Efron Grading Scales for Contact Lens Complications

0 - NORMAL 1 - TRACE 2 - MILD 3 - MODERATE 4 - SEVERE

BLEPHARITIS

M E I B O M I A N G L A N D DYS F U N C T I O N

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 LT R A T E S

CORNEAL ULCER

E N D O T H E L I A L P O 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 978-0-7506-8869-7
 Efron Grading Scales for Contact Lens Complications
0 - NORMAL 1 - TRACE 2 - MILD 3 - MODERATE 4 - SEVERE
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

C O N J U N C T I VA L S T A I N I N G

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 Nathan Efron. The grading scale is offered as an educational
tool that you may choose to use as part of your patient evaluations. These materials
are not intended as, and do not constitute, medical or optometric advice.