{"id":14,"url":"https://cclm.media-doc.io/conditions/14/","name":"Edema - Stromal","category":"Cornea","detail":"<h2>Symptoms</h2>\n\n<ul>\n\t<li>Slight visual disturbance&nbsp;if greater than 10% edema</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Stromal folds and striae</li>\n\t<li>Localized edema will be visible as hazy grey region of cornea</li>\n\t<li>DW lenses result in 2% to 7% edema</li>\n\t<li>Conventional EW results in 7% to 14% edema</li>\n\t<li>SiHy EW results in to 2% to 4% edema</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Hypoxia results in accumulation of lactic acid within the stroma, which produces an osmotic gradient, resulting in an ingress of fluid and increased hydration of the corneal stroma</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Occasional</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li>Inflammatory edematous reactions</li>\n\t<li><a href=\"/condition/11\">See: Edema- Epithelial</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Consider SiHy lenses for DW or EW</li>\n\t<li>Reduce wearing time, or cease EW of low-Dk lenses</li>\n</ul>","images":[{"name":"Edema - Stromal","file":"https://cclm-static.s3.amazonaws.com/images/edema-stromal_zoom.jpg"}],"type":1,"videos":[],"wear":true,"ceaseWear":false,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":false,"dd":false,"dw":true,"gp":false,"replace":false,"review":false,"rewettingDrops":false,"rx":false,"SiHy":true,"toric":false,"tags":[{"id":7,"url":"https://cclm.media-doc.io/tags/7/","name":"conditions"}]}