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 pathologyUpdated ‘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 aidIncorporates findings from the Dry Eye Workshop II (DEWS II) and the International Workshops on Meibomian Gland Dysfunction and Contact Lens DiscomfortTwo new chapters - "Lid Wiper Epitheliopathy" and "Lid-Parallel Conjunctival Folds."Over 1,500 references cited as the basis of a thorough evidence-based approach60 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 todayGrading morphs computer program as a computer-based aid to assessing condition severitySelf-help grading tutor computer program to help you hone your grading skills. Pictorial tear film classification systemEnhanced 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