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CCLRU Grading
CCLRU Grading
school of Optometry and Vision Science, The University of New South Wales,
Sydney, Australia, calls for three variables per zone: type, depth and extent of
surface area staining.
Variable 1:
Types of punctate fluorescein staining in CCLRU
Type 0 means there is no staining;
Type 1 is micropunctate;
Type 2 macropunctate;
Type 3 coalescent macropunctate staining;
Type 4 is a coalscent patch of 1mm or greater in size
Variable 2:
Grade 0 = there is no staining, the depth is graded as 0
Grade 1 = Superficial epithelium involvement
Grade 2 = Presence of a stromal glow within 30 seconds
Grade 3 = Immediate localized stromal glow
Grade 4 = Immediate diffuse stromal glow
Variable 3:
Grade 0 = There is no staining
Grade 1 = From 1 to 15 percent of surface involvement
Grade 2 = 16 to 30 percent surface involvement
Grade 3 = 31 to 45 percent surface involvement
Grade 4 = 46 percent or greater surface involvement