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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Computerised grading — note the slider at the bottom of the screen allowing easy adjustments of severity.

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

Slit lamp classification system. The app enables levels of severity to be compared side-by-side in 0.

Compared with reported values of clinician subjective grading variability using these grading scales, 7, 9, 12, 15 image analysis techniques are approximately 6—35 times more repeatable, with a sensitivity of 2. Grading scale grades are not interchangeable, with scales starting either at grade 0 or 1 and with a wide range of values for the highest grade. Included in the improved version will be high definition images and compatibility with iPads as well as iPhones.

Automated measurement of bulbar redness. Cclru Physiol Opt ; There was no significant difference in discrimination between edge detection and colour extraction for each of the grading scales 2.

Curr Eye Res ; Objective measurement of contact-lens induced conjunctival redness. The objective grading of ocular redness involves judgement of both the hue and vessel size, relative to the area under question.

Image analysis discrimination was described by the standard deviation of repeated measures divided by the scale range.

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Int Contact Lens Clinics ; Evaluation of the range of areas of the fluorescein staining patterns of the tarsal conjunctiva in man. Highlighting the papillae with fluorescein would appear a more appropriate method for determining scqle roughness as previously described, 25, 26 causing an increase in edges detected and a decrease in the fluorescein coverage, despite an apparent decrease in severity with the highest CCLRU scale grade.

Table 1 summarises the benefits. Researchers have examined the repeatability of discrete and continuous anterior segment grading. Edge detection filled symbols and relative red colouration open symbols with grading scale images of bulbar hyperaemia. Quantitative slit lamp observations in contact lens practice. 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.

CCLRU grading scale | Optometric | Pinterest | Eyes, Lens and Education

scalr Ideally, prior to contact lens wear, the baseline data for a range of clinical variables should be collected and then be continually monitored throughout the course of the patients wearing experience. An area of approximately 90 pixels about 6.

However, although all the scales are in agreement that red colouration increases with scale grade, with pictorial scales Efron and Annunziato blood vessels become more prominent with initial scale grades and are then replaced by increasing severity of papillae both identified by edge detection. Edge detection and colour extraction image analysis gradinb are highly repeatable and offer the potential for more repeatable and sensitive grading than using printed subjective grading scales. To examine the incremental nature of the Annunziato, 29 Efron Millennium Edition9 and Vistakon-Synoptik 4 grading scales, the printed images of bulbar hyperaemia, palpebral hyperaemia also referred to as papillary conjunctivitisand corneal staining extent were scanned at dpi stored in tagged image format TIFF and analysed.


The printed grading scales were more sensitive for grading features of low severity, but grades were not comparable between grading scales. Image analysis of a particular feature may require the assessment of a number of gradinng to provide a more simplistic condition grade, comparable with although having better repeatability and sensitivity than subjective techniques. How to choose a lab Looking at labs: Therefore an epithelial scratch, punctate staining, and confluent ulceration could all have similar intensity of green colouration and edge detected area.

The intensity, incidence angle, and type of illumination will affect the reflections gradinf well as the apparent size and shape of the papillae, and therefore the non-uniform change with increasing photographic scale intensity may be expected.

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Palpebral hyperaemia and staining grading is complicated by the variable presentations possible. The latter consists of a series of artist illustrated depictions of 16 different conditions, while the former comprises photographs of 6 conditions, two of which are presented in multiple manifestations.

Gradnig the difference is only slight and could not be considered of clinical significance. Analysis of microvascular network in bulbar conjunctiva by image processing. Optom Vis Sci ;