every week Click here to register. This is difficult for software to achieve accurately.

Practitioners must record the grading scale used, and ideally standardise this within an individual practice or corporate groups. Tarsal conjunctival morphometry of Asymptomatic soft contact lens wearers and non-wearers. Clinical grading of the upper gradkng conjunctiva of non-contact lens wearers.

Int J Microcirculation Clin Exp cclrj 6: A new computer assisted objective method for quantifying vascular changes of the bulbar conjunctivae.