Anterior segment clinical grading in CLs practice

For this exercise (Optician 03.07.15), you were asked to look carefully at six sets of case notes, and the accompanying images, and then answer the two questions for each case. For this particular exercise the CCLRU (BHVI) Grading Scale (Figure 1) was provided.

Case 1

Routine aftercare visit; long term wearer of over 25 years of conventional hydrogel lenses; low myope (-1.75DS); current lenses monthly disposable; wearing times 14-16 hrs every day. Acuity is ‘excellent’, no discomfort, aware of increasing redness for last few months. Care system used 1 step hydrogen peroxide. Lenses good fit, no corneal staining. General health good.