Validation of grading scales for contact lens complications

Nathan Efron, Philip B. Morgan, Smaragda S. Katsara

    Research output: Contribution to journalArticlepeer-review

    Abstract

    The validity of use of two artist-rendered and two photographic sets of grading scales (grading 'systems') designed for gauging the severity of contact lens-related ocular pathology was assessed in terms of precision and reliability. Thirteen observers each graded 30 images - by interpolation or extrapolation to the nearest 0.1 increment - of each of the three contact lens complications (corneal staining, conjunctival redness and papillary conjunctivitis) that were common to all four grading systems. This entire procedure was repeated approximately two weeks later, yielding a total data base comprising of 9360 individual grading estimates. Analysis of variance revealed statistically significant differences in both precision and reliability between systems, observers and conditions (p
    Original languageEnglish
    Pages (from-to)17-29
    Number of pages12
    JournalOphthalmic and Physiological Optics
    Volume21
    Issue number1
    Publication statusPublished - 2001

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