In this thoroughly updated fourth edition, award-winning contact lens author, lecturer, and researcher, Professor Nathan Efron, presents an easily accessible, systematic account of how to identify, understand, and manage contact lens complications. Professor Efron is renowned for his ability to distil often-complex principles of ocular physiology and pathology into a clinically-friendly format. The subject matter is arranged logically by tissue structure - which is the way practitioners naturally approach clinical problems. Beautifully presented and lavishly illustrated with full-color schematic diagrams and clinical pictures, this book can serve as both a practical chair-side manual and authoritative reference.
- Thoroughly revised, capturing the latest advances and concepts in contact lens related ocular pathology.
- Updated 'Complications quick-find index' at the beginning of the book, constituting a valuable practitioner aid to formulating a rapid diagnosis and treatment plan, and serving students as a useful examination study aid.
- Incorporates findings from the Dry Eye Workshop II (DEWS II) and the International Workshops on Meibomian Gland Dysfunction and Contact Lens Discomfort.
- Two new chapters - "Lid Wiper Epitheliopathy" and "Lid-Parallel Conjunctival Folds."
- Over 1,500 references cited as the basis of a thorough evidence-based approach.
- 60 superb new clinical pictures and schematic diagrams, making over 650 in total.
- Grading scales for 16 contact lens complications, making this the most comprehensive and widely-used grading system available today.
- Grading morphs computer program as a computer-based aid to assessing condition severity.
- Self-help grading tutor computer program to help you hone your grading skills.
- Pictorial tear film classification system.
- Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Table of Contents
Contact Lens Complications, 4eQuick Find Index
Part I: Examination and Grading
1. Anterior Eye Examination
2. Grading Scales
3. Grading Morphs
Part II: Eyelids
4. Blinking Abnormalities
5. Lid Wiper Epitheliopathy
6. Eyelid Ptosis
7. Meibomian Gland Dysfunction
8. Eyelash Disorders
Part III: Tear Film
9. Dry Eye
10. Mucin Balls
Part IV: Conjunctiva
11. Conjunctival Staining
12. Lid-Parallel Conjunctival Folds
13. Conjunctival Redness
14. Papillary Conjunctivitis
Part V: Limbus
15. Limbal Redness
16. Vascularized Limbal Keratitis
17. Superior Limbic Keratoconjunctivitis
Part VI: Corneal Epithelium
18. Corneal Staining
19. Epithelial Microcysts
20. Epithelial Oedema
21. Epithelial Wrinkling
Part VII: Corneal Stroma
22. Stromal Oedema
23. Stromal Thinning
24. Deep Stromal Opacities
25. Corneal Neovascularization
26. Corneal Infiltrative Events
27. Microbial Keratitis
28. Corneal Warpage
Part VIII: Corneal Endothelium
29. Endothelial Bedewing
30. Endothelial Blebs
31. Endothelial Cell Redistribution
32. Endothelial Polymegethism
Appendix A: Grading Scales for Contact Lens Complications
Appendix B: Guillon Tear Film Classification System