Contact lens practice, and indeed any assessment of anterior eye, has been made much easier with modern slit-lamp imaging systems. An image can be compared with previous images and the progression or regression of any sign, perhaps limbal redness, can be easily gauged. Imaging is not always available to us and, anyway, an image needs to be interpreted and recorded accurately on our record cards. Grading scales have been available for many years now and most readers will be familiar with examples such as the Efron Grading Scales. Typically, these are consulted while at the slit lamp and then a numerical value given to any specific appearance (Figure 1). In next month’s Contact Lens Monthly, Optician will be publishing the results of a major review of the use of grading scales in Europe and emphasising how important accuracy is when we are monitoring anterior eye clinical signs.
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