Contact Lens Complications , 3rd Edition

By Nathan Efron, BScOptom PhD (Melbourne), DSc (Manchester), FAAO (Dip CCLRT), FIACLE, FCCLSA, FBCLA, FACO
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  • 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. 
  • 350 new references (now over 1,250 in total) as the basis of a thorough evidence-based approach.
  • 80 superb new illustrations (now 480 in total) to assist instant recognition of clinical signs.
  • Grading scales for 16 contact lens complications, making this the most comprehensive and widely-used grading system available today.
  • Pictorial tear film classification system.

Effectively manage even the most challenging contact lens complications with help from Contact Lens Complications, 3rd Edition! Award-winning author, clinician, and researcher Professor Nathan Efron presents a thoroughly up-to-date, clinician-friendly guide to identifying, understanding, and managing ocular response to contact lens wear.

Key Features
  • Evaluate and manage patients efficiently with an organization that parallels your clinical decision making, arranging complications logically by tissue pathologies.
  • Turn to the lavish illustrations and full-color schematic diagrams for a quick visual understanding of the causes and remedies for contact lens complications.
ISBN 9780702042690
Author Informaiton By Nathan Efron, BScOptom PhD (Melbourne), DSc (Manchester), FAAO (Dip CCLRT), FIACLE, FCCLSA, FBCLA, FACO, Research Professor, School of Optometry and Vision Science, Queensland University of Technology, Brisbane, Australia
Pp Authortext Efron
New to this Edition
  • Stay up to date with the latest advances and concepts in contact-lens-related ocular pathology, including findings from the Dry Eye Workshop (DEWS), the International Workshop on Meibomian Gland Dysfunction, a new approach to corneal inflammatory events and microbial keratitis, and new instrumentation and techniques for anterior eye examination.
  • Find information quickly with the updated "Complications Quick-Find Index" at the beginning of the book - both a valuable aid to formulating a rapid diagnosis and treatment plan, and a useful study tool for examinations.
  • Consult the most comprehensive and widely-used grading system available, as well as 350 new references that reflect an evidence-based approach, and dozens of superb new illustrations that help you instantly recognize clinical signs.
  • Access the complete contents online at, as well as a downloadable image gallery, redesigned grading morphs, and upgraded self-help grading tutor programs that help you assess condition severity.
Published Reviews

"Armed with Efron's Contact Lens Complications, practitioners will be well prepared to help contact lens patients with successful lens wear. Every contact lens practice needs access to this book." Clinical and Experimental Optometry 96. 3 May 2013

"It is truly a companion to the Efron Grading Scales. It is a book that will be often used, and the comprehensive cited reference section is invaluable and will satisfy any curious mind. Overall, the book is a nice addition as a clinical reference in contact lenses and their related ocular pathologies." Optometry and Vision Science, Vol. 90, No. 3, March 2013

"In summary, this latest third edition has been completely updated and revised to reflect the most current knowledge, research findings, technological developments, and updates in the contact lens field. Its easy-to-use design and systematic approach provide instant access to information that is ideal for use in a busy clinic or for exam revision." Optician, Dec 2012

".we now have the whole edition available online via One simply visits the website, types in the activation code and hey presto you can access every page, image and more. The morphs are available for online viewing (or download) as is a grading tutor, which I found very useful. The good news is that this 3rd edition contains around 60% more pages but costs around 40% less than the 2nd edition. It's a no brainer really." New Zealand Optics, Sept 2012

Table of Content


Chapter 1 Anterior eye examination

Chapter 2 Grading scales

Chapter 3 Grading morphs



Chapter 4 Blinking abnormalities

Chapter 5 Eyelid ptosis

Chapter 6 Meibomian gland dysfunction

Chapter 7 Eyelash disorders



Chapter 8 Dry eye

Chapter 9 Mucin balls



Chapter 10 Conjunctival staining

Chapter 11 Conjunctival redness

Chapter 12 Papillary conjunctivitis



Chapter 13 Limbal redness

Chapter 14 Vascularised limbal keratitis

Chapter 15 Superior limbic keratoconjunctivitis



Chapter 16 Corneal staining

Chapter 17 Epithelial microcysts

Chapter 18 Epithelial oedema

Chapter 19 Epithelial wrinkling



Chapter 20 Stromal oedema

Chapter 21 Stromal thinning

Chapter 22 Deep stromal opacities

Chapter 23 Corneal neovascularisation

Chapter 24 Corneal infiltrative events

Chapter 25 Microbial keratitis

Chapter 26 Corneal warpage



Chapter 27 Endothelial bedewing

Chapter 28 Endothelial blebs

Chapter 29 Endothelial cell redistribution

Chapter 30 Endothelial polymegethism

Appendix A Grading scales for contact lens complications system

Appendix B Guillon tear film classification


E-SBN 9781455737741
Imprint Saunders
Publication Date 15-06-2012
Pages 318
Trim 276 x 219
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